Coordinated Care Portfolio

Coordinated Care Core

The Coordinated Care Core offering is the foundation of the Coordinated Care Portfolio. Core is here for your employees with complex and chronic health care needs and is available with all Blue Cross plans.

Woman dock worker getting ready to start work.

Core overview

The Coordinated Care Core offering is the foundation 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.

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 clinical needs far beyond treatment and our team of specialists will be there to help address those needs.

 

What can Core do for you?

Here’s what you can expect with Core:

  • Support for your employees with complex and chronic health conditions and identifies those with potential risk of developing them
  • Clinical reviews of high-cost claimants for addressable cost or care opportunities
  • Improved employee health, well-being and satisfaction 

Hear what members are saying

Blue Cross member Ricardo talks about how Blue Cross Coordinated Care, our care management program, helped him get his diabetes under control and make lifestyle changes to improve his health.

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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.

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Ricardo C.

I was overweight for a long time,

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Ricardo C.

I learned

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Ricardo C.

stress and

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Ricardo C.

bad eating habits like bad

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Ricardo C.

portion control and

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Ricardo C.

before I knew it,

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Ricardo C.

I was quite overweight and

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Ricardo C.

It was affecting my sleep,

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Ricardo C.

affecting my mood.

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Ricardo C.

I

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Ricardo C.

was diagnosed

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Ricardo C.

with

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Ricardo C.

type two diabetes

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Ricardo C.

then when I got that diagnosis, I really

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Ricardo C.

knew that, you know, I had to make a change.

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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

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Ricardo C.

throughout this journey, her name was Amber

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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

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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,

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Ricardo C.

60 minutes or more

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Ricardo C.

I

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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.

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Amber W.

So we also corresponded that way,

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Amber W.

I also offered

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Amber W.

education

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Amber W.

and resources

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Amber W.

geared towards

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Amber W.

diabetes management,

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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

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Ricardo C.

adding to things,

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Ricardo C.

little by little.

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Ricardo C.

I've lost over £85.

00:02:21:16 - 00:02:23:09

Ricardo C.

my BMI has

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Ricardo C.

gone down considerably.

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Ricardo C.

my A1C was eight, and now it's five and a half.

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Amber W.

It's a very rewarding feeling, especially as a nurse,

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Amber W.

to see

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Amber W.

them change in

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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

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Ricardo C.

being in the right frame of mind, reducing stress

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Ricardo C.

you know, that's what made a difference for me.

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Ricardo C.

my wife and I, we we do fitness classes.

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Ricardo C.

we meal plan.

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Ricardo C.

Try to get a variety of

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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.

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Ricardo C.

And then now,

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Ricardo C.

almost a year later,

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Ricardo C.

I have so much more hope

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Ricardo C.

to,

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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.

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Amber W.

And he is still continuing to go down that great path of exercising and keeping his agency lower.

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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

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Ricardo C.

the encouragement of the staff

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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.

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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.

Blue Cross member Laura talks about how Blue Cross Coordinated Care, our care management programs, helped her manage her high-risk pregnancy.

00:00:05:11 - 00:00:08:21

Laura J.

Hi, I'm Laura. I am from Port Austin, Michigan.

00:00:08:21 - 00:00:11:00

Laura J.

And this is my son, Henry.

00:00:11:04 - 00:00:21:17

Laura J.

So I do have two boys. I have Jamison, who is three, and I and I have Henry, who's eight months old. They are definitely the joys of my and my husband's life.

00:00:21:17 - 00:00:27:13

Laura J.

we tried for so long to have a baby and then went through the IVF process. So,

00:00:27:13 - 00:00:38:07

Laura J.

you know, the potential of losing a child early on or having a child with medical difficulties was always in the back of our mind.

00:00:38:10 - 00:00:49:03

Laura J.

So when we got the phone call from IVF that we were pregnant, my husband and I were extremely excited to the point where I actually saw my husband cry,

00:00:49:03 - 00:00:55:14

Laura J.

I was like every range of emotion and excited, scared, you know, ready for the challenge of a baby.

00:00:55:16 - 00:01:03:13

Laura J.

And then at like 13 weeks, we had a scare where we thought we were losing the pregnancy. And so

00:01:03:13 - 00:01:08:05

Laura J.

the emotional rollercoaster with that heading to the emergency room,

00:01:08:05 - 00:01:13:13

Laura J.

And then that's when we were introduced to the care program was right after that.

00:01:13:14 - 00:01:18:21

Brittney O.

Laura came to our program with high risk pregnancy issues

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Brittney O.

as a nurse. I reached out to her and communicated with her about her pregnancy issues

00:01:24:00 - 00:01:25:17

Brittney O.

when we reach a member and we

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Brittney O.

introduce our program and we let them know that we're here to help with,

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Brittney O.

anything that they have throughout their their medical journey.

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Brittney O.

It

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Brittney O.

oftentimes is a surprise to them. They weren't aware that they had this this program available to them,

00:01:36:19 - 00:01:38:05

Brittney O.

but they are pleasantly surprised.

00:01:38:12 - 00:01:39:11

Laura J.

was enrolled in it.

00:01:39:11 - 00:01:41:21

Laura J.

It was a no brainer to be part of that program

00:01:42:03 - 00:01:46:06

Laura J.

So she assisted me with medication changes.

00:01:46:08 - 00:01:51:02

Laura J.

she would explain, you know, this is what could potentially happen. Here's some side effects.

00:01:51:02 - 00:01:53:05

Brittney O.

and helped her work through

00:01:53:05 - 00:01:54:20

Brittney O.

appointments treatments

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Brittney O.

and helped her come up with ways that she could treat her pregnancy concerns at home

00:02:01:07 - 00:02:04:14

Laura J.

she was the voice of reassurance to make sure that,

00:02:04:16 - 00:02:11:02

Laura J.

I was okay with what my doctor was prescribing. My doctor was okay when we were all on the same page.

00:02:11:02 - 00:02:11:16

Brittney O.

as a nurse

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Brittney O.

myself, my position is to educate our members and support our members. And the biggest thing is advocate to make sure that our members are getting the most appropriate care.

00:02:22:03 - 00:02:32:05

Laura J.

It was definitely an excitement once Jamison came. He was born early. He was a 32 week, three day or so. Britney did follow along our entire Nick used day.

00:02:32:05 - 00:02:40:05

Laura J.

she didn't just stop right after my pregnancy was done. She followed along until we were all home and happy and healthy.

00:02:40:13 - 00:02:41:03

Laura J.

when

00:02:41:03 - 00:02:44:20

Laura J.

I found out I was pregnant with Henry, it was a surprise and

00:02:44:20 - 00:02:46:23

Laura J.

we didn't think we could get pregnant naturally.

00:02:46:23 - 00:02:48:23

Laura J.

Obviously we did.

00:02:49:07 - 00:02:53:01

Brittney O.

that second go around, when I first contacted her she was definitely

00:02:53:02 - 00:02:58:17

Brittney O.

worried, rightfully so, about the outcomes of this of this pregnancy.

00:02:59:00 - 00:03:00:09

Brittney O.

made sure to

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Brittney O.

alleviate her concerns to the best of my ability

00:03:03:05 - 00:03:05:02

Brittney O.

and let her know that I was here to help her

00:03:05:02 - 00:03:06:00

Brittney O.

whatever

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Brittney O.

resources she might need

00:03:07:11 - 00:03:11:10

Brittney O.

to ensure that she could try to relax and enjoy the pregnancy

00:03:11:13 - 00:03:17:15

Laura J.

Britteny followed along the entire pregnancy and we had a full term healthy baby

00:03:18:05 - 00:03:19:13

Laura J.

Having two boys is

00:03:19:13 - 00:03:20:18

Laura J.

exciting.

00:03:20:18 - 00:03:29:03

Laura J.

it's kind of a roller coaster of what are we going to do today and what are we going to get into and what new adventures are we going to go out?

00:03:29:15 - 00:03:40:23

Laura J.

Okay. This will make me a little emotional, actually. So. Britney, thank you for everything that you did. You are the reason that I have what I have.

00:03:41:09 - 00:03:44:05

Laura J.

You were another voice to help,

00:03:44:11 - 00:03:48:20

Laura J.

So thank you. Thank you for everything I really appreciate it.

00:03:52:20 - 00:04:00:03

Brittney O.

Well, my voice is still shaky now because I, too, am emotional. I'm a mom. I.

00:04:00:03 - 00:04:00:10

Brittney O.

myself,

00:04:00:16 - 00:04:08:12

Brittney O.

as a mom, you want to make sure that another mom, a fellow mom, is supported in every way, shape or form.

00:04:08:15 - 00:04:14:00

Brittney O.

so to Laura, I want to say thank you for entrusting me with with you, helping you with your care and

00:04:14:00 - 00:04:15:09

Brittney O.

I.

00:04:15:10 - 00:04:17:09

Brittney O.

I can't say thank you enough.

Want to learn more about Coordinated Care Core?

For more information, reach out to your Blue Cross representative today.

GET IN TOUCH
Core

A journey through Core

Kiera is a woman in her mid 50s with a history of multiple ER visits. She struggles with her weight and was diagnosed with high blood pressure and asthma.

Core

Proactive outreach

Kiera gets an outreach call from a Nurse Care Manager. At first, she expresses concerns about the cost of treatment, but the Nurse Care Manager explains the support and how it all works at no additional cost. They can review her meds and updates the refill schedules.

Integrated technology

The Nurse Care Manager also introduces Kiera to the BCBSM Coordinated Care App where Kiera can use the app to message her Nurse Care Manager and watch videos to learn more about her conditions.

Care management

Over a year, the Nurse Care Manager helps Kiera better manage her meds, educates her on how to use her asthma meds and connects her with other support programs for weight loss, in-home monitoring and better coordination with her doctor.

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Have questions about Coordinated Care Core?

To learn more about Core and the other Coordinated Care offerings, reach out to a Blue Cross representative today or view our FAQs.

VIEW OUR FAQS

Explore other offerings

Coordinated Care CORE

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Coordinated Care ENHANCED

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