As the foundation of the Coordinated Care Portfolio, Blue Cross Coordinated Care Core provides your employees with help for their complex and chronic health care needs. This program is available with all Blue Cross Blue Shield of Michigan and Blue Care Network plans.
00:00:05:01 - 00:00:11:22
Ricardo C.
Hello, I'm Ricardo from White Lake, Michigan, and I'm a claims coordinator for a large steel company.
00:00:11:22 - 00:00:15:01
Ricardo C.
My health hasn't always been great.
00:00:15:08 - 00:00:18:13
Ricardo C.
I was overweight for a long time,
00:00:18:13 - 00:00:19:09
Ricardo C.
I learned
00:00:19:09 - 00:00:21:12
Ricardo C.
stress and
00:00:21:12 - 00:00:23:13
Ricardo C.
bad eating habits like bad
00:00:23:15 - 00:00:25:19
Ricardo C.
portion control and
00:00:25:19 - 00:00:26:22
Ricardo C.
before I knew it,
00:00:26:22 - 00:00:29:03
Ricardo C.
I was quite overweight and
00:00:29:05 - 00:00:31:12
Ricardo C.
It was affecting my sleep,
00:00:31:15 - 00:00:33:10
Ricardo C.
affecting my mood.
00:00:33:15 - 00:00:34:13
Ricardo C.
I
00:00:34:13 - 00:00:36:02
Ricardo C.
was diagnosed
00:00:36:03 - 00:00:36:13
Ricardo C.
with
00:00:36:13 - 00:00:38:08
Ricardo C.
type two diabetes
00:00:38:08 - 00:00:42:02
Ricardo C.
then when I got that diagnosis, I really
00:00:42:10 - 00:00:47:19
Ricardo C.
knew that, you know, I had to make a change.
00:00:48:01 - 00:00:54:12
Amber W.
When I first spoke with Ricardo, he initially said that his health was poor
00:00:54:12 - 00:01:00:02
Amber W.
and that he was overweight, and so he was concerned about that also with his diabetes
00:01:00:08 - 00:01:02:09
Ricardo C.
The care manager that I've been working with
00:01:02:10 - 00:01:04:17
Ricardo C.
throughout this journey, her name was Amber
00:01:04:21 - 00:01:05:14
Ricardo C.
and
00:01:05:15 - 00:01:12:12
Ricardo C.
she's always been encouraging and asking me what I need and putting me in contact with dietitians
00:01:12:16 - 00:01:16:16
Amber W.
With the assistance of the registered dietitian and myself,
00:01:16:23 - 00:01:21:04
Amber W.
he was able to start counting his
00:01:21:14 - 00:01:30:22
Amber W.
his carbs. He was counting his calories. He was increasing his exercise, which he was not exercising at all, 2 to 3 times a week.
00:01:31:07 - 00:01:36:11
Ricardo C.
I was having maybe 15 minutes a day of activity and now I do,
00:01:36:11 - 00:01:38:05
Ricardo C.
60 minutes or more
00:01:38:08 - 00:01:38:20
Ricardo C.
I
00:01:38:20 - 00:01:45:04
Ricardo C.
had less than 5000 steps a day and now I do over 10,000 a day on average.
00:01:45:08 - 00:01:50:18
Amber W.
he mainly was on the Blue Cross Blue Shield of Michigan Coordinated Care app.
00:01:50:23 - 00:01:53:07
Amber W.
So we also corresponded that way,
00:01:53:10 - 00:01:54:17
Amber W.
I also offered
00:01:54:17 - 00:01:55:18
Amber W.
education
00:01:55:18 - 00:01:56:16
Amber W.
and resources
00:01:56:16 - 00:01:57:12
Amber W.
geared towards
00:01:57:12 - 00:01:58:21
Amber W.
diabetes management,
00:01:58:22 - 00:02:07:23
Amber W.
and it helped with him tracking his steps, doing medication reminders and just feeling like he was connected to his coordinated team
00:02:08:12 - 00:02:15:15
Ricardo C.
little changes became more mental to my journey. And
00:02:15:15 - 00:02:17:02
Ricardo C.
adding to things,
00:02:17:02 - 00:02:18:12
Ricardo C.
little by little.
00:02:18:12 - 00:02:21:16
Ricardo C.
I've lost over £85.
00:02:21:16 - 00:02:23:09
Ricardo C.
my BMI has
00:02:23:09 - 00:02:25:05
Ricardo C.
gone down considerably.
00:02:25:12 - 00:02:31:12
Ricardo C.
my A1C was eight, and now it's five and a half.
00:02:31:16 - 00:02:34:16
Amber W.
It's a very rewarding feeling, especially as a nurse,
00:02:34:19 - 00:02:35:19
Amber W.
to see
00:02:35:19 - 00:02:36:15
Amber W.
them change in
00:02:36:15 - 00:02:38:22
Amber W.
their health around and being in charge of their health.
00:02:39:05 - 00:02:45:11
Ricardo C.
You know, a big portion of this is is mindfulness. And
00:02:45:11 - 00:02:49:05
Ricardo C.
being in the right frame of mind, reducing stress
00:02:49:05 - 00:02:51:15
Ricardo C.
you know, that's what made a difference for me.
00:02:51:20 - 00:02:55:08
Ricardo C.
my wife and I, we we do fitness classes.
00:02:55:11 - 00:02:56:19
Ricardo C.
we meal plan.
00:02:56:22 - 00:02:58:17
Ricardo C.
Try to get a variety of
00:02:58:20 - 00:03:00:12
Ricardo C.
fruits and vegetables,
00:03:00:12 - 00:03:03:07
Ricardo C.
I just feel so much better now. And
00:03:03:07 - 00:03:04:19
Ricardo C.
before all of this,
00:03:04:19 - 00:03:07:03
Ricardo C.
I thought I was too old or, you
00:03:07:03 - 00:03:09:20
Ricardo C.
just didn't think I had a lot of hope.
00:03:10:06 - 00:03:11:08
Ricardo C.
And then now,
00:03:11:10 - 00:03:12:21
Ricardo C.
almost a year later,
00:03:12:21 - 00:03:14:12
Ricardo C.
I have so much more hope
00:03:14:12 - 00:03:15:03
Ricardo C.
to,
00:03:15:03 - 00:03:19:21
Ricardo C.
be more active and have a healthy lifestyle and enjoy life
00:03:19:21 - 00:03:21:04
Ricardo C.
so much more
00:03:22:07 - 00:03:27:09
Amber W.
I am very happy and static for Ricardo's health and how he's doing right now.
00:03:27:11 - 00:03:36:15
Amber W.
And he is still continuing to go down that great path of exercising and keeping his agency lower.
00:03:36:20 - 00:03:38:12
Amber W.
And his blood glucose levels lowered.
00:03:39:05 - 00:03:42:17
Ricardo C.
because of Blue Cross Blue Shield Care management
00:03:42:17 - 00:03:45:23
Ricardo C.
the encouragement of the staff
00:03:46:02 - 00:03:50:03
Ricardo C.
I can't thank you guys enough. You're wonderful.
00:03:50:05 - 00:03:51:02
Ricardo C.
You're exactly
00:03:51:02 - 00:03:53:21
Ricardo C.
the voices that I needed to hear at the time.
00:03:54:09 - 00:03:58:05
Ricardo C.
in just changed my life.
00:03:59:07 - 00:04:03:02
Amber W.
That’s. That’s. That's very heartfelt.
00:04:03:02 - 00:04:13:12
Amber W.
that was wonderful that that that makes me feel appreciated. And I'm glad to be a part of him. Making a life changing decision.
00:00:05:01 - 00:00:11:22
Ricardo C.
Hello, I'm Ricardo from White Lake, Michigan, and I'm a claims coordinator for a large steel company.
00:00:11:22 - 00:00:15:01
Ricardo C.
My health hasn't always been great.
00:00:15:08 - 00:00:18:13
Ricardo C.
I was overweight for a long time,
00:00:18:13 - 00:00:19:09
Ricardo C.
I learned
00:00:19:09 - 00:00:21:12
Ricardo C.
stress and
00:00:21:12 - 00:00:23:13
Ricardo C.
bad eating habits like bad
00:00:23:15 - 00:00:25:19
Ricardo C.
portion control and
00:00:25:19 - 00:00:26:22
Ricardo C.
before I knew it,
00:00:26:22 - 00:00:29:03
Ricardo C.
I was quite overweight and
00:00:29:05 - 00:00:31:12
Ricardo C.
It was affecting my sleep,
00:00:31:15 - 00:00:33:10
Ricardo C.
affecting my mood.
00:00:33:15 - 00:00:34:13
Ricardo C.
I
00:00:34:13 - 00:00:36:02
Ricardo C.
was diagnosed
00:00:36:03 - 00:00:36:13
Ricardo C.
with
00:00:36:13 - 00:00:38:08
Ricardo C.
type two diabetes
00:00:38:08 - 00:00:42:02
Ricardo C.
then when I got that diagnosis, I really
00:00:42:10 - 00:00:47:19
Ricardo C.
knew that, you know, I had to make a change.
00:00:48:01 - 00:00:54:12
Amber W.
When I first spoke with Ricardo, he initially said that his health was poor
00:00:54:12 - 00:01:00:02
Amber W.
and that he was overweight, and so he was concerned about that also with his diabetes
00:01:00:08 - 00:01:02:09
Ricardo C.
The care manager that I've been working with
00:01:02:10 - 00:01:04:17
Ricardo C.
throughout this journey, her name was Amber
00:01:04:21 - 00:01:05:14
Ricardo C.
and
00:01:05:15 - 00:01:12:12
Ricardo C.
she's always been encouraging and asking me what I need and putting me in contact with dietitians
00:01:12:16 - 00:01:16:16
Amber W.
With the assistance of the registered dietitian and myself,
00:01:16:23 - 00:01:21:04
Amber W.
he was able to start counting his
00:01:21:14 - 00:01:30:22
Amber W.
his carbs. He was counting his calories. He was increasing his exercise, which he was not exercising at all, 2 to 3 times a week.
00:01:31:07 - 00:01:36:11
Ricardo C.
I was having maybe 15 minutes a day of activity and now I do,
00:01:36:11 - 00:01:38:05
Ricardo C.
60 minutes or more
00:01:38:08 - 00:01:38:20
Ricardo C.
I
00:01:38:20 - 00:01:45:04
Ricardo C.
had less than 5000 steps a day and now I do over 10,000 a day on average.
00:01:45:08 - 00:01:50:18
Amber W.
he mainly was on the Blue Cross Blue Shield of Michigan Coordinated Care app.
00:01:50:23 - 00:01:53:07
Amber W.
So we also corresponded that way,
00:01:53:10 - 00:01:54:17
Amber W.
I also offered
00:01:54:17 - 00:01:55:18
Amber W.
education
00:01:55:18 - 00:01:56:16
Amber W.
and resources
00:01:56:16 - 00:01:57:12
Amber W.
geared towards
00:01:57:12 - 00:01:58:21
Amber W.
diabetes management,
00:01:58:22 - 00:02:07:23
Amber W.
and it helped with him tracking his steps, doing medication reminders and just feeling like he was connected to his coordinated team
00:02:08:12 - 00:02:15:15
Ricardo C.
little changes became more mental to my journey. And
00:02:15:15 - 00:02:17:02
Ricardo C.
adding to things,
00:02:17:02 - 00:02:18:12
Ricardo C.
little by little.
00:02:18:12 - 00:02:21:16
Ricardo C.
I've lost over £85.
00:02:21:16 - 00:02:23:09
Ricardo C.
my BMI has
00:02:23:09 - 00:02:25:05
Ricardo C.
gone down considerably.
00:02:25:12 - 00:02:31:12
Ricardo C.
my A1C was eight, and now it's five and a half.
00:02:31:16 - 00:02:34:16
Amber W.
It's a very rewarding feeling, especially as a nurse,
00:02:34:19 - 00:02:35:19
Amber W.
to see
00:02:35:19 - 00:02:36:15
Amber W.
them change in
00:02:36:15 - 00:02:38:22
Amber W.
their health around and being in charge of their health.
00:02:39:05 - 00:02:45:11
Ricardo C.
You know, a big portion of this is is mindfulness. And
00:02:45:11 - 00:02:49:05
Ricardo C.
being in the right frame of mind, reducing stress
00:02:49:05 - 00:02:51:15
Ricardo C.
you know, that's what made a difference for me.
00:02:51:20 - 00:02:55:08
Ricardo C.
my wife and I, we we do fitness classes.
00:02:55:11 - 00:02:56:19
Ricardo C.
we meal plan.
00:02:56:22 - 00:02:58:17
Ricardo C.
Try to get a variety of
00:02:58:20 - 00:03:00:12
Ricardo C.
fruits and vegetables,
00:03:00:12 - 00:03:03:07
Ricardo C.
I just feel so much better now. And
00:03:03:07 - 00:03:04:19
Ricardo C.
before all of this,
00:03:04:19 - 00:03:07:03
Ricardo C.
I thought I was too old or, you
00:03:07:03 - 00:03:09:20
Ricardo C.
just didn't think I had a lot of hope.
00:03:10:06 - 00:03:11:08
Ricardo C.
And then now,
00:03:11:10 - 00:03:12:21
Ricardo C.
almost a year later,
00:03:12:21 - 00:03:14:12
Ricardo C.
I have so much more hope
00:03:14:12 - 00:03:15:03
Ricardo C.
to,
00:03:15:03 - 00:03:19:21
Ricardo C.
be more active and have a healthy lifestyle and enjoy life
00:03:19:21 - 00:03:21:04
Ricardo C.
so much more
00:03:22:07 - 00:03:27:09
Amber W.
I am very happy and static for Ricardo's health and how he's doing right now.
00:03:27:11 - 00:03:36:15
Amber W.
And he is still continuing to go down that great path of exercising and keeping his agency lower.
00:03:36:20 - 00:03:38:12
Amber W.
And his blood glucose levels lowered.
00:03:39:05 - 00:03:42:17
Ricardo C.
because of Blue Cross Blue Shield Care management
00:03:42:17 - 00:03:45:23
Ricardo C.
the encouragement of the staff
00:03:46:02 - 00:03:50:03
Ricardo C.
I can't thank you guys enough. You're wonderful.
00:03:50:05 - 00:03:51:02
Ricardo C.
You're exactly
00:03:51:02 - 00:03:53:21
Ricardo C.
the voices that I needed to hear at the time.
00:03:54:09 - 00:03:58:05
Ricardo C.
in just changed my life.
00:03:59:07 - 00:04:03:02
Amber W.
That’s. That’s. That's very heartfelt.
00:04:03:02 - 00:04:13:12
Amber W.
that was wonderful that that that makes me feel appreciated. And I'm glad to be a part of him. Making a life changing decision.
Core is focused on delivering a holistic, member-centric approach to comprehensive health care for your employees with complex and chronic health care needs and is available with all Blue Cross and Blue Care Network plans.
With Core, a team of specialists, led by a Nurse Care Manager, provides your eligible employees with a much deeper level of support and personalization. Those with complex and chronic health conditions have health support needs beyond the treatment of chronic disease and our team of specialists will be there to complement the care provided by the member’s medical care team.
Here's what you can expect from Core:
Comprehensive support across medical, behavioral, pharmaceutical and social needs
Led by the Nurse Care Manager, a team of multidisciplinary specialists work together to provide a holistic system of support to your employees with complex and chronic health conditions. These resources include:
Coordination with local providers and community resources
With the team of specialists included with the Core offering, your employees will receive support that is both regionally aligned and community oriented.
With a strong regional alignment, your employees will gain a deeper awareness of community resources, local behavioral health clinics and senior resource centers. Along with these strengthened relationships, the regionally aligned team, led by the Nurse Care Manager, will be able to:
An easy-to-use app to help employees get answers for all their questions
With the Core offering, your eligible employees will be able to reach their Nurse Care Manager directly via phone and the Blue Cross Blue Shield of Michigan mobile app for answers related to their condition or other health concerns.
The app augments your employees’ experience through health-based checklists, the ability to set reminders for medications and appointments and through curated content based on your employees’ unique needs.
Comprehensive high dollar review
An additional dedicated team of nurses will review high-cost claimants to identify addressable cost, quality and care opportunities. This team performs clinical reviews of all high-dollar claimants of $150,000 or more within 12-months, identifies care opportunities and works closely with a Medical Director, Pharmacist and the Coordinated Care multidisciplinary team to make referrals to appropriate providers and other resources. This means we’ll be working to ensure that your employees are receiving the best care for the best price
For more information, reach out to your Blue Cross representative today.
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