Value Partnerships Staff Heads West for Pay for Performance Summit

In early March, Jean Malouin, M.D., medical director, and I had the pleasure of traveling to sunny San Francisco to present about our transition here at Blue Cross Blue Shield of Michigan from fee-for-service to fee-for-value. I’m pleased to report we actually came back…did I mention it was sunny there? And 65 degrees?

The tenth annual Pay for Performance Summit, organized by the Integrated Health Care Association, is a national event aimed at promoting pay-for-performance programs, health system transparency, and value-based health care. This is a natural fit for our efforts here in Value Partnerships, and it was a great way to spread the word about our award-winning programs and our unique philosophy that emphasizes collaboration and customization.

Value Partnerships staff have been invited to speak at this conference several times before.  This time we focused on our overall strategy to move from a fee-for-service model, where providers are reimbursed for the services provided to patients regardless of outcome, to a fee-for-value model, where providers are rewarded for delivering high quality care. We discussed the specific mechanisms we use to transform to fee-for-value, and the way our programs work together to impact multiple components of the health care delivery system.

One of the highlights of the conference was seeing how pay-for-performance is operationalized in other parts of the country, and how our efforts in Michigan compare to that. For example, Accountable Care Organizations and bundled payments are common mechanisms for reimbursement change in other parts of the country, but in Michigan we focus on our collaboratively-developed Organized Systems of Care initiatives and fee enhancements.

We were also able to connect with colleagues at Blues plans in California and Hawaii and they both expressed interest in our efforts … maybe next winter we’ll be able to write a blog post about our Value Partnerships presentation in Hawaii.

If you’re interested in learning more about our transition to a fee-for-value model, email lrajt@bcbsm.com and I’ll get back to you promptly…assuming I’m not in Hawaii.

Lisa Rajt, MSW, is a health care manager in the Value Partnerships department


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