Blue Cross and Blue Shield of Nebraska Announces New Value-Based Agreement With Nebraska Health Network

Delivering quality care in the most cost effective manner is the concept behind a new value-based patient-focused, total cost of care reimbursement agreement between Blue Cross and Blue Shield of Nebraska and the Nebraska Health Network.

Under this arrangement, physicians are rewarded financially if they perform better than projected on patient experience, outcomes and costs. With this type of agreement, a higher emphasis is placed on keeping patients healthy by proactively coordinating care and reducing waste and unnecessary medical expenditures.

The Nebraska Health Network is a local, physician-led, accountable care organization that includes Nebraska Medicine, Methodist Health System and their affiliated physicians and hospitals. The NHN boasts over 1,300 providers, over 300 primary care physicians, six acute care hospitals and varying post-acute and other ancillary services.

Fremont Health has also joined in partnership with the Nebraska Health Network in the Blue Cross and Blue Shield agreement to provide comprehensive treatment for patients in Omaha, Fremont, and the Council Bluffs community.

The new contract applies to the existing Select Blue (the Blue Cross select-tier health insurance plan available only in the Omaha metro area) population who are already receiving care from a Nebraska Health Network affiliated and aligned physician.  From the patient perspective, nothing changes related to how they receive and access their health care or insurance.

For more information, contact Claudia Bohn: Claudia.Bohn@nmhs.org or Jane Beerman: jane.beerman@nebraskablue.com.