Enhanced Personal Health Care Program

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BCBSGA is excited to announce the launch of the Enhanced Personal Health Care Program (the Program). This Program empowers primary care physicians (PCPs) to engage in those comprehensive primary care functions that move us toward a coordinated, evidence-based care model that has the greatest impact on achieving the triple aim of improved quality, patient experience and affordability.  
 
We believe the doctor-patient relationship is the most important in health care. Every patient should have a relationship with a primary care physician who knows and understands their individual health care needs, can provide comprehensive “whole patient” health care services, and will serve as their champion, helping them navigate the complex health care system to ensure they get the care they need when and where they need it. This is the key to improving quality and outcomes and, subsequently, lowering costs.  
 
Our Program is based on a simple principle – that primary care physicians and their practice team, provided with the right tools, information, and resources, are best equipped to optimize the health of their patients and improve the affordability of health care. This Program will: 
 
Make a significant investment in primary care that allows primary care physicians and their practice team to do what they can do best: manage all aspects of their patients’ care.
Provide primary care physicians with tools, resources and meaningful information that promote (1) access, (2) shared decision making, (3) proactive health management, (4) coordinated care delivery, (5) adherence to evidence based guidelines and (6) care planning built around the needs of the individual patient, leading to improved quality and affordability for our customers and their patients.
Help redesign the current payment model to move from volume based to value based payment, aligning financial incentives and providing financial support for activities and resources that focus on care coordination, individual patient care planning, patient outreach and quality improvement.
Improve the patient experience by:

creating better access to a primary care physician who will not only care for their “whole person” but will become their health care champion and help them navigate through the complex health care system,

making them active participants in their health care through shared decision making, and

helping to optimize their health.

 
Webinars Are Available!  
If you’d like a comprehensive overview of the Program, webinars are available for you to attend. View webinar availability  
 
Program Description  
For a more complete description of the Program, access the Program Description via the following links: 
Program Description modified 1/1/2015 – Program Description for the Enhanced Personal Health Care Program 
Program Description modified 1/1/2014 – Program Description for the Enhanced Personal Health Care Program 
For a comprehensive description of the quality and utilization measures and how they are scored, access an example of the Measurement Period Handbook. If your organization participates in the Program, a copy of the Measurement Period Handbook that is specific to your Measurement Period will be distributed to your practice approximately 90 days prior to the start of the Measurement Period. 
 
Program Topics 
To learn more about specific Program topics, access these links below:  
 
Program Resources 
Additional resources to assist in transforming your practice for the Program.  
 
 
 
For more information, e-mail us at GA_PrimaryCareProgram@bcbsga.com.  
In your e-mail, include your name, practice name, tax ID and phone number with area code. You can also reach any of your practices’ key contacts directly using this Support Role Directory.  

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