This analysis of the Group Insurance Commission health plan programs for 2013-14 analyzes the following aspects of each health plan:
- Product
- Physician Tiers
- Primary Care Tiering
- Specialties Tiered on Cost & Quality
- Specialties Tiered on Cost Only
- Specialties Not Tiered or Insufficient Data
- Quality Measures used for Tiering
- Cost Measures used for Tiering
- Physician Co-Pay by Tier
- Copays for Physicians with Insufficient Data (Quality & Cost)
- Physician Tier Methodology
- Formal Appeals Process
Download the analysis. (.pdf, 2 pages)
