Health Payer Intelligence May 3, 2018
Payers need to collaborate with providers and leverage data analytics to scale a value-based care network, improve beneficiary outcomes, and reduce care costs.
Value-based care networks are a promising opportunity for payers that want to manage costs and improve outcomes of beneficiaries. But effectively scaling collaborative, risk-based reimbursement networks for millions of beneficiaries requires a great deal of strategy and insight.
The BlueCross Blue Shield Association (BCBSA) has successfully scaled its value-based care initiatives through the Blue Distinction Total Care Network: a group of accountable care organizations (ACOs), patient-centered medical homes, and similar programs that operate in local BCBS payer markets.
In 2018, Total Care Network participants lowered costs by 35 percent, reduced beneficiary hospitalizations by 15 percent, and outperformed...
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