{"id":11294,"date":"2020-08-27T15:33:07","date_gmt":"2020-08-27T20:33:07","guid":{"rendered":"https:\/\/www.billingparadise.com\/blog\/?p=11294"},"modified":"2020-08-27T15:33:07","modified_gmt":"2020-08-27T20:33:07","slug":"providers-profiting-with-bcbsnc-model","status":"publish","type":"post","link":"https:\/\/www.billingparadise.com\/blog\/providers-profiting-with-bcbsnc-model\/","title":{"rendered":"Providers Profiting With BCBSNC Model"},"content":{"rendered":"<section  class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\"><div class=\"text-block \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">Per the <\/span><a href=\"https:\/\/mediacenter.bcbsnc.com\/news\/blue-cross-nc-program-with-providers-improves-quality-and-saves-153-million-in-costs-in-first-year\"><span style=\"font-weight: 400\">report<\/span><\/a><span style=\"font-weight: 400\"> 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. <\/span><\/p>\n<\/div><\/div>[vc_custom_heading text=&#8221;The Blue Premier&#8221; google_fonts=&#8221;font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:400%20regular%3A400%3Anormal&#8221;]<div class=\"text-block \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">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.<\/span><\/p>\n<p><span style=\"font-weight: 400\">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.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-11295 size-full\" src=\"https:\/\/www.billingparadise.com\/blog\/wp-content\/uploads\/2020\/08\/Untitled-design-23.png\" alt=\"BCBSNC Generating Revenue\" width=\"700\" height=\"200\" srcset=\"https:\/\/www.billingparadise.com\/blog\/wp-content\/uploads\/2020\/08\/Untitled-design-23.png 700w, https:\/\/www.billingparadise.com\/blog\/wp-content\/uploads\/2020\/08\/Untitled-design-23-300x86.png 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/>For more information on The Blue Premier, you can visit their official <\/span><a href=\"https:\/\/mediacenter.bcbsnc.com\/news\/blue-cross-nc-program-with-providers-improves-quality-and-saves-153-million-in-costs-in-first-year\"><span style=\"font-weight: 400\">website<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We @<\/span><a href=\"https:\/\/www.billingparadise.com\/rcm-tools\/\"><span style=\"font-weight: 400\">BillingParadise<\/span><\/a><span style=\"font-weight: 400\">, understand the financial constraints the physicians and medical practice are in during this horrific pandemic. That is why we endorse and provide <\/span><a href=\"https:\/\/www.billingparadise.com\/telemedicine\/\"><span style=\"font-weight: 400\">Telemedicine <\/span><\/a><span style=\"font-weight: 400\">platforms and billing services at the most <\/span><a href=\"https:\/\/www.billingparadise.com\/blog\/billingparadise-announces-a-lower-service-cost-for-telemedicine\/\"><span style=\"font-weight: 400\">affordable rates<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"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. [vc_custom_heading text=\"The Blue Premier\" google_fonts=\"font_family:Roboto%3A100%2C100italic%2C300%2C300italic%2Cregular%2Citalic%2C500%2C500italic%2C700%2C700italic%2C900%2C900italic|font_style:400%20regular%3A400%3Anormal\"]Five health systems in June 2019, agreed to share risk [...]","protected":false},"author":2,"featured_media":11296,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[721,841,717,716],"tags":[],"class_list":["post-11294","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-collections","category-medical-billing","category-most-popular","category-most-recent"],"_links":{"self":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/11294","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/comments?post=11294"}],"version-history":[{"count":0,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/11294\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media\/11296"}],"wp:attachment":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media?parent=11294"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/categories?post=11294"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/tags?post=11294"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}