The Blue Cross Blue Shield Association released an interesting survey over the summer (July 2014) that provides further evidence of the change that is now happening in the American healthcare delivery system. BCBSA reported that approximately twenty percent (20%) of reimbursement from its Blue Cross Blue Shield plans were being paid in connection with a value-based arrangement. These arrangements included rewarding providers for improving quality of care and/or lowering healthcare costs.  That would mean that $1 of every $5 spent in healthcare reimbursements are performance-related.

This number seems high, given our experience in the field currently, and BCBSA notes that it is an estimate based on a survey.  It is, however, interesting from a directional point of view and portends further shifts in the industry.