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Patient-Centered Care

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BCBSGa is changing its relationship with providers so that we reward value rather than volume. This will also mean change for our members and employer customers. Based on the results of our patient-centered care pilot programs, we believe that change will be for the better. We’ve gathered frequently-asked questions and more information about our approach on this page, and we’ll update it as our work continues. 
We want to make sure you understand what is driving our patient-centered care program, why it’s so important, and how it affects you. If your question isn’t answered here, contact your broker or BCBSGa Representative.  
Laying a Foundation: Patient-centered Primary Care Overview for ASO employer groups
Patient-centered care FAQ’s for ASO employer groups
 
Published Industry Studies  
There is a great deal of evidence supporting our shift to patient-centered care and value-based contracting, improving results from our pilot programs: 
Innovation Profile - Early Results Show WellPoint's Patient-Centered Medical Home Pilots Have Met Some Goals for Costs, Utilization, and Quality

Primary care must be reengineered to improve outcomes and affordability. This piece shares how WellPoint has invested in ten patient centered medical home pilots encourage care coordination, preventive care and shared decision making.

BCBSGa's Patient-Centered Care Approach - Patient Centered, Value Based Care Delivery

This BCBSGa produced informational document shares how BCBSGa is committed to supporting, driving and accelerating the necessary improvements to our current system. Our goal is to move to an optimal, sustainable state that strives to improve consumer experience, access and affordability by implementing a patient-centered care approach.

Best Care at Lower Cost: The Path to Continuously Learning Health Care in America

A report from the Institute of Medicine explains why achieving higher quality of care at a lower cost will require commitments to the incentives, culture and leadership fostering this change.

Waste and Inefficiency in the U.S. Health Care System

A comprehensive analysis from the New England Healthcare Institute in support of system-wide improvements by defining waste and suggestions for improving inefficiencies.

The Patient-centered Medical Home

A report from Robert Graham Center, a center for policy studies in Family Medicine and Primary Care, regarding the history, seven core features, evidence and transformational change around the patient-centered medical home model. It describes the opportunity to align physicians and patients, models for improving care and the private and public payment systems necessary to transform the health care system.

 
Employer Communications  
Week of 9.24.12- Challenges and waste in the healthcare system, payment for value and what this means
Week 10.11.12 - Moving to patient-centered care model and paying for value
Week 10.25.12 - Care Coordination and better access to care
Week 11.8.12 - Rewarding and Incentivizing for Value & Quality
Week 11.29.12 – The Rollout of Patient-centered Primary Care
Week 12.12.12- Measuring and Reporting for Patient-centered Care
Week 12.21.12 – Making innovation a team activity: 2012 and beyond
 
Media and Press Releases  
Sept. 24, 2012: American Journal of Managed Care Study Demonstrates Better Health Outcomes, Lower Costs in PCMH Practices  
© 2013 BlueCross BlueShield of Georgia
Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.