The health insurer's goal is to shift its physician network from fee-for-service payments to a value-based compensation model that rewards physicians for the quality of that care and may reduce healthcare costs.
Pittsburgh-based Highmark Health Services, has formed the Accountable Care Alliance with the physicians employed by the Allegheny Health Network. Highmark officials expect to expand the model throughout its markets.
The incentive-based program holds the promise of enabling physicians to increase their reimbursements by as much as 30% by meeting certain quality measures. The goal is for Highmark to shift its physician network from fee-for-service, which encourages physicians to focus on the number of patients they treat, to a value-based payment system that rewards physicians for the quality of that care and may reduce healthcare costs.
At the press conference announcing the ACA, Mike Fiaschetti, president of health markets for Highmark, described the program as "our foundation for transforming the way healthcare is delivered through how we provide incentives to physicians and how we reimburse them."
Fiaschetti said the program will include enhancing the way the insurer shares data and information with physicians, care management, and the coordination of patient care across the care continuum.