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The fee-for-service model still exists, but there is a financial reward for exceeding quality metrics and doing so without adding costs. But if those goals are not met, the physicians group is responsible for any added costs at the end of the year.
Blue Cross Blue Shield of Michigan and six physician organizations across the state are launching full-risk reimbursement arrangements for their Medicare Advantage PPO and Blue Care Network Medicare Advantage plans, the insurer announced this week. With these agreements, along with existing full-risk contracts, about 30% of BCBSM's total Medicare Advantage membership now
Doctors are increasingly staking their incomes on their patients' outcomes. Six physician groups have inked full-risk reimbursement deals with Blue Cross Blue Shield of Michigan for the care of patients under its Medicare Advantage PPO and Blue Care Network Medicare Advantage plans, the state's…
Upon launch of the new programs on Jan. 1, approximately 30 percent of BCBSM's total Medicare Advantage members will be seen by a doctor under a full-risk contract.
BCBSM avoided a massive loss in 2021 thanks to its subsidiary portfolio that includes Advantasure, AF Group, life insurance company LifeSecure Insurance Co. and health management service organization Triarq Health.