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the Harvard Medical School One study found that the 2009 CQA physician groups generated average savings on claims costs over eight years, from 2009 to 2016, with faster savings over time. The average annual claims of patients with physicians within the AQC were $ 461 less than those in the control group, an average saving of 11.7% per patient. Physicians' offices that have been in the CQA in recent years have experienced lower or comparable savings on claims. The study also found that the CQA improved the quality of patient care through several measurements compared to the New England average and the national average, including those with chronic conditions. such as diabetes and hypertension.
"The study suggests that the CQA helped motivate changes in the delivery of care during its first eight years," said Zirui Song, MD, Ph.D., an badistant professor of policy and economics. of health care medicine at Harvard Medical School and Mbadachusetts General Hospital, senior researcher of the study. "This has helped change prescribing rates for physicians and some imaging modalities, admission rates to emergency services, and chronic disease management, as demonstrated by several aspects. quality of care compared to regional and national averages over this period. "
The CQA was created by Blue Cross in 2009 and changed the hundred-year-old system of reimbursement of care, based primarily on pay-as-you-go for physician visits, tests and hospitalizations , in a system based on the quality of care, the results for the health and the satisfaction of the patients. . By linking financial incentives to clinical quality, patient outcomes, and overall resource utilization, the AQC is designed to moderate cost growth, while producing significant improvements in the quality of services. care provided to patients.
Physicians and hospitals adopting CQA accept responsibility for the entire continuum of care received by their patients, no matter where the care is provided. Today, more than 80% of physicians and hospitals in the Blue Cross network participate in the CQA. At the national level, Blue Cross Blue Shield plans are leaders in payment innovation, transforming the delivery of health care through value-based models such as CQA. More than 74 million Blue Cross Blue Shield members participate in payment programs that support and reward coordinated care, appropriate use and health outcomes.
"This independent and rigorous evaluation of eight years of data demonstrates that the AQC achieves its twin goals of reducing costs and improving the support of our members," he said. Andrew Dreyfus, President and CEO of Blue Cross. "These impressive results would not have been possible without the incredible efforts, commitment and leadership of our doctors and hospital partners."
Combined with previous evaluations of the CQA, the researchers also found that savings on claims, which were initially lower than the incentives paid to supplier groups during the early years of the CQA , have begun to exceed incentives to generate net savings starting around the fourth year. In addition, the AQC was badociated with an improvement in the quality of care fairly consistently, from the first year of the payment model over the 8 year study period.
"AQC's continued success demonstrates the commitment of participating physicians and hospitals to rethink the way they deliver care to focus on quality and effectiveness." said Dreyfus. "Our partnership clearly shows that global budget models such as the AQC can lead to significant improvements in quality and cost savings."
About Blue Cross Blue Shield of Mbadachusetts
Blue Cross Blue Shield of Mbadachusetts (bluecrossma.com) is a community-based, not-for-profit health plan headquartered in Boston. We are committed to relentless pursuit of affordable, quality health care with an unparalleled consumer experience. In keeping with our promise to always put our members first, we rank among the top health plans in the country in terms of member satisfaction and quality. Connect with us on Facebook, Twitter, YouTube and LinkedIn.
About the AQC
Launched in 2009, the AQC is an innovative way to pay for quality-focused care and rewarding positive health outcomes. A critical element of Blue Cross's mission of making quality health care affordable to members and employer clients is the predominant model of contract for Blue Cross, its network physicians and hospitals. The alternative payment model promotes shared responsibility for both improving care and slowing the rise in health care costs. The AQC now represents more than 80% of the doctors and hospitals of the Blue Cross network. One of the biggest innovations in the field of private payment United States, the CQA has become a model for state and national decision-makers. Learn more about AQC.
Blue Cross Blue Shield of SOURCE Mbadachusetts
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http://www.bluecrossma.com
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