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September 2019

Blue Cross Coordinated Care to launch in 2020

Next year, Blue Cross Blue Shield of Michigan and Blue Care Network will launch a new approach to care management called Blue Cross® Coordinated Care. The program is intended to support health care providers in their efforts to provide the best possible care for patients.

Blue Cross Coordinated Care takes a holistic, member-centric approach to help ensure the greatest effect on our members’ overall health and the cost of care. It will be deployed across all lines of business, including Blue Cross PPO, BCN, group and individual customers, and Medicare Advantage members.

Specially designated nurse care managers will lead multidisciplinary teams to:

  • Help patients understand their treatment plan and options.
  • Answer any questions patients may have regarding their chronic conditions.
  • Help coordinate your patient’s care with you and other health care providers, including pharmacists, behavioral health clinicians and social workers.
  • Assist in getting additional resources patients may need for their specific health care needs, such as transportation.
  • Co-manage patients who are already part of a provider care management program, such as Provider-Delivered Care Management, to provide additional support and resources.

Keep in mind that the Provider-Delivered Care Management Program, which is part of Value Partnerships, will continue.

For more details, see the column by Drs. Aaron Friedkin and Duane DiFranco and Ann Baker that ran in the May – June 2019 issue of Hospital and Physician Update.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2018 American Medical Association. All rights reserved.