Health Care Innovation Awards: Carefirst Project Profile

Project Title: "Medicare and CareFirst's total care and cost improvement program in Maryland"
Geographic Reach: Maryland
Funding Amount: $24,000,000
Estimated 3-Year Savings: $29,213,838

Summary

CareFirst BlueCross BlueShield received an award to expand its Total Care and Cost Improvement Program (TCCI), which includes its Patient-Centered Medical Home to approximately 25,000 Medicare beneficiaries in Maryland. 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 Program will enhance support for primary care, empowering primary care providers to coordinate care for Medicare beneficiaries with multiple morbidities 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. The TCCI Program will create an estimated 36 jobs. The new workforce will include local care coordinators, and program consultants.

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