BSWQA implements key population health strategies deemed essential to improving quality and reducing costs
Baylor Scott & White Quality Alliance (BSWQA) performance data indicates success for the network’s collaborative and accountable care efforts. Results reported validate BSWQA’s competence in implementing population health strategies that have led to positive outcomes for quality, efficiency, costs, and most importantly our patient populations. Significant improvements in these important measures confirm the networks capacity to generate improvements as we shift to value-based care delivery and achieving three objectives: Better Health, Better Care, Better Value.
BSWQA physicians serve as the “in-network” providers for the Baylor Scott & White North Texas (BSW NTX) division employee health plan, the Aetna Whole Health – Baylor Scott & White Quality Alliance ACO health plan, as well as a number of Medicare Advantage products that include Humana, Aetna, and Scott & White offering employees and Medicare beneficiaries access to high-performing providers and key tools for population health management such as patient-centered medical homes, data analytics, care coordination, and case management for individuals diagnosed with chronic conditions. These types of approaches to care are helping to move Baylor Scott & White Health away from the unsustainable fee-for-service system toward a health care system that focuses on value-based care while simultaneously reducing health plan costs for both the employer and employee.
Completing over two years of managing the BSW NTX division employee population has indicated that our population health strategies are working. Utilizing key tools for population health management including but not limited to: comprehensive care coordination, evidence-based/protocol-driven disease management, and standardized proactive outreach for preventative health services, has resulted in significant cost savings vs. expected expense approaching $14 million (7% reduction in medical plan costs). Contributing to this savings is significant improvements in 30-day readmission rates as well as a favorable drop in Admits per 1000.