Aligning Payers and Providers Around Value: Blue Cross Blue Shield of Michigan’s Collaborative Quality Initiatives | ICHOM – International Consortium for Health Outcomes Measurement

Aligning Payers and Providers Around Value: Blue Cross Blue Shield of Michigan’s Collaborative Quality Initiatives

Aligning Payers and Providers Around Value: Blue Cross Blue Shield of Michigan’s Collaborative Quality Initiatives
AuthorICHOM
Version1.0
File Size2
Create DateSeptember 23, 2015
Last UpdatedSeptember 23, 2015

Blue Cross Blue Shield of Michigan (BCBSM) is a non-profit mutual insurance company and the largest payer in the State of Michigan in the USA, with over 5.8 million members nationally and a local network of over 150 hospitals and 30,000 physicians. In 2002, BCBSM launched the first of over 20 Collaborative Quality Initiatives under its Value Partnerships program. This unique model formed the basis for a value-based health care ecosystem in the State of Michigan comprising a single dominant payer, an extensive network of providers, and a small number of academic medical centers. In this case study, we describe how this approach has led to improved outcomes for patients and providers and lower costs for payers, benefiting all stakeholders and vastly improving the value of health care in the State of Michigan


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BCBMS Case Study Vfinal.pdf