The first collaborative initiative began in 1997 when five hospitals joined with the Blue Cross Blue Shield of Michigan Foundation and Blue Care Network to look at variation in angioplasty procedures and treatment. In 2005, the Physician Group Incentive Program began and Value Partnerships officially launched as an umbrella program covering several collaborative initiatives among the Michigan Blues and a group of hospitals. Each initiative focused on a particular area of clinical quality improvement.
Today, the number of Value Partnership initiatives has grown considerably, with the power of change controlled by the providers.
Hospitals and physician groups throughout the state participate in many initiatives that are transforming Michigan’s system of health care. The initiatives include clinical quality studies in key specialty areas such as cardiology, cancer, bariatric surgery, blood clot prevention and general surgery. They also focus on processes and systems to strengthen primary care, such as chronic disease management and patient data tracking, and optimizing use of high-tech radiology.
Value Partnerships philosophy
Through careful study and collaboration, Value Partnerships improves the quality of care for all patient populations and makes care processes more effective based on the following guiding principles:
- Design and execute programs in a customized and collaborative manner rather than using a one-size-fits-all approach.
- Recognize and reward performance of physician organizations, not only individual physicians.
- Reward improvement, not just highest performance, to create meaningful incentives for all physician organizations.
- Focus on investments in long-term changes in care processes.
- Encourage collaboration among participants
- Focus on population-based cost measures, rather than per-episode cost, to avoid stimulating overuse.