Blue Cross Blue Shield of Michigan and Munson Healthcare Embrace New Approach to Reimbursement

Nov. 12, 2013 – TRAVERSE CITY, Mich. — Munson Healthcare and Blue Cross Blue Shield of Michigan say they are launching a new value-based hospital reimbursement agreement in northern Michigan designed to improve patient care and medical outcomes while also enhancing efficiency and holding down the cost of care.

According to a press release posted on, their agreement provides a fair base-rate increase in reimbursement from BCBSM to the hospital. In addition Blue Cross will reward the hospitals with a share of the savings achieved when hospitals and physicians coordinate the delivery of efficient and effective care, eliminate reuse and overuse of care, and prevent re-hospitalizations. Continue reading

Study Reveals Risk for Market Disruption with Move to Value-Based Care

JACKSONVILLE, Fla.–(BUSINESS WIRE)–Health plans and providers expect their participation in value-based care programs to more than triple in the next three to five years. For that growth to be successful, more than 90% of respondents from both groups agree they must automate the information exchange required by these programs. However, only a small percentage of providers and plans report having fully-automated capabilities in place – leaving a questionable gap in the current operational readiness of the market.

These findings and others are from a pair of recently-published research studies by Availity, a leading health information network. They shed further light on the need for automated information exchange solutions in the market to support emerging payment models, and call attention to the disruption the market may encounter if health plans and providers continue to rely on manual methods of exchanging critical data.

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