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Medicare AdvantageReimbursementMedium impact

Transforming delivery to create value-based, accountable care

Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice·Provider Update
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply

Summary

BCBSRI is expanding value-based care models with alternative payment structures for primary care, moving away from fee-for-service to monthly per-member payments with quality incentives. They currently have arrangements with Oak Street Health for Medicare members and WellOne for commercial patients.

Action Required

Action needed
Monitor for future contract opportunities with BCBSRI's value-based care initiatives. Primary care practices should evaluate readiness for alternative payment models that include per-member monthly payments and quality benchmarks rather than traditional fee-for-service billing.