Value-Based Programs

Introducing our community provider value-based programs

At Blue Cross VT, our priority is to ensure that our members have access to the highest quality care with the lowest possible premiums, while at the same time supporting our Vermont network of community-based providers. Our commitment to both members and providers is to continue to make strong progress in transitioning our health care financing from fee-for-service to value-based care payments to position Vermont’s health care system for future success.

For 2024, we are expanding our community provider value-based payment programs to include the Vermont Blue Integrated Care (VBIC) pilot and Enhanced Community Primary Care (ECPC).

Below we have outlined details regarding our ECPC program for providers, and we will continue to update this page with more information. If you would like to learn more about this program, contact our team at  (888) 449-0443, option #1 or providerrelations@bcbsvt.com.

For more information about the Vermont Blue Integrated Care (VBIC) program, please reach out to the Value-Based Network and Quality Improvement team at quality@bcbsvt.com.

Doctor and patient having serious health conversation

Enhanced Community Primary Care (ECPC)

The goal of our Enhanced Community Primary Care (ECPC) program is to provide monthly incentive payments for community primary care providers to support high-quality care while encouraging low-cost referral patterns for screenings and specialist care.

ECPC Program Guide

ECPC Quality and Utilization Metric Table

Sample ECPC Score Card

 

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