Great new resource: Care management and utilization management overview document

We recently published the Care management and utilization management programs: Overview for providers document to help you navigate our care management and utilization programs more easily.

This easy-to-use, one-page document contains useful links and tells you what you need to know about these two categories of programs:

• Care management programs — Provide patient support by identifying patients with health risks and working with them to improve or maintain their health
• Utilization management programs — Focus on ensuring that patients get the right care at the right time in the right location through the authorization process

The programs vary based on member coverage and may be administered by Blue Cross Blue Shield of Michigan or Blue Care Network staff or by contracted vendors.

In addition to being able to access the document from the link in the first paragraph of this article, you can access it by going to ereferrals.bcbsm.com and following these steps:

1. Click on the Quick Guides link in the left-hand column (under Additional Resources).
2. Click on the Care management and utilization management programs: Overview for providers link.

For more details, see this December Record article.

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.