Organized Systems of Care

DSC_0048cAn Organized System of Care is a community of primary care and specialty physicians, along with care providers in hospitals and other facilities, who work together to coordinate care across all care settings for their patients. Using the patient centered medical home model as its foundation, providers in an Organized System of Care care for patients across all settings in an effort to streamline care, reduce repeated tests and labs, and make the system work better for patients.

Organized Systems of Care are similar to Accountable Care Organizations, where a community of caregivers accepts accountability for a specific patient population. OSCs, however, have a broader focus on creating health care systems that work for patients by encouraging the providers within the OSC to work together to coordinate and integrate care.

Blue Cross Blue Shield of Michigan is working with Michigan doctors and hospitals to develop the Organized Systems of Care program, with providers as active partners in creating solutions.

Using the same approach that has created the largest patient centered medical home program in the country, Blue Cross is helping OSCs build the infrastructure and integrated care processes so these communities can offer more coordinated care to the population of patients they share. Blue Cross provides incentives to specialists and hospitals to encourage all providers to work together to build high-functioning health care systems.

Currently, nearly 15,000 primary care physicians and specialists participate in one of 36 Organized Systems of Care across Michigan. Check out our OSC flier.

Blue Cross is beginning to introduce new products where members can choose to receive care within an OSC for lower out-of-pocket costs while maintaining access to the full Blue Cross PPO network. The first product is called Physician Choice PPO.

Find more information on participating in an Organized Systems of Care here.

 

Participating OSCs:

Accountable Healthcare Advantage, PC
Answer Health
Bronson Practice Management
DMC PHO, LLC
DMC Primary Care Physicians, P.C.
Genesys PHO, LLC
Great Lakes OSC
Henry Ford Medical Group
Holland PHO
Huron Valley Physicians Association
IHA Health Services Corporation
Integrated Health Partners
Jackson Health Network
Lake Huron PHO, LLC
Lenawee Physician Hospital Organization LLC
McLaren Physician Hospital Organization
Mercy Health

Metro Health PHO
Michcare, LLC
Michigan HealthLink
MidMichigan Collaborative Care Organization
Northern Michigan Health Network
Oakwood Accountable Care Organization, LLC
Physician Direct Organized System of Care
Physician Healthcare Network, PC
Primary Care Partners Physician Network
Professional Medical Corporation, PC
ProMed Healthcare
Regents of the University of Michigan
Sparrow Care Network
Spectrum Health Primary Care Partners
St. Mary’s OSC
The Physician Alliance, LLC
United Physicians Integrated Care
Upper Peninsula Health Group
West Michigan Physicians Network
Wexford/Crawford Mercy OSC