Blue Cross and Blue Shield of Nebraska helps its members effectively manage medical expenses through value-based care. With this approach, primary care practitioners take a front and center role, guiding members toward the effective and efficient delivery of health care services.
Members participating in value-based care programs are:
• Less likely to need inpatient stays.
• More engaged with their primary care provider and are less likely to use the ER.
• More likely to demonstrate compliance with chronic conditions, such as diabetes testing and cancer screenings.
Accountable care organizations (ACOs) are physician, clinic or hospital groups that work together to give coordinated, high-quality care to their patients. ACOs then partner with insurance companies, like Blue Cross and Blue Shield of Nebraska, on value-based care arrangements that focus on patient outcomes, satisfaction and cost.
BCBSNE’s ACOs have demonstrated value by significantly improving quality while simultaneously reducing costs. In fact, BCBSNE’s ACOs achieved $27 million in shared savings in 2018.
