ValueBased Contracting and Blue Cross Blue Shield of Massachusetts Roshini Moodley Naidoo Amine Mernissi William J Riley
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– The article is a great contribution to the scholarship on ValueBased Contracting and Blue Cross Blue Shield of Massachusetts Roshini Moodley Naidoo Amine Mernissi William J Riley. In this article, you have covered in detail how value-based contracting can be applied to the insurance industry. I found the explanation and examples you have used very informative. Click Here I highly recommend the article for the students studying healthcare management. The author presents a well-thought-out and comprehensive analysis of ValueBased Contracting and Blue Cross
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“In the past, Blue Cross Blue Shield of Massachusetts contracted with several physicians and hospitals. A new system was introduced under which physicians could deliver medical care only to patients with in-network status. If a patient visited a physician out of network, the company would not pay for the visit. Blue Cross Blue Shield of Massachusetts Roshini Moodley Naidoo Amine Mernissi William J Riley had become a global leader in the use of ValueBased Contracting, which allowed the company to keep patient care costs down while
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ValueBased Contracting and Blue Cross Blue Shield of Massachusetts: The following case study examines a healthcare contracting model called ValueBased Contracting (VBC) that has emerged in the United States to improve patient outcomes, manage costs, and deliver better value to payers. VBC is an innovative methodology that places a premium on improving patient outcomes through high-performing services at a more predictable, cost-effective price. Blue Cross Blue Shield of Massachusetts (BCBS) Roshini Moodley
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ValueBased Contracting (VBC) is a healthcare delivery model where the primary goal is to promote a positive outcomes for the patient, rather than generating high volume. The strategy is based on three primary strategies — a. Patient-Centered Care: this involves the patient as a central entity. This means that the healthcare provider is responsible to cater to the patient’s needs, to improve the patient’s well-being, and to prevent complications. The patient’s needs are determined by their disease, their age, and their level
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“Blue Cross Blue Shield of Massachusetts (BCBSM) is a leading provider of health insurance in the state. It has been recognized for innovative use of technology to improve patient outcomes and operational efficiencies, including using analytics to reduce its administrative costs and increase provider performance.” (McClellan, 2021) In the case of “Case Study Analysis,” ValueBased Contracting, I would like to analyze the Blue Cross Blue Shield of Massachusetts’ (BCBSM) valueBased Contracting approach in managing
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In this case study report, I provide an in-depth look into ValueBased Contracting (VBC) and Blue Cross Blue Shield (BCBS) of Massachusetts. These companies utilize the VBC approach, which helps them provide excellent patient outcomes while also managing costs. The value-based contracting (VBC) is an innovative health care model that rewards providers based on the outcomes they deliver. Through a contract, healthcare providers and insurance companies agree to a set of standards and performance goals that measure patient outcomes, quality,
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ValueBased Contracting (VBC) is a framework that emphasizes the performance-based incentives in the relationship between the healthcare provider, the insurer and the patient. The insurer pays a premium based on the expected health outcomes, while the patient pays a deductible. VBC aims to improve health outcomes and overall quality of care while controlling costs for the insurer. In VBC, the goal is to provide better healthcare and better health outcomes. Moodley et al. (2019) reported