Q&A: How HealthNow harnesses fee-for-service to drive appropriate care

By: Natalie Trebes and Sally Kim

Capitated payment models put the responsibility for cost management on providers’ shoulders. That can mean more efficient use of care—but these models also run the risk of discouraging preventive care.

HealthNow New York, a Blues plan in upstate New York, recently launched a hybrid payment model called BestPractice to get the best of both worlds: assured access to preventive care and efficient management of ongoing conditions. We spoke with HealthNow’s Chief Network Officer and SVP Ron Mornelli and Medical Director and VP Dr. Kirk Panneton to learn more.