Spine and Joint Care Program
Treating back and joint pain can be a costly experience for you and your employees. Help your employees take control of their care and reduce cost with this Blue Cross Blue Shield of Michigan program. It's available as a buy-up for self-funded groups and built-in for fully-insured customers.
How it works
Treatment for muscle, bone, joint, tendon and ligament issues can be costly.
At Blue Cross, we've found there are two issues in this field of care: providers not adhering to clinical guidelines and price variation. These issues can result in unnecessary care that can lead to poor outcomes and higher costs.
Our Spine and Joint Care Program addresses these concerns with our surgical quality and safety program and designated specialty providers.
These solutions can empower your employees to find providers who they can trust, while learning about the cost of care. It also ensures providers follow clinical guidelines.
Surgical quality and safety management program
This program helps make sure that health care providers are following evidence-based guidelines and providing clinically appropriate care. Following these guidelines helps lead to:
- Faster recovery times
- Lower risk of more surgery
- Fewer complications and infections
- Care provided at the right time, in the right setting
This is accomplished through prior authorization and clinical review of spine and joint surgeries and pain procedures. Our program also offers peer-to-peer discussions with health care providers. We provide comprehensive reporting that demonstrates the impact of the program.
Designated specialty providers
We've carefully selected certain providers as participants in this program. These are high-performing, quality providers who manage costs well for musculoskeletal surgeries.
Your employees can find this designation while using our Find a Doctor tool. They can also get rewarded and better understand their costs through our Spine and Joint Care Rewards program.