Providers Profiting With BCBSNC Model

August 27, 2020 3:33 pm

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Per the report on BCBS website, The BCBSNC, Blue Cross and Blue Shield of North Carolina said five health systems and physicians in its risk-based payment model have generated $153 million in cost savings and quality improvement during the past year.

The Blue Premier

Five health systems in June 2019, agreed to share risk under the new BCBSNC reimbursement model known as Blue Premier. Under this model, payments to physicians and hospitals are tied to the value of services provided. Total payments to the health systems are based on their collective ability to manage cost of care and quality performance at their systems. With the first year over, the results have been promising.

Also a result under this new model, the five health systems and independent physician practices in ACOs, increased colorectal cancer screenings by 3,041 members and controlled blood pressure for 13,412 more members than in 2018. All of this resulting in the providers of The Blue Premier getting 85 million. 

BCBSNC Generating RevenueFor more information on The Blue Premier, you can visit their official website.

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