BlueCross works for better health outcomes

BCBST photoAdvanced terminal illness can be a huge challenge. Patients are often exhausted and in pain, and many suffer though several unwanted or unnecessary trips to the hospital or emergency room. BlueCross recently established a pilot partnership with Nashville’s Aspire Health to address the quality-of-life issues that many people face in this situation. The partnership provides 24-hour, personalized medical support for patients and families — a new care model that improves satisfaction and helps keep patients at home in their final days.

Increasing options for quality, cost-effective care
At the beginning of 2015, BlueCross and MissionPoint Health Partners finalized an extended five-year strategic partnership agreement, only a few months after unveiling a new kind of insurance plan designed to help members and employers lower their health-care costs.

Many Middle Tennesseans who use MissionPoint — a system that includes Saint Thomas providers and hospitals — now have more choices for care, thanks to a dual-network plan made available to major companies in the area. BlueCross members insured under the dual-network plan can seek care from providers in both Blue Network PSM and Blue Network MSM, which includes all MissionPoint providers. Members with this plan also see increased cost savings when they choose a Network M provider for their care.

Better outcomes with patient-centered medical homes
Better care coordination results in better health outcomes for members and lower overall health care costs — especially for members with chronic diseases like diabetes and heart disease. BlueCross has invested in helping providers statewide establish their practices as Patient-Centered Medical Homes, using a care model that makes it easier to provide members with high-quality, highly supportive care.

Why use the PCMH model? Because it works. Studies have shown that patients who receive care from PCMHs don’t have to be admitted to the hospital as frequently. They don’t visit the emergency room as often and are more likely to have preventive screenings. The results are healthier patients and lower medical costs, which is why BlueCross aims to have 50 PCMH practices and 450,000 enrolled members throughout the state by 2018.

Read article in The Tennessean.