Discover and read the best of Twitter Threads about #BluePremier
Most recents (11)
🥁Drum roll please ...The 2019 results are in. Kudos to @ConeHealth, @DukeHealth-@PDCDuke
, @UNC_Health_Care, @wakehealth, and @WakeMed (WKCC), as well as @AledadeACO who share our vision for better, more affordable health care. We did it! 🎉 THREAD mediacenter.bcbsnc.com/news/blue-cros…
, @UNC_Health_Care, @wakehealth, and @WakeMed (WKCC), as well as @AledadeACO who share our vision for better, more affordable health care. We did it! 🎉 THREAD mediacenter.bcbsnc.com/news/blue-cros…
Under #BluePremier in 2019, @BlueCrossNC’s value-based care program, providers across 5 health systems & practices affiliated w/ @AledadeACO served 536,000 members.
These health care providers also generated an estimated $153 million through cost savings, quality improvements and slowing the rate of spending on health care. 👏👏
.@modrnhealthcr @MHShelbyL We agree! That’s why we’re building our agreements differently (and more aggressively) here in NC. Our #BluePremier model involves downside risk, holding both providers and us jointly accountable for health outcomes. mediacenter.bcbsnc.com/news/blue-cros…
Through our shared risk financial model, a Blue Premier health system shares in cost savings if it meets goals to improve the health of patients – and shares in the losses if it falls short of targets established by the model.
And we’re making rapid progress. We are on track to have 50% of members served by providers in shared risk value-based agreements next year. To hit this goal, we have three focuses – health systems, independent primary care, and advanced primary care.
Another long, technical thread to end the day! @BlueCrossNC is on a mission to transform health care. This means sharing how we tackled problems that have stymied efforts at payment reform at scale, including how to fund the inclusion of self-insured segments within #BluePremier.
Fully insured segments are straightforward – as a plan, we can accrue the estimate reserves that we track on an ongoing basis for any given risk arrangement in which we hold the dollars. But self-insured populations are a different story. Many plans have faced this quandary.
Some have just left them out of the included populations entirely. But leaving out these populations dampens the value of the program and shortchanges the members who will benefit from accountability and alignment of providers to improve outcomes, experience, and affordability.
A critical piece of #BluePremier is requiring enhanced sharing of data between @BlueCrossNC and our provider partners. Shared data & new analytic capabilities enable us to hold all parties accountable to the highest standards of care and deliver better member experiences .
Through sharing of data and enhanced analytics (in a secure way that protects privacy), together we can realize the promise of data to drive new insights and generate the evidence focused on improving health of all in #NC. bit.ly/2O1XCaT
There’s a lot of hype around the promise of innovation, especially in data. But innovation requires alignment across stakeholders in the health care system to want the same thing. @BlueCrossNC has taken the first critical step to jumpstarting innovation by paying for value.
Our #BluePremier milestone is a celebration of our provider partners: health systems, independent PCPs, and advanced primary care providers. They share our vision of improved outcomes, experience, and affordability for our members. bit.ly/2QaTtnP
We should never forget that, as hard as it was to get to this point, the hardest work lies ahead – in actually changing the way that we deliver health care. We will be with these providers every step of the way.
👏 👏 to the 7 of the largest NC health systems: @AtriumHealth @ConeHealth @DukeHealth @UNC_Health_Care @NovantHealth @WakeHealth @WakeMed. Together we’ll usher in an era of deep payer-provider partnership to deliver the right care at the right time in the right place.
Today is a tipping point for value-based care in #NC. @AtriumHealth and @NovantHealth are now part of #BluePremier, our value-based program that holds health systems and @BlueCrossNC jointly accountable for better health outcomes and lower costs. bit.ly/2QaTtnP
This means we’re on track to have 50% of members served by providers in value-based agreements in 2020 – the most rapid and comprehensive shift to value-based payment by any US health plan.
To hit this goal, we have three tracks – health systems, independent primary care, and advanced primary care.
#TodayWe announced 5 major systems entering two-sided Accountable Care Organization contracts. But what about independent primary care providers? We haven't forgotten about you! /1
In parallel with #BluePremier, we have an exciting new opportunity to help independent #PrimaryCare physicians in North Carolina thrive. More advanced than medical home models, it is a glide path to greater financial opportunity directly tied to total cost and quality of care. /2
We are working with @AledadeACO @Farzad_MD to accelerate the success of these independent practices in accountability for their patients. Aledade will arm practices with workflow technology, analytic insights, and risk mitigation. /3
Even as we make this #BluePremier announcement, we recognize that the hardest work begins now – that is, changing the way that we deliver #healthcare to improve its quality and make it more efficient.
We pledge to walk with the frontline doctors, nurses, NPs and PAs who provide care to our members and all North Carolinians through this journey.
We are in this together. And we applaud the vision and commitment of these 5 health systems – their leadership and the thousands of providers that care for patients.
For the #ACO wonks out there, we applied lessons from other existing or previous #ACO models to inform our approach for #BluePremier. Let’s go into a deep dive into the methodology here. [THREAD] /1
We’ll use risk adjusted, trended, historical baseline to determine shared savings/losses for the attributed population. In two-sided risk, we’ll apply a discount to ensure the plan and its ASO customers have savings even as we pass back higher amounts of savings. #HealthData /2
This fits our first lesson: meet providers where they are—try to move too fast and lose opportunity. Given this is our first broad scale total cost of care model with many of these organizations, need to start gradually. /3
We see a lots of announcements about value-based care and #ACO contracts in our industry. Important to call out what’s new here with #BluePremier and what’s meaningful. @ASlavitt, @Atul_Gawande, @Farzad_MD, @chasedave, @SGottliebFDA /1
These 5 systems (@ConeHealth @DukeHealth @UNC_Health_Care @WakeMed @WakeHealth) are making a multiyear commitment to this program – and a commitment to two-sided risk. /2
They will be accountable for total #costofcare and quality for fully insured and self-insured lives (think large group employers). /3
#TodayWe are redefining what’s possible in health care! An unprecedented collaboration right here in NC: Blue Premier. #BluePremier = working together for healthier outcomes, better patient experience, and lower costs @ConeHealth @DukeHealth @UNC_Health_Care @WakeMed @wakehealth
#BluePremier’s purpose is to change how hospitals, doctors and insurers collaborate and coordinate, and how we pay for care. Through shared risk we hold each other accountable in one of the most rapid moves to value-based care in the nation. /2
#BluePremier increases focus to pay for high quality care, not simply more tests and procedures. How do we do that? Through shared risk and accountability with hospitals to keep patients healthy. /3
