Tufts Medical Center, its physicians, and the for-profit Vanguard
Health Systems are sponsoring the first member-run health insurance plan
in Massachusetts.
Tufts and its partners won federal approval and $88.5 million dollars
to launch a new health insurance option — Minuteman Health — around
lower cost hospitals and providers with benefits designed by the
members. And members will decide how to spend surpluses or profits, says
Minuteman Health board chair Ellen Zane.
“The surpluses will either go back to reducing the cost of the
premiums or enhancing the benefits in the products. That is a major
difference for this kind of product in the market,” Zane said.
Organizers are working with the Massachusetts Division of Insurance
to meet state regulations. They hope to have the plan up and running in
at the beginning of 2014. The federal investment will help build initial
reserves for the program.
Eric Beyer, president and CEO of Tufts Medical Center, says 17
hospitals in MA have expressed interest in joining the Minuteman
Network.
“This is an interesting and exciting development that could shake up
the health insurance market for individuals and small employers,” says
Nancy Turnbull, Senior Lecturer on Health Policy and Associate Dean for
Educational Programs at the Harvard School of Public Health. “The key to
success will be whether the plan offers products that are more
affordable and have an attractive provider network. The coop model is
new to Massachusetts but will, I think, resonate with many consumers who
would relish being part of a health plan in which they have a real
voice.”
source
Wednesday, September 5, 2012
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