bcbs Blue Value and Your Healthcare Costs

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BCBS Blue Value is designed to help you save money on healthcare costs. The average out-of-pocket cost for a primary care visit is $20 with Blue Value.

With Blue Value, you'll have access to a network of primary care physicians who have agreed to accept a flat fee for their services. This can lead to significant savings for you.

The flat fee for primary care visits is $20, regardless of the complexity of the visit. This means you can get the care you need without worrying about surprise medical bills.

By choosing Blue Value, you can save money on your healthcare costs and have more control over your care.

How It Works

At BCBS Blue Value, we take a collaborative approach to improving health care and making it more cost-effective. We partner with you and other providers and hospitals across Michigan to share best practices and improve patient outcomes.

By working together, we can identify and implement more efficient and effective ways to deliver care, which can lead to better health results and lower costs.

Value-Based Reimbursement Models

Credit: youtube.com, Spotlight Blue Premier value based care program

Blue Cross Blue Shield of Michigan has developed a Value-Based Reimbursement model to reward Primary Care Physicians and Specialists. This model shifts from the traditional fee-for-service model to a value-based care model.

The Value-Based Reimbursement model is an innovative approach to provider reimbursement. It's designed to reward healthcare providers for delivering high-quality care rather than just paying for each service they perform.

Specialists who participate in the Physician Group Incentive Program (PGIP) can receive reimbursement in accordance with the Value-Based Reimbursement Fee Schedule. This schedule sets reimbursement at greater than 100 percent of the standard fee schedule.

All physician specialty types, as well as chiropractors, podiatrists, and fully-licensed psychologists, are eligible to be considered for specialist value-based reimbursement. This includes a wide range of specialties.

Some available specialist VBR options include:

  • Population-based VBR (available to all specialty types)
  • Collaborative Quality Initiative VBR (available to specialists who participate in and meet the performance targets of their CQI)
  • Medication Assisted Treatment VBR
  • Specialist Team-Based Care VBR (available to select specialty types that have a care manager in their office and that receive mobile alerts when high-risk patients present in the emergency department)

Cost Savings and Incentives

Enrolling in the Value Copay plan can earn you a significant incentive. By using Garner Top Providers, you can receive a FREE annual Health Reimbursement Account (HRA) incentive of $1,000 for employee only or $2,000 for family.

This incentive can be used to cover various expenses, including your deductible, copays, and co-insurance. You can use it to save money on your healthcare costs.

To give you a better idea of the potential savings, here's a breakdown of the incentives:

Earn Top Provider Incentive

Credit: youtube.com, Aligning Incentives with Quality Care with Nick Reber, founder and CEO of Garner Health

You can earn a $1,000 or $2,000 incentive by using Garner Top Providers. This is a great way to save money on your healthcare expenses.

To be eligible, you need to enroll in the Value Copay plan. This plan offers a range of benefits, including a FREE annual Health Reimbursement Account (HRA) incentive.

Here's a breakdown of the incentives you can earn:

By using Garner Top Providers, you can earn this incentive and use it to cover expenses such as your deductible, copays, and co-insurance. Small, rural hospitals can also show value to their community by meeting expectations for care access, quality, and effectiveness.

Cost Savings in the Triangle

The Triangle region offers numerous opportunities for cost savings, especially for businesses and individuals looking to reduce their expenses. One of the most significant cost-saving measures is the region's relatively low cost of living.

The cost of living in the Triangle is 94.3, which is 5.7% lower than the national average. This means that everyday expenses like housing, food, and transportation are more affordable.

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A typical 3-bedroom apartment in the Triangle costs around $1,200 per month, which is lower than many other major cities in the US. This can result in significant savings for individuals and families.

The region's lower cost of living can also lead to reduced transportation costs, as the average commute time is only 27 minutes, compared to the national average of 32 minutes. This can save individuals time and money on fuel, vehicle maintenance, and other transportation-related expenses.

Programs and Partnerships

BCBS Blue Value offers a range of programs and partnerships designed to help members save money and improve their health.

The program includes a network of participating providers who offer discounted services, with over 70% of primary care physicians and 75% of specialists participating in the network. This means members can access quality care at a lower cost.

BCBS Blue Value also partners with local hospitals and healthcare systems to negotiate lower rates, resulting in significant savings for members. For example, members can receive discounted rates for hospital stays and procedures.

About Blue Cross Blue Shield NC

Credit: youtube.com, UNC Pembroke partners with Blue Cross Blue Shield, North Carolina

Blue Cross Blue Shield of North Carolina serves over 3.7 million members, including approximately 1 million served on behalf of other Blue Cross and/or Blue Shield plans.

They've been working to make North Carolina a better place to live since 1933.

Blue Cross NC is an independent licensee of the Blue Cross and Blue Shield Association.

CCPN Joins Blue Premier Program

The CCPN has joined the Blue Premier Program, which is a key partnership for the organization. This partnership will help CCPN achieve its goals.

The Blue Premier Program is designed to support organizations with a strong online presence. CCPN's existing online presence was a key factor in its selection for the program.

CCPN will benefit from the program's resources and expertise. This will help CCPN grow and expand its operations.

As part of the program, CCPN will have access to exclusive tools and services. These tools will help CCPN streamline its operations and improve its efficiency.

CCPN's partnership with the Blue Premier Program is a significant step forward for the organization.

Rural and Specialty Care

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At BCBS Blue Value, we understand the unique needs of rural and specialty care providers. With limited access to resources and expertise, these providers require specialized support to deliver high-quality care.

BCBS Blue Value offers a network of over 1,000 rural hospitals and clinics, ensuring that patients in these areas have access to quality care. This network provides a range of services, including telemedicine and remote monitoring.

In addition, BCBS Blue Value has partnered with over 200 specialty care providers, offering patients access to specialized services like cardiology and oncology. This partnership provides patients with more treatment options and better health outcomes.

The BCBS Blue Value network also includes over 1,500 primary care physicians, who work closely with specialists to provide comprehensive care to patients. This integrated approach ensures that patients receive coordinated and effective care.

BCBS Blue Value's rural and specialty care network is designed to improve health outcomes and reduce costs for patients. By providing access to quality care and specialized services, we can help patients manage chronic conditions and prevent hospital readmissions.

Credit: youtube.com, Blue Distinction Specialty Care

With BCBS Blue Value, patients can access a range of services, including disease management programs and care coordination. These services help patients stay on track with their treatment plans and avoid unnecessary hospital visits.

By leveraging our network of rural and specialty care providers, BCBS Blue Value is helping to improve health outcomes and reduce costs for patients. Our goal is to provide patients with access to quality care, regardless of their location or income level.

Frequently Asked Questions

What is the difference between blue value and blue local?

Blue Value and Blue Local plans differ in cost and network restrictions, with Blue Value offering a wider network at a higher cost, and Blue Local offering a less expensive option with a more limited network

What are BCBS Blue options?

BlueOptions is a cost-effective PPO plan offering a wide network of doctors and hospitals. It encourages employees to make informed healthcare decisions with a consumer-driven approach

Does Blue Cross Blue Shield meet the minimum value standard?

Yes, Blue Cross Blue Shield meets the minimum value standard of 60% established by the ACA. This ensures you receive comprehensive coverage for essential health benefits

Raquel Bogisich

Writer

Raquel Bogisich is a seasoned writer with a deep understanding of financial services in the Philippines. Her work delves into the intricacies of digital banks and traditional banking systems, offering readers insightful analyses and expert opinions on the evolving landscape of financial services. Her articles on digital banks in the Philippines and banks of the country have been featured in several leading financial publications, highlighting her ability to simplify complex financial concepts for a broader audience.

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