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New Study Shows Patient Centered Medical Homes Improve Health, Lower Costs Results of five-year study by Blue Cross & Blue Shield of Rhode Island

PROVIDENCE, RI – Patient centered medical home (PCMH)
practices can improve health outcomes and lower costs for patients,
according to a new study by Blue Cross & Blue Shield of Rhode Island
(BCBSRI). At the end of a five-year study period, and in the final year of
the study, PCMH practices were 5 percent less costly and saved $30M
compared to standard primary care providers.

A recent analysis of BCBSRI’s PCMH experience between 2009-2014 found
patients with complex medical conditions, like diabetes or cardiac health
issues, are 16 percent less likely to be hospitalized or need to visit an
emergency department, and readmissions to hospitals were 30 percent lower,
compared to someone seeing a standard primary care provider. In addition,
patients at PCMH practices saw marked improvements in a range of quality
measures including diabetes care and colorectal screening.

“We have invested heavily in provider partnerships committed to delivering
on the triple aim of improving population health, patient experience and
cost of care, and this study shows that we are beginning to see returns on
that investment,” said Peter Andruszkiewicz, president and CEO of BCBSRI.
“While we are pleased with the results to date, healthcare remains too
expensive and does not produce the experience our members deserve. Blue
Cross remains focused on accelerating delivery system change and achieving
a simpler, more satisfying and affordable care experience for our members
and all Rhode Islanders.”

The report tracked more than 89,000 commercial and 14,000 Medicare
Advantage members within BCBSRI’s PCMH over the 2009 – 2014 time period.
Today, BCBSRI has 137,000patients seen in PCMH practices. Return on
investment in the PCMH program was more than 250 percent, highlighting the
value of focusing on enhanced access to team-based primary care and
investing in programs that enable a coordinated care experience for those
who need it most.

BCBSRI has a strategic plan to drive toward affordable and simple care for
all members by 2018. The company will build on proven approaches like
strong provider partnerships, embracing and facilitating collaboration, and
promoting a team-based approach to care that puts patients at the center.

“Achieving this early success has required a complete shift in the way both
BCBSRI and our provider partners think about financial incentives, and
reinforces the importance of moving away from fee-for-service payments.
Instead of rewarding volume of care, BCBSRI and our partners have shared
financial incentives to improve access to care, coordination among
clinicians in different settings and, ultimately, the health of BCBSRI
members,” said Mark Waggoner, senior vice president of care integration and
management, BCBSRI.

About Blue Cross Blue Shield of Rhode Island
Blue Cross & Blue Shield of Rhode Island is the state’s leading health
insurer and covers more than 450,000 members. The company is an independent
licensee of the Blue Cross and Blue Shield Association. For more
information, visit www.bcbsri.com, follow us on Twitter @BCBSRI, and like
us on Facebook at fb.com/bcbsri.

Blue Cross & Blue Shield of Rhode Island Partners with Local Community Organizations to Help Keep Flu at Bay this Season

PROVIDENCE, RI  – Blue Cross & Blue Shield of Rhode Island (BCBSRI) is partnering with local community organizations to help keep Rhode Islanders healthy this flu season. Through the months of September – December, BCBSRI is sponsoring flu clinics across the state to provide free vaccinations on a walk-in basis. BCBSRI has also distributed over 2,700 “Flu Fighter Kits”—backpacks containing flu education materials assembled as part of this year’s Blue across Rhode Island—to 18 community agencies providing aftercare to elementary aged school children  across the state.


Kids from the Learning Community in Central Falls receive Flu Fighter education kits as a part of BCBSRI’s Blue across Rhode Island, the company’s statewide day of service

BCBSRI has administered its free flu shot program for the past 8 years. Last year, BCBSRI administered vaccines to nearly 750 people, most of whom lacked health insurance, at 34 sites and aims to maintain the same service levels this year. “Getting an annual flu shot is a simple yet highly effective action everyone can take to keep our communities healthy,” said Carolyn Belisle, managing director of community relations at BCBSRI. “Blue Cross is committed to helping ensure that all Rhode Islanders, with or without insurance, have the opportunity to receive this vaccination this season.”

The Centers for Disease Control and Prevention (CDC) recommends that everyone over the age of six months receive a seasonal flu shot. Vaccination of high-risk persons – including young children, pregnant women, people 65 years and older, and people with chronic health conditions like asthma, diabetes or heart and lung disease – is especially important to decrease their risk of severe flu illness.  The shot is not recommended for people who are allergic to chicken eggs or who have experienced a severe reaction to an influenza vaccination in the past.

This remaining clinic dates are as follows:        

11/4        10am — 3pm                   Center for Southeast Asians 270 Elmwood Ave., Providence

11/4        5pm — 7:30pm        270 Elmwood Ave., Providence

11/7        5pm — 9:30pm         Diwali Fest 848 Park Ave., Cranston

11/9        5pm — 8pm                Progreso Latino, 112 Washington St., Central Falls

11/18        4pm — 6:30pm        MLK Center, 20 Dr. Marcus Wheatland Blvd., Newport

Schedules are subject to change.  BCBSRI members can get their flu vaccination with no out-of-pocket cost by visiting their primary care provider, a local pharmacy participating in our flu vaccine program or a flu clinic.


Each Flu Fighter Kit contained educational materials for children and their families

About Blue Cross Blue Shield of Rhode Island
Blue Cross & Blue Shield of Rhode Island is the state’s leading health insurer and covers more than 450,000 members. The company is an independent licensee of the Blue Cross and Blue Shield Association. For more information, visit
www.bcbsri.com, follow us on Twitter@BCBSRI, and like us on Facebook at fb.com/bcbsri.

 

 

Blue Cross & Blue Shield of Rhode Island President and CEO Peter Andruszkiewicz Announces Intent to Retire in 2016

PROVIDENCE, RI – Blue Cross & Blue Shield of Rhode
Island today announced that the company’s president and CEO, Peter
Andruszkiewicz, will retire effective May 1, 2016. The board will conduct a
national search for Andruszkiewicz’s replacement. Andruszkiewicz’s
retirement will bring to a close a remarkable career of nearly 35 years of
leadership in the health insurance industry.

“It has been a great privilege to have the opportunity to lead Blue Cross &
Blue Shield of Rhode Island and to work with such a committed group of
employees who care so deeply about the company, our customers and the
community” said Andruszkiewicz. “It has long been part of my plan to retire
at this point in my life and I am excited about what the next chapter will
bring.”

“The board of directors is grateful for Peter’s leadership during the past
five years,” said Randy Wyrofsky, chair of the Blue Cross board. “The board
has had a CEO succession planning process in place for several years which
it will now execute. Since a thoughtful internal and external search
process takes time, we are announcing Peter’s retirement now. Peter will
continue to serve in his role until we can identify a successor. This will
ensure a seamless transition to the next leader of Blue Cross.”

Andruszkiewicz joined Blue Cross in 2011 from Kaiser Permanente, an
integrated health care system, and brought with him a vision for how Rhode
Island’s fragmented healthcare system could become a model of coordinated,
patient centered, affordable health care. During his tenure,
Andruszkiewicz pushed Blue Cross to accelerate its partnerships with
providers and align reimbursement with improved quality of care and
outcomes, as well as better integrate care delivery through primary care
centered systems of care. Recent study results show that BCBSRI patients
who get their care in a patient centered medical home had a 16% reduction
in inpatient admissions and a 30% reduction in readmissions over a 4 year
period. Today over half of Blue Cross members are cared for in systems of
care.

Andruszkiewicz played an instrumental role in bringing financial stability
back to the company. Shortly before his arrival, Blue Cross had recorded
a $92 Million premium deficiency reserve. By 2013, Blue Cross was able to
make its first positive contribution of $22 million to reserves since 2007.
The company recorded breakeven financial results in 2014 and expects a
positive result in 2015.

Andruszkiewicz’s arrival in Rhode Island coincided with the implementation
of the Affordable Care Act. He led the company through the transition,
which included participation in Rhode Island’s state based exchange, as
well as enabling consumerism with the opening of the company’s first retail
stores, a private health insurance exchange, and mobile platform. The
company also achieved a four star quality rating from CMS, as well as
accreditation from the National Committee for Quality Assurance.

Andruszkiewicz recognized Blue Cross’ responsibility to the broader Rhode
Island community. He strengthened the company’s commitment to providing
access to primary care for the uninsured and worked to reduce childhood
obesity in Rhode Island through targeted charitable giving and community
partnerships. Andruszkiewicz also led the creation of Blue across Rhode
Island, where each year during a single day, 75% of Blue Cross’ workforce
fans out across the state to volunteer at more than a dozen nonprofit
agencies, serving Rhode Islanders in need.

“It’s been an honor to serve an organization that advocates for affordable,
simple health care for Rhode Islanders,” said Andruszkiewicz. “I’m grateful
to have had this platform to campaign for change in the way care is paid
for and delivered. I am proud of the partnerships we have created and the
progress that has been made in the state.”

“Peter came to Rhode Island five years ago with a desire to help drive
change,” said Wyrofsky. “While we knew this day would eventually come,
Peter leaves the company well positioned for the next leader of Blue
Cross.”

About Blue Cross Blue Shield of Rhode Island
Blue Cross & Blue Shield of Rhode Island is the state’s leading health
insurer and covers more than 450,000 members. The company is an independent
licensee of the Blue Cross and Blue Shield Association. For more
information, visit www.bcbsri.com, follow us on Twitter @BCBSRI, and like
us on Facebook at fb.com/bcbsri.

Blue Cross & Blue Shield of Rhode Island to Open Third Retail Store, Add Weekend Call Center Hours

PROVIDENCE, RI – Blue Cross Blue & Shield of Rhode Island (BCBSRI) announced today that it is opening a third location of its retail store, Your Blue Store, in Lincoln. Along with creating an additional retail option to provide customers greater choice and convenience in planning and managing their health coverage, BCBSRI will also extend its customer service center hours to provide weekend service.  To help simplify the experience, BCBSRI will provide additional service options for shoppers leading up to the Medicare Annual Enrollment Period and open enrollment deadlines.

Since January 2015, more than 10,550 Rhode Islanders have visited Your Blue Store retail locations in Warwick and Bristol to choose a health plan, explore Medicare options, ask questions about or make payments on a current plan, or take advantage of free fitness and nutrition programming. Ninety-six percent of Your Blue Store visitors report being satisfied with their store experience and would recommend the store to a friend or family member. A full schedule of store offerings and hours is available at www.bcbsri.com/yourbluestore.

For Rhode Islanders who prefer to manage their health coverage by phone, BCBSRI’s Customer Service Department will now be available to members on Saturdays and Sundays from 8:00 a.m. – 12:00 p.m. Customer service staff members are bilingual and can answer questions about plan options, costs, physician networks and wellness benefits, as well as help individuals sign up for coverage. Customers can call (401) 459-5550/1-800-690-2583 with questions about individual/family plans, or (401) 351-BLUE (2583)/ 1-800-505-BLUE with questions about Medicare plans.

The newest Your Blue Store Lincoln is located at 622 George Washington Highway, Ste. A-06. BCBSRI will be celebrating the store’s opening on October 19 with a formal ribbon cutting.

Other store locations and hours are:

Your Blue Store Warwick
Cowesett Corners
300 Quaker Lane

Your Blue Store Bristol
Bell Tower Plaza
Unit 18
576 Metacom Avenue

Hours for all locations during open enrollment: (October 15 – January 31, 2016)
Monday, 9:00 a.m. – 6:00 p.m.
Tuesday through Friday, 9:00 a.m. – 5:00 p.m.
Saturday, 9:00 a.m. – 1:00 p.m.

About Blue Cross Blue Shield of Rhode Island Blue Cross & Blue Shield of Rhode Island is the state’s leading health
insurer and covers more than 450,000 members. The company is an independent licensee of the Blue Cross and Blue Shield Association. For more information, visit www.bcbsri.com, follow us on Twitter @BCBSRI, and like us on Facebook at fb.com/bcbsri.

 

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