BCBSM Specialists Warm to Outcomes from Care Coordination Collaborations

Although initally challenging, the engagement of specialists in Blue Cross Blue Shield of Michigan’s medical home program generated several outstanding primary care-specialist collaborations that improved care coordination and reduced unnecessary utilization and spend related to difficult-to-manage patients, notes Donna Saxton, field team manager for BCBSM’s value partnerships program.

A pioneer since 2005 in the development of outcomes-based measures to evaluate patient care, BCBSM based its standards on the Chronic Care Model. Today, the payor acts as a resource for other medical home recognition and accreditation efforts.

Donna Saxton share details from its PCMH designation requirements and the system of rewards and incentives that has produced results for the plan, the PCMH practices and its members during an April 30, 2014 webinar, Generating Medical Home Savings and Quality Improvements Through Outcome-Based Measures, a 45-minute program sponsored by The Healthcare Intelligence Network, now available for replay.

Length: 4:31 minutes

Healthcare Trends & Forecasts in 2014: 7 Payor Strategies That Will Reshape Primary Care

From partnering with non-traditional providers like retail clinics to targeting larger physician practices to achieve savings and boost health outcomes, watch for health plans to continue to reshape primary care delivery over the coming year, predicts Catherine Sreckovich, managing director, healthcare, Navigant. Ms. Sreckovich outlines seven ways in which payors will influence primary care, advocates for big data for both payors and providers, and comments on the longevity of the bundled or episodic payment trend in this HealthSounds interview.

Catherine Sreckovich and Steven Valentine, president of The Camden Group, provided a roadmap to the key issues, challenges and opportunities for healthcare providers and payors in 2014 during an October 30, 2013 webinar, Healthcare Trends & Forecasts in 2014: A Strategic Planning Session.

Length: 7:37 minutes