PCMH and Value Based Care: The Blue Cross Blue Shield of Michigan Experience

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PCMH and Value Based Care: The Blue Cross Blue Shield of Michigan Experience 
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In the tenth year of its nationally renowned program, Blue Cross Blue Shield of Michigan has designated approximately 4,690 physicians in 1,700 practices across Michigan as patient-centered medical homes. Physician practices that earn Blue Cross PCMH designation provide team-based care centered around each patient’s individual needs. The program is located in 81 of the 82 Michigan counties that have a PCP, and delivers care to over 1.35 million Michigan residents. CMS has determined that Blue Cross PCMH-designated physicians meet one component of the criteria for the Merit Based Incentive Payment System under the national Medicare Quality Payment Program.

The PCMH initiative is the largest PCMH program in the country, and is part of Value Partnerships, an array of collaborative initiatives among physicians, hospitals and Blue Cross. Blue Cross Blue Shield of Michigan provides and administers health benefits to more than 4.6 million members.

An updated, actuarial-certified analysis concludes that over nine years, the Blue Cross PCMH care model has led to $626 million in costs avoided. In comparing Blue Cross PCMH-designated practices to non-designated practices, data from 2018 show Blue Cross PCMH-designated practices had a 27-percent lower rate of adult hospital admissions for common conditions that respond to office-based care. Numerous other metrics studied indicate higher quality care, more preventive care and reduced costs for Blue Cross PCMH patients.

This session provides a discussion of Blue Cross PCMH program scope and components, PCMH capability implementation, PCMH program results, and how the PCMH program fits into the Blue Cross Blue Shield of Michigan value-based reimbursement model.

Please join us on Wednesday, December 5, 2018, at 1 PM Eastern as Blue Cross Blue Shield of Michigan's Dr. Amy McKenzie and Lisa Rajt present their initiatives and experience in the medical home and value based care arena, in the HealthcareWebSummit event: PCMH and Value Based Care: The Blue Cross Blue Shield of Michigan Experience.
Learning Objectives

After attending this webinar, attendees will be able to:

  1. Examine the Blue Cross Blue Shield of Michigan PCMH program scope and components.
  2. Ascertain the logistics and requirements involved with Blue Cross PCMH capability implementation
  3. Review Blue Cross Blue Shield of Michigan PCMH program results regarding quality metrics, utilization and cost.
  4. Explore the Blue Cross Blue Shield of Michigan value-based reimbursement model.
  5. Consider how the PCMH program fits into the Blue Cross value-based reimbursement model.
  6. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group
Who Should Attend

Interested attendees would include:

  • C-Suite Executives
  • PCMH Physicians, Executives and Staff
  • Medical Directors
  • Provider Network Executives and Staff
  • Medical Group Administrators and Managers
  • Value Based Care Executives and Staff
  • Care and Quality Management Executives and Staff
  • Managed Care Executives and Staff
  • Revenue Cycle Executives and Staff
  • Planning and Strategic Executives and Staff
  • Business Intelligence Staff
  • Other Interested Parties

Attendees would represent organizations including:

  • Patient Centered Medical Homes
  • Medical Groups
  • Provider Networks
  • Hospitals and Health Systems
  • Health Plans
  • Employers
  • Government Agencies
  • Life Sciences Organizations
  • Solutions Providers
  • Associations, Institutes and Research Organizations
  • Media
  • Other Interested Organizations
  Individual Registration Fee: $195. Post-event materials, with video of slides synchronized with speaker audio, plus presentation pdf file: $45 for attendees; $260 for non-attendees after the event. Register online or download the event flyer.
Register Now   Click here to register or call 209.577.4888. Corporate Site licensing also available. We look forward to your attendance!
Amy McKenzie, MD, MBA

Amy McKenzie, MD, MBA
Medical Director,
Value Partnerships
Blue Cross Blue Shield of Michigan

  Amy McKenzie, MD, MBA, is Medical Director, Value Partnerships at Blue Cross Blue Shield of Michigan. She has served with Blue Cross Blue Shield of Michigan since 2013, previously as Associate Medical Director Quality and Population Health, and as Physician Consultant, PPO and Care Management before that.

Dr. McKenzie is a Past President (May 2017 – July 2018) of the Family Medicine Foundation of Michigan. She received her Doctor of Medicine from Northeast Ohio Medical University and served her residency in the Family Medicine Residency Program at St. John Providence. Dr. McKenzie also received an MBA from the Isenberg School of Management, UMass Amherst.

Lisa Rajt, MSW

Lisa Rajt, MSW
Health Care Manager, Value Partnerships
Blue Cross Blue Shield of Michigan

Lisa Rajt* is a Health Care Manager for the Value Partnerships Program at Blue Cross Blue Shield of Michigan. She works on the award-winning Patient Centered Medical Home program, and the expansion of care management to primary care and oncology settings.

In addition, Ms. Rajt develops initiatives to improve the quality of care for women. Prior to her work in Value Partnerships, Ms. Rajt worked in the Blues' Social Mission area, where she focused on grant-making and community development.

She holds a Masters of Social Work in Community Organizing and a B.A. in Psychology and Communications, both from the University of Michigan.

*Last name is pronounced "right"

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