Members Medicare Providers Employers Agents MENU SEARCH SIGN IN Providers Resource center Provider forms Health Information Network (HIN) 2020 Spring Provider Workshop HEDIS measures BlueCard® Program Value-based programs Blue Distinction Centers My BlueLine Network Development Reps (NDRs) Medicare Network Specialists Network participation guidelines Prior approval for requested services Prior authorization statistics Compliance statement Value-based programs Arkansas Blue Cross and Blue Shield and our family of companies have been working with doctors, hospitals and state and federal government organizations to develop value-based care programs in Arkansas. Value-Based Care Value-based care focuses on getting value from quality services. It is a shift from fee-for-service, or volume-based care. With value-based care, payments to doctors and hospitals are partially based on keeping people healthy, rather than simply the number of tests or services performed. Providers are rewarded for coordinating care, providing appropriate care, preventive services, and for positive health outcomes. The following programs are available to health care providers and/or hospitals in the Arkansas Blue Cross networks. Performance-based programs (PCF, PCMH) Benefits of Participation [pdf] Eligibility Requirements [pdf] Program Comparison [pdf] Primary Care Representative Contacts [pdf] Primary Care First (PCF) Primary Care First (PCF) is a national advanced alternative payment model that aims to strengthen primary care through regionally-based multi-payer payment reform and care delivery transformation. PCF aims to improve quality, improve patient experience of care, and reduce expenditures. Arkansas Blue Cross partners with CMS in this five-year national model to strengthen primary care in Arkansas. Primary Care First seeks to improve quality, access, and efficiency of primary care. PCF began January 2021. Primary Care First Overview [pdf] 2022 PCF Manual [pdf] Primary Care First FAQs [pdf] Patient-Centered Medical Home (PCMH) The patient-centered medical home (PCMH) model is a method to deliver and organize healthcare that helps to improve the patient’s experience of care, improve the health of populations, and reduce or control the costs of healthcare. The PCMH model allows the primary care provider and the patient to be in the center of the healthcare system, to know what is going on and help the patient be in control of their health. 2022 PCMH Manual [pdf] Patient-Centered Medical Home FAQs [pdf] Collaborative Health Initiatives (CHIs) CHIs are groups of doctors, hospitals and other healthcare professionals that come together to provide coordinated high-quality care. They are similar to accountable care organizations. Arkansas Blue Cross collaborates with primary care physicians within a CHI to jointly manage the quality and efficiency of care. Through this collaboration, the CHIs and Arkansas Blue Cross work together to meet quality and financial targets. Arkansas Program Portal (APP) Arkansas Program Portal (APP) houses information to assist providers in value-based care programs. Within APP, Care Management, PCMH, PCF and CHI portals are available to provide data, resources, and reports. Providers can access APP through Availity Payer Space and through the secure link below. Access APP How do I request access to APP? If you are a new provider or clinic and need access, please contact Health Information Network (HIN) Customer Support at customersupport@ahin.net or 501-378-2336. If you are an employee of an existing clinic that may already have access to the program portal, please contact your clinic administrator to determine who your APP user administrator (AUA) is. Your AUA will be able to grant you access. Notices We're mobile! Find care, claims & more with our new app. Go mobile Previous Next Members Find care Individual and Family ARHOME Employer coverage Plans & services Looking for Insurance Health Information Network (HIN) BlueCard® Program Coverage policy About Careers Contact us Company overview URAC accreditation Media Interoperability Related Health Advantage BlueAdvantage Administrators of Arkansas Blue & You Foundation Blueprint for Agents Blueprint for Employers Blueprint News Hub Legal notice Privacy notice Linking disclaimer Report fraud and abuse URAC Accredited - Health Plan with Health Insurance Marketplace (HIM) - 7.3 URAC Accredited - Health Plan - 7.3 URAC Accredited - Case Management - 5.2 URAC Accredited - Health Utilization Management - 7.4 Non-discrimination notice Facebook Twitter Instagram LinkedIn Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties of Arkansas. Copyright © 2001-2021 Arkansas Blue Cross and Blue Shield