BCBS Massachusetts: New Model of Reimbursement

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BCBS Massachusetts: New Model of Reimbursement Flat fee to doctors and hospitals each year Adjusted for age and sickness of patients Up to 10% bonus to improve care on over 20 quality standards, such as chronic disease control and providing easy access at all hours Payment covers all services from primary care doctors, specialists, counselors, and hospitals – encourages coordination Source: A. Dember, “New therapy for old woes, Blue Cross measure aims to slow runaway costs, improve quality of health care,” Boston Globe, January, 22, 2008