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

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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