a presentation of the blue cross and blue shield association. all rights reserved. alliance for...
TRANSCRIPT
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?
A presentation of the Blue Cross and Blue Shield Association. All rights reserved.12-150-R
2
Strategies to Bend the Cost Curve
Payment Incentives
Partnering withClinicians
Engaging Patients
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
A presentation of the Blue Cross and Blue Shield Association. All rights reserved.12-150-R
4
Changing Payment Incentives
• 6% readmissions
• 17% inpatient admissions
• $26M radiology savings
A presentation of the Blue Cross and Blue Shield Association. All rights reserved.12-150-R
Partnering with Clinicians
5
• 15% readmissions
• 50% inpatient stays > 20 days
• $15.5M annual savings
A presentation of the Blue Cross and Blue Shield Association. All rights reserved.12-150-R
6
Engaging Patients
• 32% bypass readmissions
• 21% angioplasty readmissions
• $2,200-$2,500 cost savings per procedure
A presentation of the Blue Cross and Blue Shield Association. All rights reserved.12-150-R
7