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:
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.
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