doctorpatient

Regence leads the way in collaborative care

By Don Antonucci, President, Regence BlueShield | July 31, 2014

Over the past decade, a shift has been occurring in the way health care is delivered, moving away from traditional fee-for-service to a more collaborative, value-based model. That shift accelerated with the implementation of the Affordable Care Act (ACA), and we’re now at a point of fundamental system change.

The ACA encouraged the formation of accountable care organizations (ACOs) in which groups of providers take on clinical and financial responsibility for the care of their patients. For several years before the implementation of the ACA, Regence was leading the way in creating collaborative care arrangements through a variety of initiatives that incorporated new payment models, products, support, and technology to foster collaborative patient-physician relationships with the goal of improving health outcomes and enhancing member satisfaction.

Some of the specific arrangements Regence has created include patient-centered medical homes, in which integrated teams of doctors, nurses and case managers work with patients with serious health issues; total cost of care contracts with hospitals and medical groups which reward providers for the outcome of the care they provide, rather than on the quantity of their services; as well as accountable care organizations (ACOs).

At the core of each of these arrangements is a strong relationship between patients and their physicians. The role of the health plan is to support this relationship through clinical programs and data exchange that helps the physicians to work with their patients to manage their care effectively and efficiently.

Results from these early initiatives show that they have been successful – a patient-centered medical home pilot was instrumental in significant financial savings for a large employer, through cost savings and increases in productivity. Additional results from total cost of care arrangements will be available soon, and we’ll share them in future posts.

Share:

Recent posts

CCC-bend-1

Join Regence for the 38th annual Cascade Cycling Classic

By Andrew Over
July 13, 2017
The Cascade Cycling Classic is the longest consecutively run elite stage race in the country and is now in its 38th year. We have a long-standing commitment to Bend, and love seeing the community come alive every July during the Classic, when nearly 10,000 spectators gather in the tight-knit community to cheer on the participants
HTC-Regence-WA-2017

Hood to Coast Washington 2017: Teamwork, community and values

By Regence
July 06, 2017
This blog is a guest post from Leslie Constans, a Regence employee and relay team member in the innaugural Hood to Coast Washington 2017. Leslie shares her reflections on the race, the local communities, and the teamwork that the race inspired.
ThinkstockPhotos-542314172

Overusing antibiotics: What are the consequences?

By Regence
June 21, 2017
Dr. Mark Hiatt is an Executive Medical Director for Regence. Every week he takes to the air waves and delivers timely, relevant health information directly to consumers through his radio segment, Medical Moment. In this post, we share highlights from one of his recent segments on the overuse of antibiotics.