Highmark Blue Shield joins with Medical Group of Pennsylvania, a network of local independent physicians, to create greater value and improve coordination of care
Highmark Blue Shield
Camp Hill, Pa. (Sept. 11, 2017) Highmark Blue Shield has announced a new collaboration with Medical Group of Pennsylvania an association of 75 local independent practices and over 450 physician members to improve the quality of care and reduce costs for its members.
This strategic relationship with Medical Group of Pennsylvania will allow the insurer to work more closely with physicians to coordinate patient care and create better patient outcomes.
To achieve this, Medical Group of Pennsylvania practices will participate in Highmark's True Performance Plus program an innovative value based reimbursement model. The practices will receive funding and support from Highmark to help develop the tools and technology needed to better manage care for members. If the practices meet certain care quality and cost efficiency targets, they may receive additional performance bonuses.
"This shift from fee for service to fee for performance is helping Highmark transform health care delivery," said Mark Jacobson, DO, Highmark medical director. "We focus on managing care through prevention and care coordination, which improves outcomes. Our relationship with Medical Group of Pennsylvania will allow us to work more closely and share information so our members are receiving appropriate care to stay healthy, manage diseases and prevent illness, which helps reduce long-term health care costs."
"As this health care landscape continues to change in central Pennsylvania, independent physicians are looking for ways to remain at the forefront of care delivery. This relationship allows Medical Group of Pennsylvania's members to maintain their focus on patient-centric care, creating better outcomes, and keeping patients' costs lower," said Safa Farzin, MD, Medical Group of Pennsylvania Chief Executive Officer. vAdditionally, our collaboration with Highmark allows us to work closely with a respected insurance provider and remain independent. It really is a win-win situation."
"This relationship between Medical Group of Pennsylvania and Highmark will certainly allow physicians to have active practices, but the real winners are the patients," said Todd Fisher, MD, a primary care physician and Medical Group of Pennsylvania Board member. "They will continue to have an option to see the physicians they choose. Patients need to have that option. My goal has always been to provide quality care for patients. This partnership provides the best environment for me to provide quality care in a cost effective manner."
About The Medical Group of Pennsylvania
The Medical Group of Pennsylvania (MGP) seeks to build strategic partnerships between independent physician practices, insurers, and employers to offer high quality, lower cost health care options through increased patient choice, price transparency, and patient centric care within the central Pennsylvania community. Medical Group of Pennsylvania was founded in 2015 with nine physicians and has since grown to over 75 physician practices and 150 individual practice sites. MGP was established to provide support, resources and programs that bring value to the independent physician community and improve the health of central Pennsylvania residents. The Medical Group of Pennsylvania seeks to develop the highest quality and lowest cost physician network in central PA. We will advance the cause of patient centric care by advocating and implementing price transparency, maintaining a lasting physician patient relationship, and ensuring patients retain freedom of choice for their health care. MGP currently serves Adams, Cumberland, Dauphin, Lancaster, Lebanon, Perry, and York counties. To learn more, visit www.medgrouppa.com.
About Highmark Blue Shield
Highmark Inc., doing business as Highmark Blue Shield, serves approximately 1.1 million members through the company's health care benefits business and hundreds of thousands of additional members through the Blue Card program. Highmark Blue Shield significantly leads its competitors in commercial market share, with strong Medicare Advantage market share as well. Highmark is the largest and highest-rated Medicare Advantage program in Pennsylvania with a CMS rating of 4.5 Stars. Highmark Blue Shield employs more than 3,500 people in central Pennsylvania and the Lehigh Valley. Highmark Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. For more information, visit www.highmark.com.