Highmark's value-based care programs are savings billions of dollars and improving member outcomes

Highmark's value-based care programs across several divisions have collectively saved the company over $2.5 billion in the last five years and significantly boosted the number of primary care visits among members, according to data released by the Pittsburgh-based company Sept. 6.

Providers participating in a VBC program saw patients for nearly 164,000 more annual visits compared to non-VBC providers over a period of three years. 

During the same period, there were 154,000 more completed cancer screenings through VBC providers, and nearly 83,000 more diabetes care gaps were closed compared to traditional providers.

Since its launch in 2017, the company's value-based reimbursement program for primary care physicians, True Performance, has saved up to $2.5 billion in care costs by lowering hospitalizations and emergency room visits. 

Within the company's value-based hospital program, up to $34 million has been saved over the past five years.

Lastly, within the company's value-based program for skilled nursing facilities and home health, up to $12.1 million in avoided costs has been achieved through lower readmission rates over the past two years.




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