Relationship Between Health Insurance Plan Ratings and their Providers

The push for value-based reimbursement has resulted in several healthcare ratings of insurance companies, providers, and hospitals. Payers need to measure the performance of providers to determine the right amount of value-based reimbursement, and patients need the ratings of the providers and their costs to make informed decisions on where to spend their healthcare dollars. The latter is becoming more important as high deductible plans are flooding the healthcare market as a result of the increased costs of healthcare and the need for affordable plans in Affordable Care Act marketplaces. In this white paper we study the relationship between insurance plan ratings, in-network provider ratings and in-network hospital ratings.