Blue Shield of California

Registry Participation Makes it Easier for Reimbursement Authorization

Effective the first quarter of 2017, it is expected that Blue Shield of California’s providers that are AJRR participants will automatically receive authorization for their patients’ hip or knee replacement procedures. Blue Shield of California is the first insurer to offer this benefit.

This is great news for the state of California’s patients who are having hip or knee replacement surgery. Automatically receiving authorization for their insurance reimbursement gives patients and providers one less thing to worry about so they can focus on their health and recovery.

California has its own statewide Registry contained within the AJRR, and as of the end of 2016 includes just over 60,000 patients from the state of California, which makes up about 11% of the Registry.

Blue Shield of California has always been a big proponent of utilizing quality initiatives to provide better care to patients. The AJRR applauds its’ leadership for recognizing the importance that Registry participation means to its surgeons and hospitals; saving time and money by making it easier for surgeons to not duplicate quality initiative efforts; and for giving peace of mind to patients.

The Blue Shield of California is one example of an enhanced value proposition of Registry participation. AJRR offers assistance with several federal quality initiatives, insurer’s distinction programs, and state collaboratives. These programs provide reimbursements and other incentives for displaying improvement in the quality of patient care, prompting medical institutions to use clinical data registries like AJRR to compare outcomes success.

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