Blue Innovations: What’s Working?

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

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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

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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

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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

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• 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

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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

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