Detroit’s healthcare market is on the brink of significant change with the repercussions of the COVID-19 pandemic paving the way for greater collaboration. Integrated delivery networks have partnered to develop COVID-19 treatments and improve health information exchanges for patient data sharing, all while dealing with complaints over transparency about bed availability. The state’s dominant insurer, Blue Cross Blue Shield of Michigan, instituted risk-based contracts in the market that should hold down healthcare cost increases and encourage greater care coordination. BCBS of Michigan maintains significant influence over drug prescribing and treatment protocols since it covers more than half of all insured members in Detroit. While IDN expansions will slow due to drastically reduced revenues, IDNs are finishing large outpatient medical centers and urgent-care clinics that should provide greater patient access to services. Expect more changes to provider reimbursement in 2021, as the Michigan Blues makes a case for contracts that pay monthly capitated rates to keep patients healthy to ensure consistent reimbursement even when elective procedures are on hold due to COVID-19 surges.


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