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.
7 out of our 10 largest health systems are in Blue Premier. But another important leg of this effort is independent physician-led ACOs – powered by our partner @AledadeACO.
In short, we have one year of results – and @AledadeACO CRUSHED it! 💪
In year one of @AledadeACO and @BlueCrossNC’s collaboration in #NC physician-led Accountable Care Organizations (ACOs) ⬇️ total cost of care for commercial members by 4.7% and Medicare Advantage patients by 6.1%, and ⬆️quality across 47 practices.
These participating independent primary care practices earned $10.5 million ‼️ in incentive payments in their first year, providing a crucial financial lifeline to PCPs on the front lines of #COVID19.
Participating practices also crushed it on quality of care and health outcomes; practices improved their Medicare Advantage Star rating from ⭐️3 to 4.5 🌠 , through improved care for patients with chronic conditions like hypertension and diabetes, and more. Amazing!
@AledadeACO’s work enables clinicians, practice leaders, and @BlueCrossNC to work as a team and leverage technology to improve the quality of care for patients, better manage chronic diseases, and ultimately reduce health care costs. @Farzad_MD
👋Hey, independent primary care practices: Our announcement today could have been about you.
Independent primary care practices can join the Accelerate to Value program that gives you upfront financial support 💰to stabilize practice revenue for core primary care services to pre-COVID 2019 levels.
Apply for the Accelerate to Value program today (application takes <10 min, no strings attached to submit an app, due July 31). bluecrossnc.com/accelerate-val…
An important part of the program is a glide path for independent primary care practices to be a part of value-based contracts by joining a Blue Premier ACO like Aledade and our participating CIN partners.
Lastly, thank you to the clinicians, practices, and @AledadeACO who worked so hard to improve quality and affordability for our members. The proof is in the numbers. We are inspired by your commitment to transforming health care across #NC.
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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.
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…
Behavioral health (BH) care is in crisis – but payers have the opportunity to shape a better future. Payment reform can create a #BH system that is flexible and responsive, especially during times like now. THREAD @Health_Affairs@HobbsKnutsonMDhealthaffairs.org/do/10.1377/hbl…
The crisis:
⬆️Rising suicide rates
⬆️Increases in drug overdose deaths
⬇️Substantially lower life expectancy among people with serious mental illness
One major problem: Access to #BH care is limited.
1⃣There’s a shortage of #BH providers.
2⃣Many #BH providers don’t join insurance networks due to low reimbursement.
3⃣Evidence-based #BH treatments exist, but not enough providers deliver these interventions with fidelity.