At the beginning of this year, Andrew Dreyfus, CEO of Blue Cross Blue Shield of Massachusetts (BCBSMA) had an important message to providers: work with payers in a collaborative way to improve quality of care and contain the growth in healthcare costs – or else (http://articles.boston.com/2011-01-23/business/29346724_1_payment-system-global-payment-care-providers).
- In the first year, a reduction of medical spending by 2 percent. This is well in line with BCMSMA’s goal to cut spending growth by half (historically annual growth has been in the range of 8-12 percent.
- All AQC reported budget surpluses, giving them the opportunity to make additional infrastructure investments.
- Each AQC organization showed improvement of clinical quality measures. More than half approached or met the maximum performance target on diabetes and cardiovascular care.
- AQC groups could reduce hospital re-admissions – one group by 15%.
- For some preventive care metrics, like cancer screening and well-child visits, AQC group’s performance were three times that of non-AQC groups and more than twice the performance before joining the program.
- Network participation rose to 44 percent in 2011 (up from 26% in 2009).
He is Managing Principal, Healthcare Insurers and Payers at ZS Associates.
This post is the author’s own and does not necessarily represent ZS Associates’ positions, strategies or opinions.