Health Care Reform
Two surgical initiatives developed by Blue Cross Blue Shield of Michigan and Blue Care Network have been recognized as tops among 48 programs run by Blues plans nationwide, providing further validation of BCBSM’s efforts to improve health care quality, patient safety and outcomes.
Together, the two collaborative quality initiatives have removed an estimated $100 million in costs from the health care system in Michigan, including from non-Blues plans.
The 2011 BlueWorks Award was announced last week by the Blue Cross and Blue Shield Association and the Harvard Medical School Department of Health Care Policy. The award recognizes Blues-sponsored programs that improve health care safety, quality, accessibility and affordability while engaging providers, consumers and communities.
It’s the second consecutive year that BCBSM has received the prestigious BlueWorks Award. In 2010, BCBSM was recognized for its Patient-Centered Medical Home program, which emphasizes the roles of primary care and increased patient involvement to improve health outcomes and lower costs.
The BCBSA and Harvard Medical School recognized the Michigan Blues for two statewide initiatives aimed at improving quality and patient outcomes in surgical procedures:
Early data suggest that the Michigan Surgical Quality Collaborative led to $85.9 million in cost savings statewide in 2009 and 2010. That figure includes procedures covered by all commercial insurers — including the Blues — as well as self-payers, Medicare and Medicaid.
An analysis of the Michigan Bariatric Surgery CQI suggests that the program has saved Michigan $14.6 million between 2008 and 2010.
All told, Blue Cross Blue Shield of Michigan and Blue Care Network sponsor 10 collaborative quality initiatives with Michigan hospitals. Another two are planned for launch in early 2012: one on arthroplasty (hip and knee replacement surgery) and the other on intensity modulated radiation therapy, which is used to treat breast and lung cancer.
Photo by Army Medicine.