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2020 OHN Network-Wide Performance

Overcoming Unprecedented Challenges to Deliver Improved Patient Outcomes

COVID-19, the greatest health crisis in a century, impacted daily life in myriad ways — including creating new barriers to receiving the preventive care and chronic disease management patients require to get and stay healthy. Nationally, one in three U.S. patients did not receive their age-based recommended cancer screenings, while two in five missed their wellness checkups. Yet across our network, OHN providers overcame these unprecedented challenges — maintaining, and in some cases improving — clinical performance across a broad spectrum of measures. Embracing innovation and adopting new delivery models, OHN providers ensured that the needs of tens of thousands of patients were successfully met.

Measure 2020

Blood Pressure
Control 76%
Diabetes
Control 70%
Diabetic Eye
Exam 68%
Colorectal Cancer
Screening 74%
Cervical Cancer
Screening 75%
Breast Cancer
Screening 83%

Percentages reflect OHN’s total patient population.


COVID-19: OHN’s Impactful Response

As noted in the metrics above, across multiple categories OHN’s 2020 patient care statistics were strong — and dramatically better than the steep, pandemic-related declines seen in national data. OHN’s strategy to empower and support providers as they adapted to the pandemic was multi-faceted — and highly effective.

OHN leveraged the robust data capabilities of Epic and Healthy Planet and our expertise in population health to create an apparatus for proactive outreach to close care gaps. Armed with these tools, providers were able to forge stronger connections with patients despite COVID-19. In addition to operational support, OHN worked to help ensure that providers were appropriately reimbursed for delivering care through this channel. The newly adopted virtual capabilities kept patients healthier and allowed clinicians to preserve their practices, successfully supporting the preservation of more than 500 million patient-provider relationships.


Quality Blue Primary Care (QBPC) Disease Care Management

Launched in 2014, QBPC is a Blue Cross and Blue Shield of Louisiana population health and quality improvement program designed to improve the overall health of the population. Despite the many formidable challenges faced by patients and providers in 2020, compliance rates for both Hypertension and Optimal Chronic Kidney Disease Care improved from the prior year.

Hypertension
Control

  • 29,473 eligible patients
  • 80% compliance rate

Optimal Chronic Kidney Disease Care

  • 1,746 eligible patients
  • 86% compliance rate

UnitedHealthcare ACO

This program’s population consisted of more than 35,000 patients across an Accountable Care Organization that serves patients in both Mississippi and Louisiana. OHN’s Population Health initiative had a continued strong focus on preventive and early detection cancer screenings in 2020.

Even amid a global pandemic, OHN was able to safely complete cancer screenings on one-third of its UnitedHealthcare ACO population. Breast cancer screening compliance rates grew from 84 percent to 86 percent, while colorectal cancer screenings and cervical cancer screenings remained steady year-over-year — a significant accomplishment during a time when cancer screenings saw a dramatic decline, upwards of 80 percent across the country.

35,000+ Patient Population

Financial Savings and Incentives

The financial and clinical results achieved in 2020 are a testament to the continued maturation of Ochsner Health Network. The value of our care coordination activities continues to be the key to success in our value-based contracts. From care management and 24/7 nurse on-call intake and outreach, to our care coordinators visiting with OHN providers to close care gaps, we believe when we coordinate care we arrive at a cost-effective solution.

Blue Cross Blue Shield –
Quality Blue Primary Care Paid Amount

Bar chart showing the Blue Cross Blue Shield - Quality Blue Primary Care paid amounts from 2018 through 2020

Paid amount has increased
67% in just two years

Blue Advantage
Quality Paid Amount

Bar chart showing the Blue Advantage Quality paid amounts from 2018 through 2020

Paid amount has increased
526% in just one year

Shared Savings*

Total Savings
Generated

Bar chart showing the Total Savings Generated from 2018 through 2020

*Numbers reflect UnitedHealthcare ACO,
OACN and QBVP.

Shared Savings Distributed
to Network Partners

Bar chart showing the Shares Savings Distributed to Network Partners from 2018 through 2020

Blue Cross Blue Shield –
Quality Blue Primary Care Paid Amount

Paid amount has increased
67% in just two years

Blue Advantage
Quality Paid Amount

Paid amount has increased
526% in just two years

Total Savings
Generated

*Numbers reflect UnitedHealthcare ACO,
OACN and QBVP.

Shared Savings Distributed
to Network Partners