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PROGRAMS
It is a collection of programs among Blue Cross, physicians and hospitals across Michigan that make health care work better for everyone.
It is a unique, collaborative model that enables robust data collection and fosters the sharing of best practices, so health professionals can improve patient outcomes.
It is value-based, outcomes-based health care.
It is a movement away from the fee-for-service model that pays providers for every service regardless of its effectiveness. Value Partnerships initiatives pay health care providers for successfully managing their patients’ health.
These results moderate health costs – saving nearly $2.2 billion over the last decade because repeated tests were avoided, complications and errors were reduced, ER visits and hospital stays were prevented, and care was coordinated.
Value Partnerships began in 2005 with a handful of programs focused on quality improvement in the primary care and surgical arena Today, there are 10 major programs that house roughly 50 initiatives encouraging safety, quality, population health and coordination of care. Learn more about the programs below and see our latest fast facts sheet here.
$2.2 billion
COSTS AVOIDED
- 112 participating hospitals
- 239 skilled nursing facilities
- 20,000 participating physicians
- 85% of Blue Cross primary care providers
- 52% of Blue Cross specialists
- Participants located in 81 of Michigan’s 83 counties
Physician Group Incentive Program
Patient-Centered Medical Home
Provider-Delivered Care Management
Health Information Exchange
Performance Recognition Program
Blueprint for Affordability
Collaborative Quality Initiatives
Hospital Pay for Performance
Support for HMS is provided by Blue Cross and Blue Shield of Michigan and Blue Care Network as part of the BCBSM Value Partnerships program. Although Blue Cross Blue Shield of Michigan and HMS work collaboratively, the opinions, beliefs and viewpoints expressed by the author do not necessarily reflect the opinions, beliefs and viewpoints of BCBSM or any of its employees.
Blue Cross Blue Shield of Michigan | Blue Care Network
The 34 independent and locally operated Blue Cross Blue Shield companies deliver health insurance coverage to one in three Americans across all 50 states, the District of Columbia and Puerto Rico. In addition, the BCBS Federal Employee Program® insures over five million federal employees, retirees and their families.
International Solutions
Blue Cross Blue Shield Global™ solutions provide a comprehensive suite of international products and services for people who live, work and travel internationally, giving them confidence that quality care can be accessed wherever and whenever needed.
Blue Cross Blue Shield Global
The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.