Physician incentive payments that take into account both medical home capabilities and outcome measures have produced savings of over $155 million over three years for Blue Cross Blue Shield of Michiganís patient-centered medical home (PCMH).
With 1,254 primary care practices participating in the program, Blue Cross Blue Shield of Michigan (BCBSM) has created its own PCMH designation that has become more rigorous as the program has evolved.
During Generating Medical Home Savings and Quality Improvements Through Outcome-Based Measures, an April 30th webinar, now available for replay, Donna Saxton, field team manager of BCBSM's value partnerships program, shares the details of its PCMH designation requirements and the system of rewards and incentives that has produced results for the plan, the PCMH practices and its members.
You will learn:
- How BCBSM works with practices to build PCMH capabilities and consults with them on improvement opportunities;
- The outcome-based performance measures that have helped to improve quality and reduce costs;
- How to engage physicians in process improvement principles;
- How the medical home reward and incentive structure fits into BCBSM's other value-based reimbursement programs;
- The role of specialists in this PCMH and their incentive structure; and
- The quality improvement and cost savings produced by this program.
Listen to pre-conference comments from Donna Saxton.
Have questions on our webinar formats? Visit our webinar FAQ.
You can attend this program right in your office and enjoy significant savings ó no travel time or hassle; no hotel expenses. It's so convenient! Invite your staff members to gather around a conference table to listen to the conference.
WHO WILL BENEFIT FROM THIS CONFERENCE?
Presidents/CEOs, chief financial officers, chief operating officers, medical directors, physician practice leaders, quality improvement executives, health plan executives, business development and strategic planning directors and consultants.
Listen to this pre-conference interview with Donna Saxton:
Collaborating in the care of difficult-to-manage patients resonates with specialists in BCBSM's medical homes.
About Donna Saxton:
Donna Saxton, field team manager of Blue Cross Blue Shield of Michiganís (BCBSM) value partnerships program, currently oversees the team of representatives that support the statewide collaborative relationships with 44 Physician Organizations (PO) and 39 Organized Systems of Care (OSCs) that participate in the BCBSM Physician Group Incentive Program (PGIP).
She is responsible for statewide operations related to PGIP field team activities and is focused on engaging POs and OSCs in all activities associated with management of corporate programs and PGIP initiatives dedicated to enhancing healthcare value.
Previously, Ms. Saxton served as the vice president of quality and safety for Ochsner Health System in New Orleans. During her tenure, Ochsner Medical Center had been awarded the 2011 and 2010 Healthgrades distinguished hospital award for clinical excellence and had been recognized in 2011 and 2010 by Thomson Reuters as a 100 Top U.S. Hospital. Ochsner Medical Center was also recognized as an Everest award winner in 2011. The Everest Award honors hospitals that have achieved both the highest current performance and the fastest long-term improvement over five years.
Prior to joining Ochsner, Ms. Saxton was the associate administrator for performance improvement at Slidell (La.) Memorial Hospital. She also served as an associate administrator specializing in quality improvement with Tenet Healthcare Corporation.
Ms. Saxton received a bachelor of science in microbiology and a bachelor of arts in chemistry from Michigan State University. She received her Masters in Healthcare Administration and a Master of Public Health in Epidemiology from Tulane University. She is a Fellow in the American College of Healthcare Executives, served as Treasurer for her local chapter, and received the 2009 Louisiana Regentís award for Early Careerists.