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BlueAlliance and BlueAlliance Care+ are value-based programs that support the provider community in our collective efforts to deliver a sustainable, meaningful and reliable health care experience for your patients -- our members.
BlueAlliance is the program for the commercial Blue Cross Blue Shield of North Dakota (BCBSND) members. BlueAlliance Care+ is the program for the Medicaid Expansion members. Even though the are separate programs, they are very much aligned.
Members come first
Deeper partnerships with providers
Pay providers for outcomes
Address key cost drivers
Participation options
Understanding that transforming care takes time and providers are at different points in the process, BlueAlliance offers flexibility based on participant size.
BlueAlliance Care+ is built on the same foundational elements while offering a comprehensive approach to incentivize quality performance.
Provider measurement
The quality component of BlueAlliance & BlueAlliance Care+ is foundational to all levels of participation.
Foundations of BlueAlliance & BlueAlliance Care+
BlueAlliance builds on the success of our first patient-centered medical home (PCMH) which piloted in 2005. With a strong focus on prevention, the program incorporates the PCMH model, patient attribution, clinical risk groups and risk adjustments.
BlueAlliance Care+ aligns with BlueAlliance however it is specifically for the Medicaid Expansion population.
Other value-based programs
While BlueAlliance is the solution that addresses North Dakota concerns, it is part of a bigger, nationwide effort of the Blue Cross and Blue Shield Association to improve health outcomes while containing costs. Each program is tailored to address the needs of the area it serves.
Case management
For your patients with serious illness, BCBSND offers a case management program to help them understand options available and to achieve their optimal health and functional capability.