The BCBS companies surveyed spend about one in five medical claim dollars on programs that incentivize improved outcomes and reduced waste and duplication, according to the BCBSA. The companies have more than 350 value-based programs — including accountable care organizations, patient-centered medical homes, pay-for-performance models and episode-based payment initiatives — in 49 states, D.C. and Puerto Rico.
These programs have resulted in fewer emergency department visits, hospital admissions and other medical interventions, according to the survey. Initial reports show resulting savings of $500 million in 2012.
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