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Home Blue Cross Blue Shield Blue Cross Blue Shield Of Massachusetts Signs Value-Based Payment Contracts

Blue Cross Blue Shield Of Massachusetts Signs Value-Based Payment Contracts

Posted on December 15, 2022 Written by Annalyn Frame

Blue Cross Blue Shield Of Massachusetts

Blue Cross Blue Shield of Massachusetts (“Blue Cross”) has announced a significant milestone in its commitment towards ensuring equitable, high-quality and affordable care. Blue Cross Blue Shield of Massachusetts is the first non-profit health plan to establish a financial payment model that rewards health systems and doctors for eliminating racial or ethnic inequalities in care. This will help improve health care for the 2.9 million Blue Cross members.

The agreements, which link financial incentives with improvements in health equity, have been signed by four of the state’s most important health care systems: Steward Healthcare Network (“Steward”), Beth Israel Lahey Health (“BILH”), Mass General Brigham, and Boston Accountable Care Organization, Inc. (“BACO”), which is part Boston Medical Center. These systems together provide care for more than 550,000 Blue Cross members.

New contracts will focus initially on rewarding and measuring equity in care in clinical areas where there are inequalities, such as colorectal and blood pressure control, and care for diabetics. As the payment model develops, additional categories will be added.

Blue Cross’s efforts to improve health equity will be evaluated by the Center for Healthcare Organization and Innovation Research at the UC Berkeley School of Public Health. This evaluation will use qualitative and quantitative methods to evaluate and publish the results.

Steward Health Care Network

Steward Health Care Network is the physician network for the Massachusetts 10 hospitals that are part the Steward Health Care System. Steward Health Care is one of the largest accountable care organizations in the country and focuses on addressing racial disparities. It specializes in colorectal cancer screenings, high blood pressure control, and other areas.

Beth Israel Lahey Health

Beth Israel Lahey Health has more than 1,000,000 patients who rely on its hospitals, primary and specialty care as well as behavioral and community services. BILH’s partnership with Blue Cross aims to address racial disparities by first addressing two priority areas, comprehensive diabetes care and high blood pressure control.

Mass General Brigham

Mass General Brigham offers integrated academic health care. It includes two academic medical centers, specialty hospitals, community and specialist hospitals, as well as a health insurance plan, physician network, community health centers and home care. Mass General Brigham created the United Against Racism initiative two years ago. This program laid out a strategy to address the many effects of racism within the organization as well as in the community. These efforts are organized around patient care, community and workforce equity. They are supported by a multimillion-dollar investment.

Boston Accountable Care Organization, Inc.

BACO, which is made up of 19 providers organizations, is part of Boston Medical Center. It includes a mixture of community hospitals, academic medical centers and community health centers throughout Greater Boston, Western Massachusetts, and Southern Massachusetts. More than 111,000 people are served by BACO primary care locations, many of whom live in rural areas. BACO’s agreement with Blue Cross will allow it to focus its initial efforts on controlling high blood pressure and colorectal cancer screenings.

Blue Cross is committed to equity in health

Blue Cross collects data annually for over 1.2 million members in Massachusetts each year to fulfill its promise to be a leader in addressing health inequality. These data have revealed inequalities in patient care across many areas. The health plan works in partnership with its network of clinicians to use its data to effect meaningful change and achieve the common goal of eliminating racial disparities within the care Blue Cross members receive.

Blue Cross provided $25 million in Institute for Healthcare Improvement grants for physician practices and hospitals to help them eliminate racial inequalities in healthcare and to share their learning across institutions.

There are also other complementary initiatives to achieve health equity:

— Blue Cross Health Justice Partnership & Grant awards seven organizations to support the company’s mission to ensure that all Massachusetts residents live healthy lives and create more equitable and just communities. This grant provides $35,000 in general support, up to $20,000 pro bono support each year, and a total of $110,000 in financial support over two years.

— The Racial Justice In Health Grants of the Blue Cross Blue Shield of Massachusetts Foundation support grassroots community organizations that are led by people of colour and dedicated to eliminating institutional and structural racism in healthcare.

Filed Under: Blue Cross Blue Shield

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About Annalyn Frame

Annalyn Frame
Editor-in-Chief, Health Plan News

Annalyn Frame
Editor-in-Chief, Health Plan News

Annalyn Frame is a dedicated registered nurse and accomplished healthcare journalist known for her commitment to promoting accessible and accurate healthcare information. With a unique blend of medical expertise and editorial prowess, Annalyn serves as the Editor-in-Chief of Health Plan News, a leading online platform at the forefront of disseminating essential insights into the ever-evolving landscape of health plans, wellness strategies, and healthcare policy.

Professional Background:
Annalyn's journey in healthcare began as a passionate registered nurse, where she honed her clinical skills and developed a deep understanding of patient care. Her experience in various healthcare settings, ranging from bustling urban hospitals to rural community clinics, has given her a comprehensive perspective on the challenges and opportunities within the industry.

Driven by her desire to bridge the gap between medical knowledge and public awareness, Annalyn transitioned into healthcare journalism. Her keen ability to dissect complex medical concepts and translate them into easily digestible content quickly set her apart as a prominent voice in the field. Her articles, renowned for their clarity and accuracy, have empowered individuals to make informed decisions about their health and well-being.

Editorial Leadership:
As the Editor-in-Chief of Health Plan News, Annalyn Frame brings her healthcare expertise to the forefront. Under her guidance, the publication has become a trusted resource for professionals and consumers alike, offering timely updates on health insurance trends, legislative changes, cost-saving strategies, and innovative healthcare solutions. Annalyn's commitment to journalistic integrity ensures that readers receive information that is not only up-to-date but also reliable, enabling them to navigate the complexities of healthcare with confidence.

Advocacy and Impact:
Beyond her role as an editor, Annalyn remains a staunch advocate for accessible healthcare and health literacy. She frequently participates in community health workshops, seminars, and public speaking engagements, where she empowers individuals with the knowledge they need to take charge of their health. Annalyn's dedication to improving healthcare access extends to her volunteer work with underserved populations, where she leverages her nursing background to provide hands-on care and education.

Education:
Annalyn Frame holds a Bachelor of Science in Nursing (BSN) degree from a respected institution. Her academic foundation, coupled with her hands-on experience, allows her to offer a well-rounded perspective on healthcare matters.

Annalyn Frame's dynamic blend of nursing expertise and editorial leadership has made her a driving force in both healthcare and journalism circles. Her unwavering commitment to delivering accurate, approachable healthcare information through her role as Editor-in-Chief of Health Plan News underscores her mission to empower individuals and promote positive change within the healthcare industry.

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