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Hospital and Physician Update

January – February 2019
Focusing on quality, cost

A message from Steve Anderson
Building an agreed-upon definition of value

A year-over-year decrease in cost and increase in quality outcomes, due to effective collaboration between hospitals and physicians. Read more.

Battling the opioid epidemic

A message from Dr. William Beecroft
We’re expanding our CLIMB opioid treatment model to select Blue Cross members

Traditional methods for treating opioid use disorder sometimes work, but 36 percent* of patients relapse. Of those who do relapse, 72 percent* do so multiple times. Read more.


A message from Dr. Duane DiFranco
Here’s an overview of Blue Cross’ efforts to address opioid epidemic

More than 2,600 Michigan residents died in 2017 from drug overdoses, exceeding the number of traffic and firearm fatalities reported that year. As the opioid epidemic continues to capture the attention of public health officials and decision-makers across the country, Blue Cross Blue Shield of Michigan and Blue Care Network are continuing efforts to address the issue through public awareness, collaboration and improvements to clinical care delivery. Read more.


A roundup of recent news and information
Prior authorization to be required for high opioid dosages
Starting Feb. 1, 2019, Blue Cross and BCN will require prior authorization the first time a member’s opioid dosage exceeds 90 morphine milligram equivalents per day. This change affects commercial members only and doesn’t apply to members with an oncology diagnosis or terminal illness, or those with Medicare plans. For complete details, see the January Record article. Read more.

Health and wellness

New virtual program focuses on improving member well-being, resilience
Blue Cross Blue Shield of Michigan has launched the innovative Blue Cross® Virtual Well-Being program to help your patients learn how to improve their overall well-being and increase resilience. Read more.

Other news and information

In brief
Our "in brief" feature includes information on improving care coordination, rewarding cost-effectiveness and submitting wellness qualification forms, along with items on the PGIP allocation and online visits. Read more.


Did you know?
Hospitals and physicians were largely responsible for the company that is now known as Blue Cross Blue Shield of Michigan. Read more.
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