Blue Cross Blue Shield of Illinois Intensive Medical Home (IMH)
Program Location:
Chicago, IL
Payer Type:
Commercial
Parent Program:
Payers:
Blue Cross Blue Shield of Illinois
Reported Outcomes
Description:
Intensive Medical Homes (IMHs) are a value-based care model (VBCM) that are part of BCBSIL's larger vision to lower health care costs, and improve accessibility and quality of care. Its aim is to move away from fee-for-service payment models that focus on volume, to providing incentives for quality outcomes and improved population health in a given physician practice.
At the center of the IMH model, is a nurse care manager (NCM) who is embedded in and employed by the physician practice to focus on caring for the practice's highest risk patients. By refocusing the physician's practice as the patient's medical home, the member's experience and perceived value of care will be enhanced.
Payment Model:
BCBSIL provides incentives for quality outcomes and improved population health in a given physician practice.
Cost Savings:
- The first IMH provider groups produced an average cost reduction rate of 7.7 percent based in the initial year of participation.
