Wellmark® Blue Cross® And Blue Shield® Of Iowa

by 3M Health Information Systems, Inc.

May 4, 2017

What Wellmark set out to accomplish with its ACO

One of the key goals of Wellmark Blue Cross and Blue Shield of Iowa is to reduce and sustain the percentage increase in the annual healthcare costs (trend) for its members to equal the rate of inflation (as measured by the Consumer Price Index).

During the past decade, Wellmark has teamed with 3M Health Information Systems on working with physicians, hospitals, customers and other stakeholders to transform the healthcare system to achieve this goal. An early adopter in transforming payments for physicians and inpatient and outpatient services, Wellmark built a strong foundation from which to develop this latest initiative—the ACO shared savings payment model—designed to improve quality outcomes, enhance member experience and reduce the rate of increase in costs. An accountable care organization (ACO) is a local healthcare organization that is held responsible for the quality and cost of care delivered to a defined population.