Value-based agreement focuses on the continued well-being of Florida Blue beneficiaries insured through the Affordable Care Act in Florida
TAMPA, FL? (October 25, 2019) ¨C Tampa General Hospital (TGH) today announced that they have?entered into a new value-based agreement with Florida Blue effective July 1, 2019.
The structure of this value-based agreement reimburses TGH¡¯s employed physician group, Tampa General Medical Group (TGMG), for working proactively to keep patients healthy as opposed to reactively and solely treating illnesses. The agreement targets patients who have purchased Florida Blue insurance through the healthcare exchange as part of the Affordable Care Act.? Participating patients will receive services that include more frequent wellness checkups, screenings for a range of illnesses, and other prevention-based care programs.
¡°This agreement will allow patients to receive quality care to keep them healthy, rather than a battery of expensive -and often unnecessary - tests,¡± said John Couris, president and CEO of Tampa General Hospital. ¡°By enabling providers like TGH to focus on the long-term health of the patient, we can reduce waste and streamline processes to become more efficient, ultimately driving down costs that can be invested back into patient care.¡±
Value-based care represents a shift from volume-based care, where treatment was traditionally organized around taking care of the sick and compensating physicians based solely on the number of services and procedures ordered.
¡°This agreement is a win for the patient.? It represents the new system of health care delivery, particularly as consumers are demanding more from their health care and taking more control over the type of care they receive,¡± said Dale Aggen, director of Managed Care at TGH.
Through this agreement, TGMG will focus on the importance of keeping people healthy, and will be compensated for coordinated care, providing the appropriate care for each patient¡¯s situation, and the patient¡¯s health outcomes. This work includes:
- Tailoring health plans to the specific and unique needs of the community.
- Collaborating with care providers, leveraging technology and data and other assistance to delivering excellent patient outcomes at a lower cost.
- Connecting consumers to tools and guidance?to empower them to participate in their health and well-being.
¡°We are currently exploring additional value-based opportunities with Florida Blue,¡± Aggen said.? ¡°We don¡¯t want to stop with the ACA population.? We want to provide this type of care to even more Floridians and are likely to roll out other value-based products in the year ahead.¡±
Tampa General Hospital, a 1007-bed non-profit academic medical center, delivers world-class care as the region¡¯s only center for Level l trauma and comprehensive burn care. It is one of the nation¡¯s busiest adult solid organ transplant centers and is the primary teaching hospital for the USF Health Morsani College of Medicine. With five medical helicopters, Tampa General Hospital transports critically injured or ill patients from 23 surrounding counties to receive the advanced care they need. Tampa General houses a nationally accredited comprehensive stroke center and its 32-bed Neuroscience Intensive Care Unit is the largest on the West Coast of Florida. It also is home to an 82-bed Level IV neonatal intensive care unit, and a state-certified spinal cord and brain injury rehabilitation center. Tampa General Hospital¡¯s footprint includes 14 Tampa General Medical Group Primary Care offices, TGH Family Care Center Kennedy, TGH Brandon Healthplex, TGH Virtual Care, 15 outpatient Radiology Centers and a TGH Urgent Care located in Brandon. As one of the largest hospitals in Florida, Tampa General Hospital is first in the state to open a command center in partnership with GE Healthcare. For more information, go to?.