Blue Cross and Blue Shield strikes value-based deal in Texas

Health insurer Blue Cross and Blue Shield of Texas (BCBSTX) has entered into a strategic value-based collaboration with Dallas-based accountable care organization (ACO) Baylor Scott & White Quality Alliance (BSWQA).

Under the agreement, Baylor Scott & White will provide high-quality and lower cost care to more than 140,000 BCBSTX members in North and Central Texas. According to the company, the contract represents BSWQA's largest value-based arrangement with a commercial insurance company.

"This agreement is a major step forward as we shift from a fee-for-service to a fee-for-value healthcare model," said Dan McCoy, MD, president of Blue Cross and Blue Shield of Texas. "We now have more than 1 million lives under value-based-care arrangements. It goes without saying that aligning with a health system with Baylor Scott & White Health's reputation means our members and their patients will receive high-value, coordinated and quality care."

BSWQA comprises 6,000 primary and specialty care physician members, 50 hospitals, more than 95 post-acute care facilities and other healthcare stakeholders. The relationship between BCBSTX and Baylor dates back to 1929.

James Hinton, CEO, Baylor Scott & White, said: "This opportunity aligns with our strategy to provide quality, value-based care, an improved customer experience and increased affordability for those we serve. Members enrolled in this new ACO arrangement have access to BSWQA's comprehensive network of primary and specialty care doctors and facilities with a proven track record for accountability and delivering quality care that is efficient and affordable."