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Home / News & IndustryManaged Care Insight and Analysis
Updated: March 31, 2009
Success Of BCBSND Diabetes Control Pilot Program Leads To Statewide Launch

Blue Cross Blue Shield of North Dakota (BCBSND) said its MediQHome quality program, an experimental pilot program focused on diabetes control, was launched statewide Jan. 1.

The program focuses on giving healthcare providers the tools and incentives to deliver collaborative coordination of care.

Traditional disease management programs focus on the disease. MediQHome is different because it focuses on the patient and quality of life, BCBSND said.

Patients select a primary care doctor who becomes their "medical home." That means the doctor keeps track of all that patient’s health information, coordinates care with other providers and serves as a single source of information about the patient’s condition.

The program started as an experiment for BCBSND and MeritCare Health System in 2005. During this pilot project, more members with diabetes received recommended care, and emergency room visits and hospital admissions decreased.

The savings totaled $500 per participant per year. In September 2007, the pilot program was then expanded to four Fargo MeritCare locations and included more chronic conditions, BCBSND said.

Collaboration among the health provider community is critical in the medical home model. Health providers who sign-on to the MediQHome program gain access to the Care Center information tool, the technology that enables the tracking of patients’ treatment information, BCBSND said.

The Care Center tool, created by MDdatacor of Atlanta, Ga., shows recommendations for effectivetreatment and control of a variety of diseases and conditions, and whether the patient has completed them.

MediQHome providers can use the program and technology for all patients, but will receive a care management fee for BCBSND members with pediatric asthma, adult or pediatric high blood pressure, attention deficit hyperactivity disorder, diabetes, coronary heart disease or chronic heart failure, BCBSND said.

The Care Center technology will also allow the MediQHome provider to track pediatric and adult immunizations and screenings for colon, cervical and breast cancer.

Address: Blue Cross Blue Shield of North Dakota, 4510 13th Ave., S. Fargo, ND 58121; (701) 282-1100,

  This article was taken from:
The Executive Report on Managed Care

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