Blue Cross | Blue Shield | Blue Care Network of Michigan
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Hospital and Physician Update
March – April 2020
Top story
A message from Dr. Marc Keshishian, vice president of Health and Clinical Affairs
Prior authorization process presents an opportunity for collaboration
Prior authorization is an imperfect process — one we’re working with our participating health care providers to improve. Read more.
Focusing on quality and affordability
Blueprint for Affordability gains traction
We’re pleased to announce that seven more health care provider organizations have agreed to sign risk-sharing arrangements with Blue Cross Blue Shield of Michigan as part of Blueprint for Affordability. Read more.

A message from Atheer Kaddis, vice president, Pharmacy Services
Partnership with Civica Rx: Our newest effort to provide more affordable care for our members
We recently announced a partnership with Civica Rx to help lower the cost of select generic drugs. Read more.

A message from Dr. S. George Kipa, deputy chief medical officer
Understanding variation in clinical care
There’s a huge variation in the cost of care of various health care procedures. A better understanding of the data related to variation can lead to clinical care improvement and widespread adoption of best practices. Read more.

A message from Steve Carrier, senior vice president, Network Management and Provider Partnership Innovation
Blue Distinction Specialty Care takes aim at treating members with opioid use disorders
A Blue Distinction Center designation focuses on the treatment of substance use disorders across the spectrum of care delivery. Read more.

Hospital Compare update: 20 Michigan hospitals get top rating
Twenty Michigan hospitals were given the top rating — 5 stars — in the Centers for Medicare & Medicaid Services’ January 2020 Hospital Compare overall ratings. Read more.

Pilot uses ‘At Risk for Medical Readmission’ tool to reduce readmissions after spine surgery
The Michigan Spine Surgery Improvement Collaborative has identified an opportunity to reduce hospital readmissions: partnering with referring primary care physicians. Read more.

Videos feature CQI success stories
New videos illustrate the successes of our Collaborative Quality Initiatives. Read more.
Other news and information
In brief
For this edition, we look at such topics as such as adult obesity, the dangers of marijuana use, free waiver training and the rise in overdose deaths. Read more.
 
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