Coordinated Care Advocate

Blue Cross Coordinated Care Advocate from Blue Cross Blue Shield of Michigan offers clinical support to all employees and greater engagement for individuals with complex and chronic conditions.

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We know that your employees are integral to your company's success.

That's why you offer them health care.

A healthy workforce is more productive and happier, but navigating medical decisions and care options isn't always easy.

And sometimes your employees need a little help.

Blue Cross Coordinated Care Advocate is just what your employees need to feel confident and supported in their care.

The program not only helps those with complex and chronic conditions, but it adds an extra level of support by offering clinical guidance to all your employees and their covered family members.

Enhance your care management program by connecting your employees to a Blue Cross care team for advice on non-urgent medical conditions, such as cold or flu symptoms, and minor pain or injuries.

Help understanding diagnoses, treatment plans and test results.

Answers to questions about an upcoming procedure or appointment.

Information on a specific condition.

Guidance, selecting a doctor, and more.

The program also includes our base care management features that help those identified with complex and chronic illnesses manage their conditions, stay on track with their doctor's care plan, and make achievable lifestyle changes to improve their health.

And your employees can easily stay connected with the Blue Cross Care team by phone or from the convenience of the BCBSM Coordinated Care app.

With a lower dollar threshold for claims review than our base care management program.

You can expect a greater number of your employees to have personalized assistance managing complex or chronic conditions.

Discharge support for all acute admissions.

Increased gaps in care closure.

Customized virtual education content.

One-on-one support from a nurse care manager.

Steerage to low cost, high quality providers.

Digital self servicing for proactive care and data integration for non blue vendors.

Don't miss the opportunity to give your employees and their covered family members access to personalized clinical support and impact more employees who have complex and chronic conditions.

To learn more about Blue Cross Coordinated Care Advocate, contact your Blue Cross agent, sales representative, or account manager.

Or visit bcbsm.com/care-management/advocate.

View Transcript

View Transcript

We know that your employees are integral to your company's success.

That's why you offer them health care.

A healthy workforce is more productive and happier, but navigating medical decisions and care options isn't always easy.

And sometimes your employees need a little help.

Blue Cross Coordinated Care Advocate is just what your employees need to feel confident and supported in their care.

The program not only helps those with complex and chronic conditions, but it adds an extra level of support by offering clinical guidance to all your employees and their covered family members.

Enhance your care management program by connecting your employees to a Blue Cross care team for advice on non-urgent medical conditions, such as cold or flu symptoms, and minor pain or injuries.

Help understanding diagnoses, treatment plans and test results.

Answers to questions about an upcoming procedure or appointment.

Information on a specific condition.

Guidance, selecting a doctor, and more.

The program also includes our base care management features that help those identified with complex and chronic illnesses manage their conditions, stay on track with their doctor's care plan, and make achievable lifestyle changes to improve their health.

And your employees can easily stay connected with the Blue Cross Care team by phone or from the convenience of the BCBSM Coordinated Care app.

With a lower dollar threshold for claims review than our base care management program.

You can expect a greater number of your employees to have personalized assistance managing complex or chronic conditions.

Discharge support for all acute admissions.

Increased gaps in care closure.

Customized virtual education content.

One-on-one support from a nurse care manager.

Steerage to low cost, high quality providers.

Digital self servicing for proactive care and data integration for non blue vendors.

Don't miss the opportunity to give your employees and their covered family members access to personalized clinical support and impact more employees who have complex and chronic conditions.

To learn more about Blue Cross Coordinated Care Advocate, contact your Blue Cross agent, sales representative, or account manager.

Or visit bcbsm.com/care-management/advocate.

Advocate Overview

Blue Cross Coordinated Care Advocate is our intermediate care management option that provides access to personalized clinical care management for all your employees and covered family members, and greater engagement of those with complex and chronic conditions. It builds upon Coordinated Care Core and Coordinated Care Enhanced. 

 

The Advocate offering includes access to Care Advocates who provide all of your employees clinical guidance and episodic support. With the support of Nurse Care Managers and Care Advocates, your employees will be more confident in their ability to find the care that’s right for them and their plan.

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What can Advocate do for your employees?

Here's what you can expect:

  • One-on-on support from care advocates
  • Discharge support for all acute admissions
  • Enhanced reporting and steerage
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What can Advocate do for you?

Here's what you can expect with Advocate:

  • Reduced dollar threshold for claimant reviews, lowered to $75,000 from $100,000, meaning a greater number of your employees will have access to care management
  • Increased number of employees in care management
  • Clinical needs of all employees met with access to clinical support and guidance
  • Potential to close more care gaps leading to a healthier employee population
  • Customized Blue Cross Virtual Well-Being presentations that address lifestyle behaviors
  • Engagement data integration with non-Blue Cross vendors
  • Increased engagement through proactive outbound campaigns and touchpoints throughout the plan year
  • Steerage to high-quality, low-cost providers

 

Coordinated Care Advocate features

These features include:

  • A holistic, member-centric approach to member support
  • Comprehensive support across medical, behavioral, pharmaceutical and social needs
  • Coordination with local providers and community resources
  • An easy-to-use app to help employees get answers for all their questions
  • Enhanced analytics to identify and prioritize the most impactable members 

Care Advocates support your employees with personalized clinical support helping to guide them along their health care journey. Care Advocates provide clinical guidance and episodic support for your employees by assessing short-term needs, coaching them on health care related issues, and proactively working to resolve potential barriers to care. They may also guide your employees to appropriate levels of care and provide interventions to assist in resolving gaps in care. 

With the support of nurse care managers and Care Advocates, your employees will be more confident in their ability to find and seek care, providing long-term value to your company and your employees. 

Through the clinical engagement that comes along with the Core and Advocate offerings paired together, your employees will be more in-tune with their health care than ever before. That means better health and financial outcomes for your company and your employees. 

As a step up from the Enhanced offering, Advocate includes reviews from our high dollar claims team for claims of $75,000 (the minimum for Core is $150,000 and for Enhanced is $100,000). We will review these claims to ensure that every dollar spent is spent wisely, saving both you and your employees money while also improving how your employees find a get care. 

With Advocate, your employees will have access to the BCBSM Coordinated Care app. The BCBSM Coordinated Care app gives all your employees and their family members quick and convenient access to a Care Advocate. Whether at home or on the go, your employees can use the app to: 

  • Receive guidance for non-urgent illness and injury from a Care Advocate 
  • Set appointment reminders and track medications 
  • View helpful articles and videos directly related to their personal needs 
  • Securely message a Care Advocate or Nurse Care Manager 
Your employees will be given a specific access code that unlocks an app experience tailored to their needs and the specific plans and programs available to them. 

Want to learn more about Coordinated Care Advocate?

For more information, or to request a presale analysis and estimate on member engagement ROI, reach out to your Blue Cross representative today.

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A portfolio powered by technology

Blue Cross Coordinated Care is powered by advanced technology to deliver your employees a streamlined, personalized experience.

Member Snapshot
The Member Snapshot provides Blue Cross with a comprehensive, personalized view of each member using a cloud-based data and informatics infrastructure.

Advanced Analytics
Advanced analytics generate proactive recommendations based on care gaps and other advocacy and health care journeys.

BCBSM Coordinated Care App
Offers personalized recommendations, simple connections to care teams and curated health and benefit content to support your employees’ needs.

Have questions about Coordinated Care Advocate?

To learn more about Advocate and the other Coordinated Care offerings, reach out to a Blue Cross representative today or view our FAQs.

VIEW OUR FAQS

Explore other offerings

Coordinated Care Core

Here to support your employees who need help managing complex and chronic conditions.

Coordinated Care Advocate Plus

Here to support your employees who need simplified and personalized health and benefits support.

Coordinate Care Enhanced

Here to support your employees who need care for complex conditions at a lower cost.