CHAPEL HILL — UNC Health Alliance (UNCHA) has achieved a 100 percent quality score for reducing the cost of care for 140,000 Blue Cross and Blue Shield of North Carolina (Blue Cross NC) members.
The result: a pay-for-performance payment quality totaling $17.5 million.
The money is earned through UNCHA’s participation in Blue Cross NC’s Blue Premier Alternative Payment Model.
“These tremendous results are a testament to an incredible amount of quality work and dedicated patient care by our providers and teams, often for the most complex patients in North Carolina,” said Dr. Mark Gwynne, President, UNC Health Alliance, in a statement.
“These outcomes move us closer to our goal of transforming into a health delivery system based on high quality health outcomes while making care more affordable for our patients. Our mission is to improve the health and well-being of North Carolinians, and partnerships like Blue Premier align directly with that mission.”
UNCHA is the clinically integrated network of UNC Health and maintains a network of more than 1,100 primary care providers and 4,100 specialty providers. UNCHA partners with community-based, independent physicians who align with the mission to make care more accessible to patients and shift to value-based payments, achieving high quality patient outcomes at affordable costs.
UNCHA said it will reinvest part of the $17.5 million into the organization’s infrastructure to support patient needs with services such as medical transportation, enhanced case management, and in-home or telehealth services from physicians, dietitians, social workers and nurses.
Further investments will be made in support for the network’s practices such as clinical quality coaching, analytics and technologies to support clinical interoperability. Eighty percent of earnings are shared with the network’s physicians, hospital partners, and other health care professionals.
UNC Senior Alliance ranks No. 1 in ‘next generation’ accountable care programs
