The Coordinated Care Core offering is the foundation of the Coordinated Care Portfolio. Core is here for your employees with complex and chronic health care needs and is available with all Blue Cross plans.
The Coordinated Care Core offering is the foundation of the Coordinated Care Portfolio. Core is focused on delivering a holistic, member-centric approach for your employees with complex and chronic health care needs and is available with all Blue Cross plans.
With Core, a team of specialists, led by a Nurse Care Manager, provides your eligible employees with a much deeper level of support and personalization. Those with complex and chronic health conditions have clinical needs far beyond treatment and our team of specialists will be there to help address those needs.
Here’s what you can expect with Core:
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Ricardo C.
Hello, I'm Ricardo from White Lake, Michigan, and I'm a claims coordinator for a large steel company.
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Ricardo C.
My health hasn't always been great.
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Ricardo C.
I was overweight for a long time,
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Ricardo C.
I learned
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Ricardo C.
stress and
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Ricardo C.
bad eating habits like bad
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Ricardo C.
portion control and
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Ricardo C.
before I knew it,
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Ricardo C.
I was quite overweight and
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Ricardo C.
It was affecting my sleep,
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Ricardo C.
affecting my mood.
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Ricardo C.
I
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Ricardo C.
was diagnosed
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Ricardo C.
with
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Ricardo C.
type two diabetes
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Ricardo C.
then when I got that diagnosis, I really
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Ricardo C.
knew that, you know, I had to make a change.
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Amber W.
When I first spoke with Ricardo, he initially said that his health was poor
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Amber W.
and that he was overweight, and so he was concerned about that also with his diabetes
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Ricardo C.
The care manager that I've been working with
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Ricardo C.
throughout this journey, her name was Amber
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Ricardo C.
and
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Ricardo C.
she's always been encouraging and asking me what I need and putting me in contact with dietitians
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Amber W.
With the assistance of the registered dietitian and myself,
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Amber W.
he was able to start counting his
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Amber W.
his carbs. He was counting his calories. He was increasing his exercise, which he was not exercising at all, 2 to 3 times a week.
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Ricardo C.
I was having maybe 15 minutes a day of activity and now I do,
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Ricardo C.
60 minutes or more
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Ricardo C.
I
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Ricardo C.
had less than 5000 steps a day and now I do over 10,000 a day on average.
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Amber W.
he mainly was on the Blue Cross Blue Shield of Michigan Coordinated Care app.
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Amber W.
So we also corresponded that way,
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Amber W.
I also offered
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Amber W.
education
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Amber W.
and resources
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Amber W.
geared towards
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Amber W.
diabetes management,
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Amber W.
and it helped with him tracking his steps, doing medication reminders and just feeling like he was connected to his coordinated team
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Ricardo C.
little changes became more mental to my journey. And
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Ricardo C.
adding to things,
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Ricardo C.
little by little.
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Ricardo C.
I've lost over £85.
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Ricardo C.
my BMI has
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Ricardo C.
gone down considerably.
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Ricardo C.
my A1C was eight, and now it's five and a half.
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Amber W.
It's a very rewarding feeling, especially as a nurse,
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Amber W.
to see
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Amber W.
them change in
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Amber W.
their health around and being in charge of their health.
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Ricardo C.
You know, a big portion of this is is mindfulness. And
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Ricardo C.
being in the right frame of mind, reducing stress
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Ricardo C.
you know, that's what made a difference for me.
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Ricardo C.
my wife and I, we we do fitness classes.
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Ricardo C.
we meal plan.
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Ricardo C.
Try to get a variety of
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Ricardo C.
fruits and vegetables,
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Ricardo C.
I just feel so much better now. And
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Ricardo C.
before all of this,
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Ricardo C.
I thought I was too old or, you
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Ricardo C.
just didn't think I had a lot of hope.
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Ricardo C.
And then now,
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Ricardo C.
almost a year later,
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Ricardo C.
I have so much more hope
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Ricardo C.
to,
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Ricardo C.
be more active and have a healthy lifestyle and enjoy life
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Ricardo C.
so much more
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Amber W.
I am very happy and static for Ricardo's health and how he's doing right now.
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Amber W.
And he is still continuing to go down that great path of exercising and keeping his agency lower.
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Amber W.
And his blood glucose levels lowered.
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Ricardo C.
because of Blue Cross Blue Shield Care management
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Ricardo C.
the encouragement of the staff
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Ricardo C.
I can't thank you guys enough. You're wonderful.
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Ricardo C.
You're exactly
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Ricardo C.
the voices that I needed to hear at the time.
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Ricardo C.
in just changed my life.
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Amber W.
That’s. That’s. That's very heartfelt.
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Amber W.
that was wonderful that that that makes me feel appreciated. And I'm glad to be a part of him. Making a life changing decision.
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Laura J.
Hi, I'm Laura. I am from Port Austin, Michigan.
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Laura J.
And this is my son, Henry.
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Laura J.
So I do have two boys. I have Jamison, who is three, and I and I have Henry, who's eight months old. They are definitely the joys of my and my husband's life.
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Laura J.
we tried for so long to have a baby and then went through the IVF process. So,
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Laura J.
you know, the potential of losing a child early on or having a child with medical difficulties was always in the back of our mind.
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Laura J.
So when we got the phone call from IVF that we were pregnant, my husband and I were extremely excited to the point where I actually saw my husband cry,
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Laura J.
I was like every range of emotion and excited, scared, you know, ready for the challenge of a baby.
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Laura J.
And then at like 13 weeks, we had a scare where we thought we were losing the pregnancy. And so
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Laura J.
the emotional rollercoaster with that heading to the emergency room,
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Laura J.
And then that's when we were introduced to the care program was right after that.
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Brittney O.
Laura came to our program with high risk pregnancy issues
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Brittney O.
as a nurse. I reached out to her and communicated with her about her pregnancy issues
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Brittney O.
when we reach a member and we
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Brittney O.
introduce our program and we let them know that we're here to help with,
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Brittney O.
anything that they have throughout their their medical journey.
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Brittney O.
It
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Brittney O.
oftentimes is a surprise to them. They weren't aware that they had this this program available to them,
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Brittney O.
but they are pleasantly surprised.
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Laura J.
was enrolled in it.
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Laura J.
It was a no brainer to be part of that program
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Laura J.
So she assisted me with medication changes.
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Laura J.
she would explain, you know, this is what could potentially happen. Here's some side effects.
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Brittney O.
and helped her work through
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Brittney O.
appointments treatments
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Brittney O.
and helped her come up with ways that she could treat her pregnancy concerns at home
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Laura J.
she was the voice of reassurance to make sure that,
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Laura J.
I was okay with what my doctor was prescribing. My doctor was okay when we were all on the same page.
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Brittney O.
as a nurse
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Brittney O.
myself, my position is to educate our members and support our members. And the biggest thing is advocate to make sure that our members are getting the most appropriate care.
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Laura J.
It was definitely an excitement once Jamison came. He was born early. He was a 32 week, three day or so. Britney did follow along our entire Nick used day.
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Laura J.
she didn't just stop right after my pregnancy was done. She followed along until we were all home and happy and healthy.
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Laura J.
when
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Laura J.
I found out I was pregnant with Henry, it was a surprise and
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Laura J.
we didn't think we could get pregnant naturally.
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Laura J.
Obviously we did.
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Brittney O.
that second go around, when I first contacted her she was definitely
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Brittney O.
worried, rightfully so, about the outcomes of this of this pregnancy.
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Brittney O.
made sure to
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Brittney O.
alleviate her concerns to the best of my ability
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Brittney O.
and let her know that I was here to help her
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Brittney O.
whatever
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Brittney O.
resources she might need
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Brittney O.
to ensure that she could try to relax and enjoy the pregnancy
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Laura J.
Britteny followed along the entire pregnancy and we had a full term healthy baby
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Laura J.
Having two boys is
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Laura J.
exciting.
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Laura J.
it's kind of a roller coaster of what are we going to do today and what are we going to get into and what new adventures are we going to go out?
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Laura J.
Okay. This will make me a little emotional, actually. So. Britney, thank you for everything that you did. You are the reason that I have what I have.
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Laura J.
You were another voice to help,
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Laura J.
So thank you. Thank you for everything I really appreciate it.
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Brittney O.
Well, my voice is still shaky now because I, too, am emotional. I'm a mom. I.
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Brittney O.
myself,
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Brittney O.
as a mom, you want to make sure that another mom, a fellow mom, is supported in every way, shape or form.
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Brittney O.
so to Laura, I want to say thank you for entrusting me with with you, helping you with your care and
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Brittney O.
I.
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Brittney O.
I can't say thank you enough.
Led by the Nurse Care Manager, a team of specialists that consist of multidisciplinary resources work together to provide a holistic system of support to your employees with complex and chronic health conditions. These resources include:
With the team of specialists included with the Core offering, your employees will receive support that is both regionally aligned and community oriented.
With a strong regional alignment, your employees will gain a deeper awareness of community resources, local behavioral health clinics and senior resource centers. Along with these strengthened relationships, the regionally aligned team, led by the Nurse Care Manager, will be able to:
With the Core offering, your eligible employees will have a dedicated phone number. One number, supplied by the Nurse Care Manager, gets them to a real person who can provide answers to their condition related questions.
Your eligible employees will also have access to the BCBSM Coordinated Care app to communicate with their Nurse Care Manager. This app augments your employees’ experience through health-based checklists, the ability to set reminders for medications and appointments and through curated content based on your employees’ unique needs.
Core offers analytics to help prioritize the employees that need it most. Through these advanced analytics, we’ll be able to understand and identify your employees who are likely to have increasingly complex health care needs or increased health care cost based on early indicators.
In addition to the provided analytics, a dedicated team will review high-cost claimants to identify addressable cost, quality and care opportunities. This interdisciplinary team, led by a dedicated Medical Director, performs clinical reviews of all high dollar claimants ($150,000 and up within a 12-month period) and identifies care opportunities and makes referrals to appropriate teams or providers. This means we’ll be working to ensure that your employees are receiving the best care for the best price.
For more information, reach out to your Blue Cross representative today.
GET IN TOUCHKiera is a woman in her mid 50s with a history of multiple ER visits. She struggles with her weight and was diagnosed with high blood pressure and asthma.
Kiera gets an outreach call from a Nurse Care Manager. At first, she expresses concerns about the cost of treatment, but the Nurse Care Manager explains the support and how it all works at no additional cost. They can review her meds and updates the refill schedules.
The Nurse Care Manager also introduces Kiera to the BCBSM Coordinated Care App where Kiera can use the app to message her Nurse Care Manager and watch videos to learn more about her conditions.
Over a year, the Nurse Care Manager helps Kiera better manage her meds, educates her on how to use her asthma meds and connects her with other support programs for weight loss, in-home monitoring and better coordination with her doctor.
To learn more about Core and the other Coordinated Care offerings, reach out to a Blue Cross representative today or view our FAQs.
VIEW OUR FAQSHere to support your employees who need help managing complex and chronic conditions.
Here to support your employees who need simplified and personalized health and benefits support.
Here to support your employees who need care for complex conditions at a lower cost.
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