BCBS North Carolina's value-based care model has saved members nearly $500M in 3 years

Blue Cross and Blue Shield of North Carolina says its value-based care program, Blue Premier, has saved its members close to $500 million over the past three years and improved care outcomes.

The payer released data on its own model Sept. 14 and said providers have been paid based on the success of their treatments since the model's inception in 2019.

Six things to know:

  1. BCBSNC has value-based arrangements with 12 major health systems and 800 independent primary care practices.

  2. The Blue Premier program served 1.4 million members in 2021, up from 857,000 in 2020.

  3. Providers saw $321 million in shared savings from the program over the last three years.

  4. Since 2020, there has been a 5 percent decrease in adult unplanned hospital admissions, a 12 percent increase in members taking steps to manage their blood pressure, and 24,000 more colorectal screenings.

  5. Over the last three years, the program has saved members nearly $500 million, including $130 million in 2021 alone. 

  6. Within the 2021 savings, $19.5 million was from the Blue Premier Advanced Kidney Care program, which aims to slow or stop kidney disease.


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