Healthcare Innovation April 30, 2024
David Raths

Fifty-six percent of Blue Cross’ Massachusetts members now receive care from clinicians taking part in equity-focused value-based agreements

Boston Children’s Hospital has become the first children’s hospital in the nation to participate in a pay-for-equity financial payment model.

Blue Cross Blue Shield of Massachusetts (BCBSM) is the first health plan in Massachusetts — and among the nation’s first – to introduce these contracts, which link financial incentives to achieving measurable improvements in health equity.

Boston Children’s has one of the country’s largest pediatric primary care physician organizations, with more than 500 physicians, nurse practitioners, physician assistants, and integrated behavioral health providers. Through its work with Blue Cross, Boston Children’s will focus initially on reducing inequities in child and adolescent well-care...

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Topics: Equity/SDOH, Health System / Hospital, Healthcare System, Insurance, Payer, Payment Models, Provider, Value Based
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