Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has launched a value-based care program to ensure Blue Cross NC members with kidney disease have access to better, simpler and more affordable health care. The program, which began Jan. 1, is the newest feature in the company’s industry-leading Blue Premier value-based care initiative that pays doctors and hospitals for meeting quality and cost standards.
Blue Cross NC is offering Blue Premier Advanced Kidney Care in collaboration with Fresenius Medical Care North America (FMCNA) and Strive Health, two national leaders in bringing the benefits of better-coordinated, high-quality care to patients with kidney disease. The program is designed to improve health quality and outcomes for members who have advanced kidney disease.
“It’s important that we help our members with chronic conditions receive coordinated care, delay or prevent the need for dialysis, and improve their quality of life,” said Von Nguyen, MD, Blue Cross NC chief medical officer. “Advanced kidney disease has long been challenging to treat. Working with FMCNA and Strive Health, Blue Cross NC is bringing an advanced level of care to help our members who need it most.”
Under the program, Blue Cross NC will collaborate with FMCNA and Strive Health to enroll eligible members at no additional member cost. Members on a commercial or Medicare Advantage plan who have chronic kidney disease stage 4 or 5 or end-stage renal disease may join. FMCNA and Strive Health will work with primary care physicians and nephrologists in the Blue Cross NC network to identify care gaps and support providers in delivering high-quality, coordinated and patient-centered care – for example, scheduling regular preventive care to ensure that patients don’t miss needed medical encounters. Members may keep their current providers. Strive Health is serving 85 counties across the state and FMCNA is in the other 15 counties, in the Charlotte and Wilmington areas.