In brief: Radiology initiative, family building microsite, intensive services program

Radiology-focused initiative aims to improve patient outcomes

Blue Cross Blue Shield of Michigan and Blue Care Network are engaging Covera Health to launch a radiology-focused quality improvement program to help us better support radiologists and referring providers in their efforts to improve diagnostic quality, overall care and patient outcomes.

• For BCN commercial, BCN Advantage℠ and Medicare Plus Blue℠ members, radiology facilities will be identified as having high-quality designations and will be listed as preferred providers on prior authorization requests approved by AIM Specialty Health.
• For Blue Cross commercial members, facilities will be identified as having high-quality designations.

For complete details, see the January 2023 Record article.

New microsite gives members access to maternity, family-building resources

Blue Cross Blue Shield of Michigan has developed a microsite that enhances the experience of Blue Cross and Blue Care Network members seeking to build families and improves clinical outcomes for mothers and babies.

It’s part of a comprehensive maternal health strategy to improve member education about maternal health coverage and how to navigate maternity benefits. This strategy can help encourage members to get recommended care and increase their engagement in available Blue Cross programs. To learn more about the family building microsite, see the December 2022 Record article.

Intensive services program for children, adults now available for Blue Cross commercial providers

A program that’s been successfully developed for Blue Care Network commercial and BCN Advantage℠ members over the past few years is now payable for Blue Cross Blue Shield of Michigan as well — for both our commercial and Medicare Plus Blue℠ members. Our Adult Intensive Services and Child Intensive Services program provides intensive case management services for members with chronic mental illness.

Health care providers who have the resources to provide all necessary care for these individuals, under the supervision of a psychiatrist, can participate in this program. Participants must be contracted with both Blue Cross and BCN to provide these services as outlined in the BCN contracting documents.

There is no special credentialling needed, and services can be provided by an M.D., D.O. or outpatient psychiatric clinic. Also, it’s not necessary to obtain prior authorization before performing these services.

For more information, see the December 2022 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.