Value-Based Care: Smarter Care for Better Health
Blue Cross and Blue Shield of Oklahoma (BCBSOK) is committed to setting up value-based arrangements with health care providers that aim to deliver smarter care for better health.
Our approach to developing value-based care arrangements is helping shift the industry’s focus from paying for more services to paying for better care and outcomes.1
The value-based care models are designed to:
- Reward doctors and hospitals when they help members improve their health
- Focus on quality that may lower employer group health care costs
- Improve the health care experience for members
- Increase collaboration among health care providers
At BCBSOK our goal is to develop ways to help our contracted providers improve health care and reduce the overall costs of care. Our value-based care models show our evolving steps for balancing quality and affordability.
Our cutting-edge contracted provider arrangements work to lower total spending by:
Increasing Accessibility to Patient History
We've built tools that pull two years' worth of claims history data at a time.2 This gives contracted health care providers a clearer picture of treatments their patients have — or haven't — completed within the two year period.
Tailoring Specialty Care Costs
Group health care benefits programs can be adjusted to help meet cost objectives. For example, employee copays may get lowered when visiting Blue Distinction Centers® and Blue Distinction Centers+SM.
Making Health Care More Accountable
BCBSOK works with contracted providers to create a team-based, primary care approach that aims to offer the right care at the right time.
- Measuring Performance Results
- We use data to:
- Measure success
- Provide financial incentives to providers
- Drive clinical and quality performance
- We use data to:
This helps us toward our goal to increase quality and lower the overall cost of care while helping members stay healthy and productive.