BCBSAZ Program Produces Cost Savings, Improved Health 

by Mike Hunter

Change Healthcare and ACO Partner™ recently announced results for the first complete plan year of its novel shared savings program with Blue Cross Blue Shield of Arizona. Participating providers reported a 26.3-percent lower 30-day readmission rate and 28.1-percent lower all-cause readmission rate than their non-participant cohort. They also reported 20 percent fewer admissions and 15.2 percent fewer emergency department visits per thousand treated members. Participating providers also outperformed cohort in achievement of the program’s Quality Index by 2.7 percent, and drove lower specialty pharmacy spend, decreased imaging utilization, and more High-Efficiency Network specialist referrals. 

“The model deployed in Arizona, with a focus on care coordination and provider engagement, is achieving the value-based care goals we set when we launched. The program is working for providers and payers, but most importantly for members,” said John Wallace, senior vice president at Change Healthcare and president and chief operating officer of ACO Partner.   

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