a presentation of the blue cross and blue shield association. all rights reserved. alliance for...

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A presentation of the Blue Cross and Blue Shield Association. All rights reserved. Alliance for Health Reform June 12, 2012 Scott P. Serota, President & CEO Blue Innovations: What’s Working?

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Page 1: A presentation of the Blue Cross and Blue Shield Association. All rights reserved. Alliance for Health Reform June 12, 2012 Scott P. Serota, President

A presentation of the Blue Cross and Blue Shield Association. All rights reserved.

Alliance for Health ReformJune 12, 2012

Scott P. Serota, President & CEO

Blue Innovations:What’s Working?

Page 2: A presentation of the Blue Cross and Blue Shield Association. All rights reserved. Alliance for Health Reform June 12, 2012 Scott P. Serota, President

A presentation of the Blue Cross and Blue Shield Association. All rights reserved.12-150-R

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Strategies to Bend the Cost Curve

Payment Incentives

Partnering withClinicians

Engaging Patients

Page 3: A presentation of the Blue Cross and Blue Shield Association. All rights reserved. Alliance for Health Reform June 12, 2012 Scott P. Serota, President

A presentation of the Blue Cross and Blue Shield Association. All rights reserved.12-150-R

3

Changing Payment Incentives

• Prevented 42 wrong-site surgeries

• hospital-acquired infections

• Saved up to $57M fromCentral-line infectionsMRSA cases

Page 4: A presentation of the Blue Cross and Blue Shield Association. All rights reserved. Alliance for Health Reform June 12, 2012 Scott P. Serota, President

A presentation of the Blue Cross and Blue Shield Association. All rights reserved.12-150-R

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Changing Payment Incentives

• 6% readmissions

• 17% inpatient admissions

• $26M radiology savings

Page 5: A presentation of the Blue Cross and Blue Shield Association. All rights reserved. Alliance for Health Reform June 12, 2012 Scott P. Serota, President

A presentation of the Blue Cross and Blue Shield Association. All rights reserved.12-150-R

Partnering with Clinicians

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• 15% readmissions

• 50% inpatient stays > 20 days

• $15.5M annual savings

Page 6: A presentation of the Blue Cross and Blue Shield Association. All rights reserved. Alliance for Health Reform June 12, 2012 Scott P. Serota, President

A presentation of the Blue Cross and Blue Shield Association. All rights reserved.12-150-R

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Engaging Patients

• 32% bypass readmissions

• 21% angioplasty readmissions

• $2,200-$2,500 cost savings per procedure

Page 7: A presentation of the Blue Cross and Blue Shield Association. All rights reserved. Alliance for Health Reform June 12, 2012 Scott P. Serota, President

A presentation of the Blue Cross and Blue Shield Association. All rights reserved.12-150-R

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