16 Apr Troy Smith
Vice President, Healthcare Strategy and Payment Transformation
Blue Cross Blue Shield of North Carolina
Troy Smith is Vice President of Healthcare Strategy and Payment Transformation at Blue Cross Blue Shield of North Carolina (BCBSNC), one of the Southeast’s largest Blue plans with over 3.8 million members. Troy joined BCBSNC in 2008, and has been part of the Healthcare Division since 2011. Reporting directly to BCBSNC’s Chief Medical Officer, Troy and his team are advancing value-based care through the design, implementation and operation of new reimbursement models and provider partnership opportunities. Since launching the primary care-centric Blue Premier
model in 2018, over 50% our BCBSNC’s medical expense is aligned with value-based care, and savings to date have accrued over $200M. Troy and his team are now expanding into specialty-based value models (risk, bundles, etc.), while also continuing to refine Blue Premier through new offerings, like primary care capitation. In addition to value-based care, Troy is also responsible for enterprise-wide medical expense management, as well as contributing to the plan’s product/network strategy. During his tenure, Troy has also helped lead the implementation of BCBSNC’s tiered and narrow-network products.
Prior to joining BCBSNC, Troy held various roles in Information Technology and Finance, with extensive experience leading transformative projects. A Minnesota native, Troy received both his Bachelor of Science in Business and his Master of Business Administration from the University of Minnesota’s Carlson School of Management.
Troy lives in Cary, North Carolina with his wife and two children, and enjoys spending time with his family on trips to North Carolina’s mountains and beaches