Tuesday, December 11, 2012

2012 eValue8 top performing plans and key findings released

To help health care purchasers assess and manage the quality and efficiency of America’s health plans, NBCH released the 2012 eValue8 top performing plans, key findings, and 2013 RFI.

A critical element of a purchasers’ value-based purchasing strategy, eValue8 is an annual health care accountability and quality improvement assessment process used by employers and coalitions to gather health care data from plans across the nation.

2012 Top Performing Plans 
Three plans garnered the top overall performing spots this year: Kaiser Permanente Southern California and Kaiser Permanente Northwest for HMO; and Cigna Pennsylvania for PPO. Plans who achieved the highest scores (benchmark) for specific modules include: Cigna in California, Colorado, New Jersey, Tennessee and Washington; and Tufts Health Plan Massachusetts for PPO; Kaiser Permanente in Southern and Northern California, Colorado, and Northwest; Group Health Cooperative in Washington; and Cigna Colorado for HMO.

2012 eValue8 Findings
The 2012 eValue8 process identified opportunities for all health plans to reduce waste, address gaps in care, structure payment reforms and improve consumer engagement. While plans have made progress in transparency of provider measurement, more needs to be done in the area of payment reform.

Additional information on the key findings and 2013 RFI can be found in today's news release.

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