BlueAlliance Foundation—
The Next Generation PCMH

What began in 2005 as an experimental pilot program focused on diabetes control grew into a statewide PCMH known as MediQHome. 

MediQHome demonstrated how providers and payers can work together to achieve and sustain high-performance health care for specific conditions. Building on that success, BlueAlliance expands the scope to include not only chronic disease management but also a focus on prevention.
 
MediQHome becomes Blue Alliance

PCMH model

  • Addressed select chronic conditions
  • Offered preventive screening for prevalent conditions
  • Supported care coordination by paying care management fees
  • Data platform to support PCMH
    • Identified care gaps at individual- and clinic-level
    • Acted as a data registry for clinics without electronic medical records (EMR)

Next generation of PCMH

  • Aligned with updated national industry standards
  • Impacts a broader range of patients—all attributed BCBSND members
  • Integrates behavioral health
  • New data analytics
    • Provides comprehensive information from industry leading partner
    • Claimed based analysis to support population health efforts
  • Supports the new PCMH standards
    • Total population health
    • Prevention
    • Chronic disease management
  • Flexible contracting and reimbursement options

 

Learn more about foundational elements of BlueAlliance: