In order to bring about systemic change, improving the way care is delivered and the way in which it is paid

Medica and Fairview have signed a contract that demonstrates health care reform can be addressed from within the health care system.

The agreement is intended to bring about systemic change, improving the way care is delivered and the way in which it is paid, said the company. The agreement takes on the fundamental issues in the national health care reform dialogue, how to improve quality and patient experience, while reducing cost.

Fairview would be able to earn performance-based payments tied to improvements in clinical quality, and to manage the total cost of patient care. The new agreement is a continuation of the work that both the organisations began last year. In 2008, Medica and Fairview agreed to pilot new clinical approaches designed to improve quality while lowering costs.

Throughout the last 12 months, Fairview and Medica shared information and established a common vision to jointly create a new contract, that ultimately would lead to improved clinical outcomes, improved patient experience and reduced cost.

Headquartered in Minneapolis, Medica is a health insurance company which provides health care coverage in the employer, individual, Medicaid, Medicare and Medicare Part D markets.