Health insurance plans have been active in providing consumers meaningful quality and price information on hospitals, but are behind on transparency regarding physicians, according to a report released by the National Business Coalition on Health.
The 15-year-old, Washington-based not-for-profit organization of employer-based healthcare coalitions compared the performance of health plans against the so-called four cornerstones of value-driven healthcare, which were developed in 2006 by a consortium of business groups and the federal government to promote transparency and the use of information technology through four key initiatives.
NBCHs report, eValue8 Cornerstone Report: Measuring the Success of Americas Health Plans, found that only 6% of health plans reported standard physician performance measures in areas such as prevention, diabetes and cardiovascular conditions. By contrast, 30% of health plans provide reports about hospital quality. In addition, about 50% of health plans pay providers incentives based on improved healthcare. And while health plans are using online tools and some information technology, health IT adoption and interoperability is in its infancy, the report stated.
The eValue8 report analyzed health plan responses to 19 questions called for by HHS in the Employer Toolkit for Value-Driven Health Care. NBCHs eValue8 program is a standardized request-for-information tool that employers and coalitions use to gather healthcare data from about 200 health plans and insurers. -- by Jean DerGurahian
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