Healthcare reform initiated a new payment model that has not widely been discussed. The ACO model in reform allows a hospital, just a for instance, to take a single payment to cover thousands of lives in a geographic area. The management of that population is up to the hospital. ACO is an acronym for “accountable care organization.” You should learn what this means to you.
The Michigan Blue Cross plan is working toward a model to provide “population management” by pulling together new contracts with providers. Providers interested in the “rest of the story” should consider an independent evaluation of these agreements.
Blues Perspective, Four more hospitals agree to BCBSM value-based reimbursement model _ MIBluesPerspectives. From the following BCBSM site link; http://www.mibluesperspectives.com/2014/05/22/four-more-hospitals-agree-to-bcbsm-value-based-reimbursement-model/?utm_source=LinkedIn&utm_medium=BCBSM&utm_campaign=blog
Blues Value Partnership, Hospital Pay For Value _ Value Partnerships. From the following BCBSM site link; http://www.valuepartnerships.com/hospital-pay-for-performance/