BCBS Texas had a two-year Medical Home Pilot Project ("Extended Medical Home" or Patient-Centered Medical Home for North Texas Market) that started in February 1, 2010. This alliance is an extension of BCBSTX's commitment to enabling innovative, value-based care delivery models such as Extended Medical Home, Intensive Medical Home and Bridges to Excellence, all of which are designed to reward physicians for managing costs and quality of whole patient care and moving from the traditional fee-for-service approach to a fee-for-value payment model.
The new alliance extends a previous agreement that allows more than 1.6 million Blue Cross members access to in-network health care services at Texas Health's 25 hospitals and 18 outpatient facilities in the North Texas area. The ACO will be available to the general and commercial (fully insured /self-funded) populations, and other populations in Collin, Dallas, Denton, Ellis, Erath, Grayson, Hood, Johnson, Kaufman, Parker, Rockwall and Tarrant counties.
Key program strategies include:
The program incorporates an alternative or non-fee-for-service payment arrangement.