CMS Health Care Innovation Award: CareFirst

Program Location: 
Annapolis, MD
Payer Type: 

CareFirst BlueCross/BlueShield is receiving an award to expand its Total Care and Cost Improvement Program (TCCI), a Patient-Centered Medical Home model of care delivery and payment, to 25,000 Medicare beneficiaries in Maryland per year. This approach will move the region toward a new health care financing model that is more accountable for care outcomes and less driven by the volume-inducing aspects of fee-for-service payment. The TCCI model will enhance support for primary care, empowering primary care physicians to coordinate care for multi-chronically ill Medicare beneficiaries and patients at high risk for chronic illnesses. TCCI will result in less fragmented health care, reducing avoidable hospitalizations, emergency room visits, medication interactions, and other problems caused by gaps in care and ensuring that patients receive the appropriate care for their conditions.

Over a three-year period, the CareFirst BlueCross/BlueShield program will train an estimated 672 workers and will create an estimated 28 jobs. The new workforce will include local care coordinators, specialty-based nurse case managers, hospital transition of care coordinators, program consultants, pharmacy managers, clinical pathways hub operations and support workers, operational and data support positions.

Last updated April 2014
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