The closer ties between Blues plans and medical care providers comes as CVS Health, the operator of thousands of retail pharmacies and retail health clinics, is preparing to roll out new primary care models following its acquisition of Aetna.
Health insurers are moving away from fee-for-service medicine to value-based models that pay medical care providers based on quality of care and health outcomes of patients. If providers and insurers are even more integrated, supporters of such arrangements believe quality and costs can be more closely monitored.USA to initially open 10 primary care centers in the Dallas and Houston markets.
The medical centers include urgent care, lab and diagnostic imaging services, wellness and disease management and some of them are open 365 days a year to give patients less reason to go to a hospital emergency room. Those involved won’t disclose how much money they plan to spend on the Sanitas centers in Texas, but said they will be looking to expand in the four other states where Health Care Service operates Blues plans. Combined, the plans cover nearly 17 million health plan members and Blue Cross want them to have more options for quality low-cost medical care so the market potential is large.
“We are excited to begin our journey with Blue Cross and Blue Shield of Texas and look forward to working closely together to bring more value to their members and communities,”
Possibly a step in the right direction, definitely better than Medicare for all.
They needed the competition anyway. Now they'll either have to do what they do for cheaper or offer more.
And CVS will soon have dental chairs in the store.
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