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Blue Cross Blue Shield of Michigan Details ‘Journey’ Toward Full-Risk Pacts With Providers

  • Feb 10
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    Feb 10, 2023

    Blue Cross Blue Shield of Michigan this year launched full-risk reimbursement arrangements with six physician groups in the state. The deals cover members enrolled in the insurer’s Medicare Advantage PPO and Blue Care Network MA plans. 

    The provider organizations have worked with BCBS of Michigan since 2020 on shared-risk models, but this adds more risk and reward. The agreements tie the provider groups’ payments to how well the physicians manage the costs of treating their patients and improve clinical outcomes. 

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    • Tim Casey

    Tim has been a reporter and editor for newspapers, websites and magazines for more than 20 years, including 10 years covering health care business topics. He has a deep knowledge of the managed care industry and pharmacy benefit management. He also has experience covering medical conferences and clinical and legislative health care issues. In 2014, the Society for Advancing Business Editing and Writing selected Tim as one of 15 journalists to participate in a national symposium on the Affordable Care Act. Tim has a B.A. in Psychology from the University of Notre Dame and an M.B.A. from Georgetown University.

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