Blue Cross Coordinated Care

Blue Cross Coordinated Care provides smarter, better care management for members with chronic conditions, leading to improved health outcomes and proven cost savings.

We're ready to help

Managing the everyday care needs for a chronic condition can be challenging, so Blue Cross Coordinated Care is here to help. This care management program from Blue Cross Blue Shield of Michigan offers easy-to-use tools and provides help for your employees and covered family members to stay on track with their doctor’s care plan and make achievable lifestyle changes to improve their health.

Currently, 90% of the nation’s health care spending goes toward chronic and mental and behavioral health conditions — about $4.1 trillion. And compared with their counterparts, employees who have chronic diseases and unhealthy lifestyle behaviors have higher medical costs and miss more workdays. Blue Cross Coordinated Care helps employees mange chronic health concerns, leading to lower health care costs and healthier outcomes.

Blue Cross Coordinated Care Core

Coordinated Care Core is the cornerstone of the Coordinated Care Portfolio. Core is focused on delivering a holistic, member-centric approach for your employees with complex and chronic health care needs and is available with all Blue Cross plans.

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
  • An easy-to-use app to help employees get answers for all their questions
  • Enhanced analytics to identify and prioritize the most impactable members

Ready to learn more?

Coordinated Care Core

Proven outcomes

The program delivers proven clinical outcomes:

  • 84% of program participants see a primary care provider (22% higher than members who don’t participate in care management)
  • 20% of program participants avoid emergency room visits (12% lower than members who don’t participate in care management)
  • 25% of care gaps are closed for program participants program (11% higher than members who don’t participate in care management)
Person being examined by physician with stethoscope
A health care provider showing a patient declining costs on a chart

Cost savings

Blue Cross Coordinated Care delivers proven cost savings, impacting the total cost of care for chronic conditions with:

  • Savings of approximately $3,127 per managed member
  • 16%-19% reduction in medical spending for managed members
  • 25% reduction in spending on inpatient hospital admissions
  • 32% reduction in inpatient hospital admissions
  • Two times reduction in high-risk maternity admissions
84%
Engagement rate
93%
Member satisfaction rate
59%
Care gaps closed

Expanded care management options

In addition to Core, Blue Cross Coordinated Care offers an expanded portfolio designed to meet the needs of you and your employees, allowing you to create a tailored approach to reduce costs and meet your employee's chronic health needs.

Required Contracts

Enhanced

300+

Advocate

300+

Advocate Plus

1000+

High dollar threshold for claimant reviews

Enhanced

$100,000

Advocate

$75,000

Advocate Plus

$50,000

Focused targeting on specific cost drivers

Enhanced

✔️

Advocate

✔️

Advocate Plus

✔️

Personalized recommendations using eligible benefits, programs, providers and resources

Enhanced

✔️

Advocate

✔️

Advocate Plus

✔️

Member engagement guarantee

Enhanced

✔️

Advocate

✔️

Advocate Plus

✔️

Enhanced reporting with reports provide quarterly

Enhanced

✔️

Advocate

✔️

Advocate Plus

✔️

Discharge support for all acute admissions

Enhanced

N/A

Advocate

✔️

Advocate Plus

✔️

Customized virtual education content

Enhanced

N/A

Advocate

✔️

Advocate Plus

✔️

One-on-one support from advocates

Enhanced

N/A

Advocate

✔️

Advocate Plus

✔️

Digital self-servicing for proactive recommendations using our member resource center

Enhanced

N/A

Advocate

✔️

Advocate Plus

✔️

Data integration with non-Blue vendors

Enhanced

N/A

Advocate

✔️

Advocate Plus

✔️

Personalized servicing for all your employees by a dedicated team

Enhanced

N/A

Advocate

N/A

Advocate Plus

✔️

Customized cultural training

Enhanced

N/A

Advocate

N/A

Advocate Plus

✔️

Customized virtual self-management education

Enhanced

N/A

Advocate

N/A

Advocate Plus

✔️

Personalized recommendations based on data insights so employees can improve their health and optimize benefits

Enhanced

N/A

Advocate

N/A

Advocate Plus

✔️

300+ 300+ 1000+

$100,000 $75,000 $50,000

✔️ ✔️ ✔️

✔️ ✔️ ✔️

✔️ ✔️ ✔️

✔️ ✔️ ✔️

N/A ✔️ ✔️

N/A ✔️ ✔️

N/A ✔️ ✔️

N/A ✔️ ✔️

N/A ✔️ ✔️

N/A N/A ✔️

N/A N/A ✔️

N/A N/A ✔️

N/A N/A ✔️

Learn more about Enhanced Learn more about Advocate Learn more about Advocate Plus

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.
  • Integrated Suite of Digital Tools - Our integrated suite of 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.

 

Have questions about Coordinated Care?

To learn more about the Coordinated Care Portfolio and how it could benefit your company, reach out to your Blue Cross representative today or visit our frequently asked questions.

Contact us Frequently asked questions