• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • COVID-19
  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • Artificial Intelligence
    • Blockchain
    • Mobile Health
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage
  • Life Sciences
  • Research

BCBS of Michigan Saves $155M from Patient Centered Medical Home Program

by Jasmine Pennic 07/09/2013 20 Comments

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Blue Cross Blue Shield of Michigan saved an estimated $155 million in preventative claim costs over the first three years of its Patient Centered Medical Home program, according to analysis published in the Health Services Research Journal.

The analysis finds that when physicians adopt the patient centered medical home model it yields improvements in higher quality and preventative care. BCBS of Michigan is the nation’s largest Patient-Centered Medical Home designation program over the past five years.

According to the analysis, “Partial and Incremental PCMH Practice Transformation: Implications for Quality and Costs,” researchers found that its Patient Centered Medical Home model, when fully implemented resulted in:

  • 3.5 percent higher quality measure
  • 5.1 percent higher preventive care measure
  • $26.37 lower per member per month medical cost for adults

Is the Patient Centered Medical Home the Future of Primary CareThrough patient-centered medical homes, primary care physicians lead teams that proactively manage their patients’ care across health care settings — focusing on wellness, disease management and patients’ unique personal health goals. For example, PCMH practices offer 24-hour access to the care team and coordinate specialist and other care, such as nutrition counseling. PCMH practices also track patient conditions, such as asthma and diabetes, teach patients how to manage these conditions and connect patients to community services when needed.

Related: Is the Patient Centered Medical Home The Future of Primary Care? 

Highly optimized PCMH-based practices can earn even higher cost savings. In fact, the Michigan Blues estimate they may have saved an additional $155 million in the program’s fourth year.

“Through the Patient-Centered Medical Home model, doctors and their care teams are improving patient outcomes, which translates to fewer hospital admissions and emergency room visits, which leads to lower overall cost,” said David Share, M.D., MPH, BCBSM senior vice president, Value Partnerships.

Background

The research was funded by the national Agency for Healthcare Research and Quality. Blue Cross Blue Shield of Michigan began collaborating with physicians across Michigan in 2005 to study and test what key features and capabilities should be included in a Patient-Centered Medical Home model with physician practices earning designation starting in 2009.

Practices earning designation were found to have made the most progress in transforming their processes, staff and procedures into the PCMH care model. The Blues’ Patient-Centered Medical Home program improves care for approximately 1 million Blue Cross members and 2 million Michigan residents because the practices follow the PCMH approach for their entire patient populations.

The PCMH initiative is part of Value Partnerships, a collection of collaborative initiatives among physicians, hospitals and the Michigan Blues, all aimed at improving quality in medical care. To learn more about this comprehensive effort, go to valuepartnerships.com.

To order the report analysis, click here

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

Reader Interactions

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Knowledge Hub

 How Top Health Plans Use AI to Save Money and Work Smarter How Top Health Plans Use AI to Save Money and Work Smarter

 How to Build Hybrid Care Models Around Remote Patient Monitoring How to Build Hybrid Care Models Around Remote Patient Monitoring

Trending

Nearly Half Of Consumers Report Their Healing has Been Directly Impacted by Difficulty Paying Medical Bills

Consumers Cite Healthcare Affordability as Biggest Concern to Paying Medical Bills

Mayo Clinic, GE HealthCare, Partner on Medical Imaging and Theranostics Innovation

Roundups: 16 Recent Strategic Digital Health Partnerships

How Telehealth Can Combat Clinician Burnout

How Telehealth Can Combat Clinician Burnout

Q/A: DocStation CEO Shares How AI Will Help Pharmacies Use the DIR Fee Changes to Their Advantage

Q/A: DocStation CEO Shares How AI Will Help Pharmacies Use the DIR Fee Changes to Their Advantage

Debunking Myths About Virtual Care to Drive Health Equity

Debunking 3 Myths About Virtual Care to Drive Health Equity

Provider AI Strategy Moves From The IT Dept. To The C-Suite

Notable Launches ChatGPT-Like Assistant for Patients

Notable Launches ChatGPT-Like Assistant for Patients

Intermountain to Replace Cerner with Epic Enterprise EHR by 2025

Intermountain to Replace Cerner with Epic Enterprise EHR by 2025

M&A: PE Firm Acquires NextGen Healthcare EHR for $1.8B

M&A: NextGen Healthcare EHR Acquired by PE Firm for $1.8B

UPMC to Replace Oracle Cerner with Epic Enterprise EHR by 2026

UPMC to Replace Oracle Cerner with Epic Enterprise EHR by 2026

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • 2023 Editorial Calendar
  • Submit An Op-Ed
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2023. HIT Consultant Media. All Rights Reserved. Privacy Policy |