Are performance guarantees included in the portfolio?

Yes, performance guarantees are included. 

Coordinated Care Enhanced, Advocate and Advocate Plus include a robust set of performance guarantees that ensure Blue Cross is delivering upon the outcomes that matter. Also included is a Value Guarantee based on broad aggregate medical management savings that delivers from both an outcome and savings standpoint. 

  • All performance guarantees will be conducted on a calendar year 
  • Employers must opt-in to enterprise level campaigns to meet engagement goals

Depending on the offering, different performance guarantees apply: 

Core Not applicable
Enhanced Care management member satisfaction
Care management high-dollar claimant monitoring
Care management/care gaps
Advocate Care management member satisfaction
Care management high-dollar claimant monitoring
Care management/care gaps

Advocate Plus Care management member satisfaction
Care management high-dollar claimant monitoring
Cost savings
Program satisfaction and engagement
Closed care gaps

 

 

Ready to get Coordinated Care?
GET IN TOUCH

Have questions about Coordinated Care?

To learn more about the Coordinated Care portfolio and how it could benefit your company and employees, contact your Blue Cross representative today.