UnitedHealth wants to have at least 50% of its network under value-based contracting by 2015. How does that sound? Good for them. We also have another made-up political term (please see my other blogs about P4P traps) called “value-based contracting” . Somehow our leaders believe this is a wonderful thing. Here was a quote from Lisa Bielamowicz, MD, a managing director and national physician practice leader for The Advisory Board Co., a research, consulting and technology firm serving academic and health care organizations, at the end of this American Medical News article:
Where health plans are simply paying more to primary care physicians in lieu of complicated risk arrangements or pay-for-performance programs, she said, the insurers are extending a financial “lifeline” to doctors under financial distress. Those straightforward boosts in pay are likely to be replaced by arrangements that involve physicians taking on risk.