As health care claims costs continue to rise, employers and their benefits advisors are always looking for ways to effectively lower spending and help employees adopt healthy behaviors. While value-based care (VBC) promised to address cost and quality issues, many of these models have fallen short of expectations. The question is whether new “payvider” insurance approaches can accomplish what others can’t. Under the joint-venture approach, the payer and provider share accountability for claims costs and profit or losses, which means they both have an equally vested interest in getting patients the right level of care at the right time.

Tom Grote, chief executive officer with joint venture health insurance company Banner Aetna, recently shared his perspective on joint venture health plans, the “payvider” model and where he thinks value-based care is headed overall.


NOT FOR REPRINT

© 2023 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

 

BenefitsPRO Broker Expo 2024Event

The premier educational and networking event for employee benefits brokers and agents.

Get More Information
 

BenefitsPRO

Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join BenefitsPRO.com now!

  • Unlimited access to BenefitsPRO.com - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
  • Exclusive discounts on BenefitsPRO.com and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2023 ALM Global, LLC. All Rights Reserved.