Beaumont Health System, Blue Cross Blue Shield of Michigan and Blue Care Network Reach Agreement on Reimbursenment Contract

///Beaumont Health System, Blue Cross Blue Shield of Michigan and Blue Care Network Reach Agreement on Reimbursenment Contract

Good news for Blue Care Network members!

Blue Cross Blue Shield of Michigan, Blue Care Network and Beaumont Health System signed a new contract late Thursday that keeps Beaumont in the hospital network used by Blue Care Network. The agreement increases reimbursement to the health system and institutes new perfomance-based standards for paying the health system in the future.

Key Insights:

  • 5-year agreement provides increase in base reimbursement to Beaumont
  • Commits Beaumont to a new performance-based hospital payment model
  • Beaumont and affiliated physician organizations and the Blues will work together to design standards for successful patient health outcomes
  • Includes opportunity for infrastructure improvements necessary to better integrate care services between Beaumont and its physicians groups
  • Performance-based reimbursement structure will be mutually determined by Beaumont and the Blues to financially reward the hospital for maintaining better overall population health and ensuring the efficient use of tests and procedures

Daniel J. Loepp, Blues president and CEO said, “This agreement is a win-win–not for the health system or the insurer– but for our members and customers. It maintains access to Beaumont facilities for our customers and members. It commits Beaumont, Blue Cross and physicians to work together to achieve high-quality health care and the efficient use of health care dollars. It advances our efforts to deliver innovation in how Michigan pays for health care in the future.”

*Source BCBSM/BCN

Want to know the full story? A previous post discussed the issue between Beaumont and BCBSM/BCN and possible solutions proposed by the Blues. Read more here.

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2017-01-26T13:13:40-05:00 BCN & BCBSM Alerts|