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.
Track 1: There are 10 health systems in #NC with revenue over $1B – and 7 of them are in #BluePremier.
Track 2: In parallel, we are continuing our aggressive strategy to support independent primary care and advanced primary care providers. Independent PCPs continue to join #BluePremier as physician-led ACOs through our partnership with @AledadeACO.
Eventually, we’re working to expand advanced primary care to high-risk, high-need commercial members as well.
We aim to deliver medical cost savings of up to 15% over 10 years. But how? For all 3 tracks, our #BluePremier partners will accept two-sided risk arrangements. Fee schedules are flat unless providers commit to manage total cost of care and quality.
The providers in #BluePremier are willing to make this full-on organizational commitment – we celebrate them today. 🤝🤝 🎉 🎉
To our members: #BluePremier is not only a contract, but a promise to you. In partnership with your doctors and incentivized to work together, we can deliver whole person health through better member-centered experiences and improved health outcomes that matter to you.
We are setting the pace of health care transformation in #NC because our members cannot afford for us to slow down. We moved quickly from concept to implementation of #BluePremier and have pushed for provider accountability in ways few payers are willing to do.
During a pandemic there can be glimmers of light. I am proud to announce that we have brought production of #N95 masks (beginning to end) to #NC. THREAD
The #MadeinNC collaboration will produce nearly 2 million N95 respirators per year to fill the unmet need for #NC frontline health providers during #COVID19.
Since the onset of #COVID19, demand for N95 respirators and other PPE has outpaced current global manufacturing capabilities. N95s are still scarce and many health organizations confront the issue of counterfeits and price gauging, among other obstacles.
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. 👏👏
We need to understand how it delivers value to patients by improving outcomes, quality, and affordability of care 2/
If the right hand is #telehealth, the left hand is #valuebased payment (including #PCPCapitation) - the method of how we pay matters a lot in motivating the behaviors we need to see in our delivery system. 3/
📣‼️Good news – we've extended the deadline to Aug 14th for the financial support program 💰for independent primary care practices (Accelerate to Value).
We've received a lot of great questions. Here are answers to the top 6 to help make the smart decision to apply:
THREAD
Q1: How is the Accelerate to Value application connected to joining a Blue Premier ACO?
Answer: These are two *separate* applications. Accelerate to Value is a program that gives you upfront payments 💰 to stabilize practice revenue during #COVID19.
The Accelerate to Value application is due August 14th ‼️
As part of this program, you will need to join a Blue Premier ACO by December 31, 2020. It’s a separate process with that ACO. You have the next 5 months to consider your options for Blue Premier ACOs to join.
We are on a mission to make health care better, safer, and more affordable by transforming the health care delivery system in North Carolina.
Step 1: Change the way we pay for health care.
One of our goals is that, by 2023, every @BlueCrossNC member will have a Blue Premier provider that is accountable for their total cost of care and quality. Accountable care = better care, better experience, more efficient care.
The primary goal for this program is to provide upfront financial support that can help independent primary care practices weather this crisis. To do so, we will provide supplemental payments 💰 to stabilize @BlueCrossNC revenue at its pre-COVID-19 level.
3 step breakdown:
Step 1: Eligible independent primary care practices need to apply for the program by July 31. The application is non-binding and takes less than 10 minutes. bluecrossnc.com/accelerate-val…