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Florida Blue and Nemours 
Children’s Health Value Success

As we look to align the value of health and payment, it is critical to demonstrate how health care organizations can successfully transition from fee-for-service to pay-for-health models.

We had the opportunity to pilot a value-based model among 6,500 pediatric patients insured by Florida Blue. In our first year of the new collaboration, we were able to increase, immunizations, preventative screenings, and wellness visits, all while reducing costs for care and medications.

Nurse checking little girls tonsils

To accomplish this, our primary care providers focused on addressing gaps in care such as wellness visits, immunizations, and other preventative screenings. These initiatives have proven to reduce emergency room visits, while increasing quality of health outcomes.


in preventative care

24% decrease

in hospital readmission rates vs. a 5.6% increase among similar providers during the same timeframe

15% reduction

in use of brand-name medications


in shared cost savings

These results show that access to care and improving care management for kids and families works. We will continue to pursue opportunities to replicate the success of this program with larger populations of Florida’s children.

Girl smiling at art table