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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
And, to get super wonky, we’ll pay out bonuses (shared savings), if earned, in lump sum shortly after the performance year. /4
Blue card members (members affiliated with other Blue Cross plans who live in NC and receive care here) are in, too. @BCBSAssociation /5
Model transitions from retrospective attribution to prospective attribution (you know your patient list in advance) and prospective budgeting (know your budget in advance). Learned from our work at @CMSinnovates @CMSGov @SeemaCMS /6
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