January 6, 2015

The Role of Private Payers in Payment Reform

Author Affiliations
  • 1Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts
  • 2Harvard Medical School, Boston, Massachusetts
  • 3New York City Health and Hospitals Corporation, New York
  • 4Departments of Population Health and Medicine, New York University Langone Medical Center, New York

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2015;313(1):25-26. doi:10.1001/jama.2014.15904

In September, one of California’s largest private payers, Anthem Blue Cross, joined 7 Los Angeles health systems in a new managed care contract with savings and risks shared among the payer and health systems. In a state where premiums have increased at a rate 5 times faster than inflation over the past decade, the new partnership aims to slow spending through mutual price control and clinical coordination among the narrow network of prior rivals, while offering employers and individuals lower premiums and zero deductibles.

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