PROGRAMS

It is a collection of programs among Blue Cross, physicians and hospitals across Michigan that make health care work better for everyone.

It is a unique, collaborative model that enables robust data collection and fosters the sharing of best practices, so health professionals can improve patient outcomes.

It is value-based, outcomes-based health care.

It is a movement away from the fee-for-service model that pays providers for every service regardless of its effectiveness. Value Partnerships initiatives pay health care providers for successfully managing their patients’ health.

These results moderate health costs – saving nearly $2.2 billion over the last decade because repeated tests were avoided, complications and errors were reduced, ER visits and hospital stays were prevented, and care was coordinated.

Value Partnerships began in 2005 with a handful of programs focused on quality improvement in the primary care and surgical arena Today, there are 10 major programs that house roughly 50 initiatives encouraging safety, quality, population health and coordination of care. Learn more about the programs below.

$2.2 billion
COSTS AVOIDED

  • 112 participating hospitals
  • 239 skilled nursing facilities
  • 20,000 participating physicians
  • 85% of Blue Cross primary care providers
  • 52% of Blue Cross specialists
  • Participants located in 82 of Michigan’s 83 counties
  • PHILOSOPHY

    Value Partnerships improves the quality of care for all patient populations and makes care more cost-effective based on the following guiding principles:

    • Partner with the provider community to deliver clinical programs and aligned provider payments focused on high quality, affordable care that improves the overall health care delivery experience.
    • Design and execute programs in a customized and collaborative manner rather than using a one-size-fits-all approach.
    • Offer a portfolio of interdependent programsthat collectively drive outcomes.
    • Focus on investments in transformation of care processes.
    • Recognize and reward performance of organizations, not only individual providers.
    • Reward improvement, not just highest performance, to create meaningful incentives for all participants.
    • Encourage collaboration among participants.