Blue Cross Blue Shield Of Michigan & Seven Health Organizations Will Share Financial Risk For Consumer Care & Health

Together with seven major Michigan health organizations representing roughly 30 percent of the total Commercial PPO and Medicare Advantage market, Blue Cross Blue Shield of Michigan announced a transformative new payment relationship through which accountability for cost, quality, efficiency, and consumer outcomes are shared by all. The new payment model, "Blueprint for Affordability," advances Blue Cross' decade-old, value-based reimbursement approach into "financial risk" contracting.

Health systems and physician organizations have agreed to annual targets for the cost of providing care to Blue Cross members. Aggregate costs that come in below those financial targets will result in additional financial . . .