Blue Shield of California Launches New VBP Model
The new value-based, shared savings payment model will be for specialty care physician practices
By: Catie Hillard
October 6, 2022 – Blue Shield of California recently announced its intent to launch a new value-based payment model. The value-based, shared savings payment model is intended for specialty care physician practices. Services included in the initial program launch include orthopedic, maternity, and gastroenterology services. Blue Shield has intentions to expand to other specialties in the future pending the results of the initial launch.
The innovative model aims to transform how certain specialty care services are delivered. Blue Shield of California will do this by shifting delivery away from fee-for-service to value-based care in an “episode of care” arrangement. The focus of episode of care is to provide coordinated, collaborative care across the healthcare continuum to ensure patients received high-quality care while lowering costs.
Practices who join the program will have financial incentives via shared savings for improved outcomes for the specialty services they provide. There will be no downside financial risk to the practice, which should incentive providers to join.
Blue Shield is working to ensure that providers are well-informed. They have published a series of on-demand webinars for providers that can be found here:
Interested physicians can also join live Q&A sessions to have questions answered in real-time:
- Live Virtual Q&A for OB/GYNS, Tuesday, October 25, 1-1:30 p.m.
- Live Virtual Q&A for gastroenterologists, Thursday, October 27, 1-1:30 p.m.
- Live Virtual Q&A for orthopedic surgeons, Thursday, October 27, 2-2:30 p.m.
To request more information, providers can also email firstname.lastname@example.org.
The VBP Blog is a comprehensive resource for all things related to value-based payments. Up-to-date news, informative webinars, and relevant blogs in the VBP sphere to help your organization find success.