Explore Our Care Management Solutions
Our coordinated care solutions improve the health of your employees and lower health care costs.
Blue Cross Coordinated Care Core
Core includes:
- A holistic, member-centric approach to member support
- Comprehensive support across medical, behavioral, pharmaceutical and social needs
- Coordination with local providers and community resources
Expanded solutions to meet your employees' needs
Coordinated Care Enhanced
Enhanced provides all the benefits of the Core program, plus:
- Reduced dollar threshold of $100,000 (versus $150,000 allowed with Core), for claimant reviews, meaning a greater number of your employees will have access to care management
- Expanded targeting into high-risk populations, including those with polychronic and complex conditions, high-risk pregnancy, frequent emergency room use and emerging high-risk members
- Quarterly reporting on your programming for enhanced transparency
- Coordination with local providers and community resources
Coordinated Care Advocate
Advocate provides all the benefits of the Core and Enhanced programs, plus:
- Reduced dollar threshold of $75,000 for claimant reviews, meaning a greater number of your employees will have access to care management
- Access to Blue Cross Care team that provides your employees with personalized clinical support helping to guide them along their health care journey
- Quarterly reporting on your programming for enhanced transparency
- Performance guarantees for clinical engagement and high dollar review
Coordinated Care Advocate Plus
Our premium care management solution, Advocate Plus provides all the benefits of the Core, Enhanced and Advocate programs, plus:
- Reduced dollar threshold of $50,000 for claimant reviews, meaning a greater number of your employees will have access to care management
- Advocates that meet your employees’ health care and benefit needs, and work with them to improve their health, their understanding and usage of their benefits, and how they find and get care
- Coordination with local providers and community resources
- Monthly reporting on your programming for enhanced transparency
Solutions powered by technology
Blue Cross Coordinated Care is powered by advanced technology to deliver your employees a streamlined, personalized experience.
The Member Snapshot provides Blue Cross with a comprehensive, personalized view of each member using a cloud-based data and informatics infrastructure.
Advanced analytics generate proactive recommendations based on care gaps and other advocacy and health care journeys.
Our digital tools through a Blue Cross member account at bcbsm.com and the Blue Cross mobile app allow users to search for health care providers, review their benefits, estimate costs and research sites of care.