Blue Cross Blue Shield of Michigan has expanded its value-based hospital reimbursement model with 5 more health systems in the state, representing 24 hospitals, for a total of 7 systems.
Blue Cross Blue Shield of Michigan (BCBSM) has expanded its value-based hospital reimbursement model with 5 more health systems in the state, representing 24 hospitals, for a total of 7 systems.
Under the new model, hospitals will work with their physician partners to establish an infrastructure plan that includes an all-patient registry system so that the inpatient and physician office care team can measure an individual’s health outcome against similar populations.
With this approach, BCBSM aims to coordinate care among all providers who treat the same patient to improve quality and make sure that the patient gets the right care at the right time. The hospitals also will help their physician partners to develop work plans to improve the health of the patient populations that they serve.
Read the full story here: http://bit.ly/1fGRtdU
Source: Healthcare Payer News
Contributor: For Complex Cases, Continuity in Acute Care Is Necessary
April 23rd 2025For patients with complex needs and social challenges like unstable housing, the hospital has become their de facto medical home—yet each visit is a fragmented restart, without continuity, context, or a clear path forward.
Read More
CMS Medicare Final Rule: Advancing Benefits, Competition, and Consumer Protection
May 7th 2024On this episode of Managed Care Cast, we're talking with Karen Iapoce, senior director of government products and programs at ZeOmega, about the recent CMS final rule on Medicare Part D and Medicare Advantage.
Listen
Impact of Hospital-Physician Integration on Medicare Patient Mix
April 11th 2025This study found no evidence that hospital employment of physicians resulted in physicians treating sicker patients, undercutting claims that hospital-employed physicians serve a higher-acuity patient mix.
Read More