Rahul Rajkumar Profile picture
Dec 5, 2019 4 tweets 3 min read Read on X
.@modrnhealthcr @MHShelbyL We agree! That’s why we’re building our agreements differently (and more aggressively) here in NC. Our #BluePremier model involves downside risk, holding both providers and us jointly accountable for health outcomes. mediacenter.bcbsnc.com/news/blue-cros…
Through our shared risk financial model, a Blue Premier health system shares in cost savings if it meets goals to improve the health of patients – and shares in the losses if it falls short of targets established by the model.
And we’re making rapid progress. We are on track to have 50% of members served by providers in shared risk value-based agreements next year. To hit this goal, we have three focuses – health systems, independent primary care, and advanced primary care.
For all three, our #BluePremier partners will accept two-sided risk arrangements. Fee schedules are flat unless providers commit to manage total cost of care and quality. Period. Here’s a deeper dive into how we’re doing this work: linkedin.com/pulse/look-wha… @SuzanneDelbanco

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More from @RahulRajkumar11

Sep 30, 2020
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

mediacenter.bcbsnc.com/news/made-in-n…
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.
Read 8 tweets
Aug 13, 2020
🥁Drum roll please ...The 2019 results are in. Kudos to @ConeHealth, @DukeHealth-@PDCDuke
, @UNC_Health_Care, @wakehealth, and @WakeMed (WKCC), as well as @AledadeACO who share our vision for better, more affordable health care. We did it! 🎉 THREAD mediacenter.bcbsnc.com/news/blue-cros… Image
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. 👏👏
Read 14 tweets
Aug 6, 2020
Important piece in @nytimes summarizing the promise and challenges ahead for #telehealth by @ReedAbelson. Privileged to join the conversation.

As I stated here, despite the promise, there’s a lot we don’t know about #telehealth. THREAD

nytimes.com/2020/08/03/hea…
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/
Read 17 tweets
Jul 28, 2020
📣‼️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.
Read 11 tweets
Jul 20, 2020
📣 Today we can report #somegoodnews for sustainability of our health system. THREAD. mediacenter.bcbsnc.com/news/primary-c… Image
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.
Read 13 tweets
Jul 14, 2020
‼️ ATTN: Independent Primary Care Physicians,

If you’re in need of financial support 💰, we’ve got a program for you.

Deadline to apply is July 31. Application takes only 10 minutes - don't delay apply today. ⌛️

THREAD

bluecrossnc.com/accelerate-val… Image
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…
Read 16 tweets

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