NPs Named as Primary Care Providers in Massachusetts State Health Plans
The state commission that oversees health plans covering 400,000 public employees, retirees and their dependents voted Wednesday to enter into contracts with six health insurance carriers who are committing to keeping 2014 premium increases at 3.5 percent. According to the Group Insurance Commission, the insurers are also agreeing to establish integrated systems of care under five-year contracts that will begin July 1, 2013. The carriers are Fallon Community Health Plan, Harvard Pilgrim Health Care, Health New England, Neighborhood Health Plan, Tufts Health Plan and UniCare. According to the GIC, the contracts feature modest benefit enhancements including additional wellness benefits and the premium increase is less than half the average 7.4 percent increase in employer-sponsored plans monitored by Mercer National Survey. Under the contracts, the plans will be enticed by financial incentives for achieving budget targets and adopting new payment systems and will be subject to penalties if they fail to meet benchmarks.
Insured individuals will have the option of choosing a nurse practitioner or physician assistant as their primary care provider, with details about plan options due to be delivered to employees and retirees before an open enrollment period begins April 10. The open enrollment period will run until May 8, 2013.
|by Andrea Brassard | March 7, 2013|