Premera and U.S. Anesthesia Partners Establish Value-Based Contract

  • Mountlake Terrace, Wash. — (July 10, 2018) —Premera Blue Cross, Washington's leading health plan, today announced a new contract with U.S. Anesthesia Partners (USAP) focused on improving patient outcomes through value-based reimbursements.

    The contract is an important first step toward moving from traditional fee-for-service medicine based on volume of care delivered to a value-based model that rewards quality and focuses on improving the patient experience. Premera is one of the first health plans to have a value-based contract with USAP.

    Premera and USAP will focus on making improvements in three categories:

    • Patient satisfaction: Based on feedback from a third-party survey with questions focused on patient experience.
    • Perioperative temperature management: There is a correlation between body temperature and post-surgical infections.
    • Post-anesthetic transfer of care: Implementing a proper protocol addressing direct transfer of care from procedure room to other units, such as the intensive care unit (ICU), aims to reduce the risks associated to patient transfers.

    "What makes this contract unique is that it is between a health plan and a single specialty group," said Chuck Levine, Vice President of Provider Network Management & Solutions at Premera Blue Cross. “This is one of the first contracts of its kind with an anesthesia group which focuses on a key component of the patient experience and clinical outcome.”

    “We are excited to collaborate with Premera to create a Quality-based Incentive Program (QIP) based on key, nationally recognized anesthesia metrics,” said Dr. David Lavitt, Chair Clinical Governance Board, U.S. Anesthesia Partners-Washington. “USAP’s robust, data capture technology allows us to compare our performance against these important metrics. This provides us with real-time measurement of our performance and enables continuous improvement to ensure excellence in patient care and in the quality of anesthesia service we are privileged to deliver for our facility partners.”

    USAP provides anesthesia services to most Swedish campuses and Proliance Surgeons facilities.

    About Premera

    Premera Blue Cross, a not-for-profit, independent licensee of the Blue Cross Blue Shield Association based in Mountlake Terrace, Wash., is a leading health plan in the Pacific Northwest, providing comprehensive health benefits and tailored services to approximately 2 million people, from individuals to Fortune 100 companies.

    About U.S. Anesthesia Partners

    USAP is the leading physician-services organization dedicated to providing high-quality anesthesia services. USAP partners with high-quality groups of anesthesiologists, elevating their performance through participation in the USAP Clinical Quality Program as well as providing the capital resources, infrastructure and business expertise needed to position them for continued success. USAP’s physician partners maintain ownership of their clinical governance and collectively represent the largest shareholder in USAP.

    USAP’s affiliated physician groups share operational and clinical best practices, helping to facilitate the delivery of consistent, high quality services for patients, surgeons, facilities and payers. The company’s approximately 3,500 team members serve healthcare communities in Florida, Texas, Colorado, Nevada, Washington, Oklahoma and Maryland. USAP’s capital partners are Welsh, Carson, Anderson & Stowe; Berkshire Partners; and GIC. All three are investment firms with significant experience investing in and building leading healthcare companies.

    Media contact

    Bo Jungmayer
    Premera Blue Cross