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Blue Shield dashboard: ACOs linked to lower inpatient costs but data gaps prompt investigation
Summary
Aon Hewitt presented a Blue Shield dashboard showing decreased inpatient days and a stable total cost per member attributed in part to ACO activity; the board asked staff and Blue Shield to investigate unexplained drops in lab and surgical reporting.
Aon Hewitt and HSS data staff presented a Blue Shield dashboard summarizing utilization and cost trends for active members in the Blue Shield HMO plan. Presenters said ACO enrollment comprises about 60% of the plan’s active membership and credited ACO initiatives with reducing inpatient costs and days while stabilizing overall cost per member.
Key findings presented: over a three-year window total cost per member per month rose about 0.9% year-over-year compared with industry trends of 8.5–10%;…
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