Although value-based care networks can be a major boon for cost reduction and stronger outcomes for payers, they bring their own set of challenges.
According to a HealthPayerIntelligence report, however, the Blue Cross Blue Shield Association (BCBSA) could serve as one model for successful scaling of value-based care initiatives through its Blue Distinction Total Care Network.
The network is composed of accountable care organizations, patient-centered medical homes and other markets which operate under the umbrella of BCBSA payer markets.
So far this year, per the report, the Total Care Network cut costs by 35 percent, lowered hospitalizations by 15 percent and posted stronger performance metrics than a number of other providers in 22 of 23 nationally-recognized quality measures.
“Our goal in developing Total Care was to bring forward higher quality, more coordinated care by partnering with hospitals and doctors all across the country to focus on prevention, wellness and disease management,” BCBSA Commercial Markets and Enterprise Data Solutions Senior Vice President Kari Hedges told HealthPayerIntelligence.