Yes, performance guarantees are included.
Coordinated Care Enhanced, Advocate and Advocate Plus include a robust set of performance guarantees that ensure Blue Cross is delivering upon the outcomes that matter. Also included is a Value Guarantee based on broad aggregate medical management savings that delivers from both an outcome and savings standpoint.
Depending on the offering, different performance guarantees apply:
Core | Not applicable |
Enhanced | Care management member satisfaction Care management high-dollar claimant monitoring Care management/care gaps |
Advocate | Care management member satisfaction Care management high-dollar claimant monitoring Care management/care gaps |
Advocate Plus | Care management member satisfaction Care management high-dollar claimant monitoring Cost savings Program satisfaction and engagement Closed care gaps |