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