Coordinated Care Advocate

This program 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 by sending a message through their member account at BCBSM.com or via our mobile 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 with 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.

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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 by sending a message through their member account at BCBSM.com or via our mobile 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 with 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:

  • 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
  • One-on-on support from care advocates who provide your employees with personalized clinical support to address health care needs
  • Access to the BCBSM app which gives your employees and their families personalized recommendations, simple connections to their care teams and curated health and benefit content to support their needs.
  • A Member Snapshot that provides Blue Cross with a comprehensive, personalized view of each member using a cloud-based data and informatics infrastructure
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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. 

Comprehensive reports of reviewed members are available upon request.

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Expand your health care offerings

Reach out to your Blue Cross representative today to join the growing number of employers that are expanding their employees' coverage with Blue Cross Coordinated Care.
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