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Keystone First Signs Value-Based Care Agreements with Nemours/Alfred I. duPont Hospital for Children and Nemours duPont Pediatrics

Keystone First, a Blue Cross Medical Assistance (Medicaid) product and the largest Medicaid managed care product in southeastern Pennsylvania, announced today that it has signed value-based care agreements with Nemours/Alfred I. duPont Hospital for Children and Nemours duPont Pediatrics in Philadelphia.

The agreements aim to improve health outcomes for Keystone First members by rewarding efficiencies and promoting accountable care. Nemours/Alfred I. duPont Hospital for Children and Nemours duPont Pediatrics will track their progress for the following performance metrics using a web-based portal that Keystone First custom-built for the two providers:

  • Potentially Preventable Readmissions
  • Potentially Preventable Emergency Department Visits
  • Inpatient Length of Stay
  • Transitions in Care
  • Healthcare Effectiveness Data and Information Set (HEDIS®) Results

These agreed upon quality and efficiency measures help to improve care coordination and increase quality of care for Keystone First members.

“Nemours/Alfred I. duPont Hospital for Children and Nemours duPont Pediatrics have provided our members with excellent care for more than two decades, and we share a commitment to putting the well-being of those we serve first,” said Joanne McFall, market president for Keystone First. “Fostering even more collaboration and transparency, our new value based programs collectively address member and patient needs across multiple care settings, facilitating the delivery of the ‘right care’ in the ‘right place’ at the ‘right time.’”

“Nemours is excited to collaborate with Keystone First, who shares our goal of improving quality and outcomes for all of our patients all of the time," said Jamie Clarke, Executive Director of Value-Based Care for Nemours Children’s Health System. “These value-based care agreements are just the beginning of how we at Nemours intend to work diligently and differently with payers, like Keystone First, in
innovative ways that will continue to put the needs of our patients first.”

About Keystone First
Keystone First is a Blue Cross Medical Assistance (Medicaid) managed care health product offered by Vista Health Plan, Inc., an affiliate of Independence Blue Cross, in five southeastern Pennsylvania counties. Here at Keystone First, we are mission-driven and dedicated to helping members get care, stay well and build healthy communities.

Independence Blue Cross and Vista Health Plan, Inc. are independent licensees of the Blue Cross and Blue Shield Association.

About Nemours Children’s Health System
Nemours is an internationally recognized children's health system that owns and operates the Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., and Nemours Children's Hospital in Orlando, Fla., along with outpatient facilities in six states, delivering pediatric primary, specialty and urgent care. Nemours also powers the world’s most-visited website for information on the health of children and teens, KidsHealth.org, and offers on-demand, online video patient visits through Nemours CareConnect.

Established as The Nemours Foundation through the legacy and philanthropy of Alfred I. duPont, Nemours provides pediatric clinical care, research, education, advocacy, and prevention programs to families in the communities it serves.