Blue Cross Coordinated Care

Blue Cross Coordinated Care provides smarter, better care management for members with chronic conditions, leading to improved health outcomes and proven cost savings.

Blue Cross Coordinated Care
View Transcript

00:00:05:23 - 00:00:10:20

Alma S.

Hi. My name is Alma. I live in Flint, Michigan, and I'm a social worker.

00:00:10:20 - 00:00:11:19

Alma S.

staying healthy?

00:00:11:19 - 00:00:15:01

Alma S.

It's important to me because I want to be here longer

00:00:15:01 - 00:00:27:02

Alma S.

and because my job entails me. Walking to so many houses. Walking for so many days is that I have to make sure I'm healthy related to what I'm eating and relating to exercise.

00:00:27:02 - 00:00:28:11

Alma S.

hello

00:00:28:11 - 00:00:33:14

Alma S.

Prior to the Blue Cross Care Management assisted me in my journey toward health.

00:00:33:14 - 00:00:35:08

Alma S.

I was very unhealthy.

00:00:35:08 - 00:00:38:06

Alma S.

I was actually 20 pounds heavier.

00:00:38:12 - 00:00:43:21

Alma S.

was tired with unmotivated, wanted to lay down and sleep most of the time.

00:00:44:14 - 00:00:46:03

Alma S.

I received a phone call.

00:00:46:15 - 00:00:56:14

Alma S.

They told me they were from Blue Cross and Blue Shield. The person with the nurse. And they indicated to me that I'm just here to help you out, to improve your health.

00:00:56:21 - 00:01:02:04

Alma S.

My care manager name is Shelly. Shelly is the best person in the world to me,

00:01:02:04 - 00:01:07:20

Shelley K.

so when I initially called Alma, she was a little reserved with me in the beginning.

00:01:08:00 - 00:01:26:04

Shelley K.

But the more we got to talk, she was telling me how much she was struggling with depression, weight loss, was trying to get on top of her diabetes, just had a lot of things going on that were really dragging her down.

00:01:26:04 - 00:01:29:18

Alma S.

Before I met Shelley, I was laying in the bed with potato chips.

00:01:29:21 - 00:01:32:19

Alma S.

She encouraged me to improve my health

00:01:33:02 - 00:01:41:06

Alma S.

So I said, okay, I'll give it a try. Even I really I didn't want to do it, but because she encouraged me to do it, I did it.

00:01:41:16 - 00:01:47:13

Alma S.

I was a person that she cared about. I was not just a job that she was doing.

00:01:47:13 - 00:01:55:19

Shelley K.

Alma has just such a great sense of humor. So it was always just a fun call and I could always count on getting a laugh out of that conversation.

00:01:56:08 - 00:01:56:23

Shelley K.

for almost

00:01:57:02 - 00:02:07:05

Shelley K.

we talked about a referral to the dietitian because she was really interested in getting control of her diabetes, lowering her A1C and losing weight.

00:02:07:13 - 00:02:23:06

Alma S.

Some of the things they encouraged me to do was to eat a more healthier meal, to also include exercise in my lifestyle and just to monitor my blood sugar levels and my blood pressure.

00:02:23:20 - 00:02:26:19

Shelley K.

we talked about what can you do to make that happen?

00:02:27:02 - 00:02:29:06

Shelley K.

So she started walking

00:02:30:07 - 00:02:36:08

Alma S.

the walking really invigorates me. It makes me feel good when I

00:02:36:10 - 00:02:38:22

Alma S.

go walking and I look forward to it.

00:02:38:22 - 00:02:43:01

Alma S.

And I also like the weight loss that you get from the walking.

00:02:43:23 - 00:02:47:07

Alma S.

and guess what? I'm driving a little bit in the summertime.

00:02:47:22 - 00:02:51:10

Shelley K.

She was walking, eating healthier.

00:02:51:11 - 00:02:56:21

Shelley K.

She just felt like a different person and had like a spring in their step.

00:02:56:21 - 00:03:04:02

Alma S.

my overall health has improved greatly from being involved with the Blue Cross and Blue Shield

00:03:04:04 - 00:03:04:22

Alma S.

program

00:03:05:10 - 00:03:13:21

Alma S.

I'm making sure I leave, work out cardio weights, walking at least four days at the week,

00:03:14:03 - 00:03:17:23

Alma S.

Now, I'm not tired. Now I'm more energetic

00:03:18:14 - 00:03:23:09

Alma S.

If I could say one thing about it, if that it was life changing for me.

00:03:23:09 - 00:03:35:01

Shelley K.

it was so cool to see how she had transformed from kind of a broken person to someone who was taking charge of their health,

00:03:35:11 - 00:03:38:14

Shelley K.

just really making herself a priority.

00:03:38:20 - 00:03:39:18

Alma S.

Shelley.

00:03:39:20 - 00:03:42:01

Alma S.

You helped me improve my life.

00:03:42:01 - 00:03:43:04

Alma S.

I want to say

00:03:43:04 - 00:03:45:07

Alma S.

you helped me, save my life

00:03:45:07 - 00:03:51:22

Alma S.

you did things that I would not have done for myself.

00:03:51:22 - 00:03:54:15

Alma S.

anything I could say to you, Shelly, that I love you

00:03:55:06 - 00:03:57:15

Alma S.

and I appreciate you and you helped me

00:03:57:15 - 00:04:00:14

Alma S.

through some of the worst times in my life.

00:04:01:14 - 00:04:12:16

Shelley K.

Thank you, Alma, for saying those very kind words. It was my pleasure to be a part of your health journey and to help you get to a better place.

View Transcript

View Transcript

00:00:05:23 - 00:00:10:20

Alma S.

Hi. My name is Alma. I live in Flint, Michigan, and I'm a social worker.

00:00:10:20 - 00:00:11:19

Alma S.

staying healthy?

00:00:11:19 - 00:00:15:01

Alma S.

It's important to me because I want to be here longer

00:00:15:01 - 00:00:27:02

Alma S.

and because my job entails me. Walking to so many houses. Walking for so many days is that I have to make sure I'm healthy related to what I'm eating and relating to exercise.

00:00:27:02 - 00:00:28:11

Alma S.

hello

00:00:28:11 - 00:00:33:14

Alma S.

Prior to the Blue Cross Care Management assisted me in my journey toward health.

00:00:33:14 - 00:00:35:08

Alma S.

I was very unhealthy.

00:00:35:08 - 00:00:38:06

Alma S.

I was actually 20 pounds heavier.

00:00:38:12 - 00:00:43:21

Alma S.

was tired with unmotivated, wanted to lay down and sleep most of the time.

00:00:44:14 - 00:00:46:03

Alma S.

I received a phone call.

00:00:46:15 - 00:00:56:14

Alma S.

They told me they were from Blue Cross and Blue Shield. The person with the nurse. And they indicated to me that I'm just here to help you out, to improve your health.

00:00:56:21 - 00:01:02:04

Alma S.

My care manager name is Shelly. Shelly is the best person in the world to me,

00:01:02:04 - 00:01:07:20

Shelley K.

so when I initially called Alma, she was a little reserved with me in the beginning.

00:01:08:00 - 00:01:26:04

Shelley K.

But the more we got to talk, she was telling me how much she was struggling with depression, weight loss, was trying to get on top of her diabetes, just had a lot of things going on that were really dragging her down.

00:01:26:04 - 00:01:29:18

Alma S.

Before I met Shelley, I was laying in the bed with potato chips.

00:01:29:21 - 00:01:32:19

Alma S.

She encouraged me to improve my health

00:01:33:02 - 00:01:41:06

Alma S.

So I said, okay, I'll give it a try. Even I really I didn't want to do it, but because she encouraged me to do it, I did it.

00:01:41:16 - 00:01:47:13

Alma S.

I was a person that she cared about. I was not just a job that she was doing.

00:01:47:13 - 00:01:55:19

Shelley K.

Alma has just such a great sense of humor. So it was always just a fun call and I could always count on getting a laugh out of that conversation.

00:01:56:08 - 00:01:56:23

Shelley K.

for almost

00:01:57:02 - 00:02:07:05

Shelley K.

we talked about a referral to the dietitian because she was really interested in getting control of her diabetes, lowering her A1C and losing weight.

00:02:07:13 - 00:02:23:06

Alma S.

Some of the things they encouraged me to do was to eat a more healthier meal, to also include exercise in my lifestyle and just to monitor my blood sugar levels and my blood pressure.

00:02:23:20 - 00:02:26:19

Shelley K.

we talked about what can you do to make that happen?

00:02:27:02 - 00:02:29:06

Shelley K.

So she started walking

00:02:30:07 - 00:02:36:08

Alma S.

the walking really invigorates me. It makes me feel good when I

00:02:36:10 - 00:02:38:22

Alma S.

go walking and I look forward to it.

00:02:38:22 - 00:02:43:01

Alma S.

And I also like the weight loss that you get from the walking.

00:02:43:23 - 00:02:47:07

Alma S.

and guess what? I'm driving a little bit in the summertime.

00:02:47:22 - 00:02:51:10

Shelley K.

She was walking, eating healthier.

00:02:51:11 - 00:02:56:21

Shelley K.

She just felt like a different person and had like a spring in their step.

00:02:56:21 - 00:03:04:02

Alma S.

my overall health has improved greatly from being involved with the Blue Cross and Blue Shield

00:03:04:04 - 00:03:04:22

Alma S.

program

00:03:05:10 - 00:03:13:21

Alma S.

I'm making sure I leave, work out cardio weights, walking at least four days at the week,

00:03:14:03 - 00:03:17:23

Alma S.

Now, I'm not tired. Now I'm more energetic

00:03:18:14 - 00:03:23:09

Alma S.

If I could say one thing about it, if that it was life changing for me.

00:03:23:09 - 00:03:35:01

Shelley K.

it was so cool to see how she had transformed from kind of a broken person to someone who was taking charge of their health,

00:03:35:11 - 00:03:38:14

Shelley K.

just really making herself a priority.

00:03:38:20 - 00:03:39:18

Alma S.

Shelley.

00:03:39:20 - 00:03:42:01

Alma S.

You helped me improve my life.

00:03:42:01 - 00:03:43:04

Alma S.

I want to say

00:03:43:04 - 00:03:45:07

Alma S.

you helped me, save my life

00:03:45:07 - 00:03:51:22

Alma S.

you did things that I would not have done for myself.

00:03:51:22 - 00:03:54:15

Alma S.

anything I could say to you, Shelly, that I love you

00:03:55:06 - 00:03:57:15

Alma S.

and I appreciate you and you helped me

00:03:57:15 - 00:04:00:14

Alma S.

through some of the worst times in my life.

00:04:01:14 - 00:04:12:16

Shelley K.

Thank you, Alma, for saying those very kind words. It was my pleasure to be a part of your health journey and to help you get to a better place.

We're ready to help

Managing the everyday care needs for a chronic condition can be challenging, so Blue Cross Coordinated Care is here to help. This care management program from Blue Cross Blue Shield of Michigan offers easy-to-use tools and provides help for your employees and covered family members to stay on track with their doctor’s care plan and make achievable lifestyle changes to improve their health.

Currently, 90% of the nation’s health care spending goes toward chronic and mental and behavioral health conditions — about $4.1 trillion. And compared with their counterparts, employees who have chronic diseases and unhealthy lifestyle behaviors have higher medical costs and miss more workdays. Blue Cross Coordinated Care helps employees mange chronic health concerns, leading to lower health care costs and healthier outcomes.

Blue Cross Coordinated Care Core

Coordinated Care Core is the cornerstone 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.

Core includes:

  • A holistic, member-centric approach to member support
  • Comprehensive support across medical, behavioral, pharmaceutical and social needs
  • Coordination with local providers and community resources
  • An easy-to-use app to help employees get answers for all their questions
  • Enhanced analytics to identify and prioritize the most impactable members

Ready to learn more?

Coordinated Care Core

Proven outcomes

The program delivers proven clinical outcomes:

  • 84% of program participants see a primary care provider (22% higher than members who don’t participate in care management)
  • 20% of program participants avoid emergency room visits (12% lower than members who don’t participate in care management)
  • 25% of care gaps are closed for program participants program (11% higher than members who don’t participate in care management)
Person being examined by physician with stethoscope
A health care provider showing a patient declining costs on a chart

Cost savings

Blue Cross Coordinated Care delivers proven cost savings, impacting the total cost of care for chronic conditions with:

  • Savings of approximately $3,127 per managed member
  • 16%-19% reduction in medical spending for managed members
  • 25% reduction in spending on inpatient hospital admissions
  • 32% reduction in inpatient hospital admissions
  • Two times reduction in high-risk maternity admissions
84%
Engagement rate
93%
Member satisfaction rate
59%
Care gaps closed

Expanded care management options

In addition to Core, Blue Cross Coordinated Care offers an expanded portfolio designed to meet the needs of you and your employees, allowing you to create a tailored approach to reduce costs and meet your employee's chronic health needs.

Required Contracts

Enhanced    

300+        

Advocate

300+

Advocate Plus

1000+

High dollar threshold for claimant reviews

Enhanced    

$100,000

Advocate

$75,000

Advocate Plus

$50,000

Focused targeting on specific cost drivers

Enhanced    

✔️

Advocate

✔️

Advocate Plus

✔️

Personalized recommendations using eligible benefits, programs, providers and resources

Enhanced    

✔️

Advocate

✔️

Advocate Plus

✔️

Member engagement guarantee

Enhanced    

✔️

Advocate

✔️

Advocate Plus

✔️

Enhanced reporting with reports provide quarterly

Enhanced    

✔️

Advocate

✔️

Advocate Plus

✔️

Discharge support for all acute admissions

Enhanced    

N/A

Advocate

✔️

Advocate Plus

✔️

Customized virtual education content

Enhanced    

N/A

Advocate

✔️

Advocate Plus

✔️

One-on-one support from advocates

Enhanced    

N/A

Advocate

✔️

Advocate Plus

✔️

Digital self-servicing for proactive recommendations using our member resource center

Enhanced    

N/A

Advocate

✔️

Advocate Plus

✔️

Data integration with non-Blue vendors

Enhanced    

N/A

Advocate

✔️

Advocate Plus

✔️

Personalized servicing for all your employees by a dedicated team

Enhanced    

N/A

Advocate

N/A

Advocate Plus

✔️

Customized cultural training

Enhanced    

N/A

Advocate

N/A

Advocate Plus

✔️

Customized virtual self-management education

Enhanced    

N/A

Advocate

N/A

Advocate Plus

✔️

Personalized recommendations based on data insights so employees can improve their health and optimize benefits

Enhanced    

N/A

Advocate

N/A

Advocate Plus

✔️

Program details

Enhanced    

Learn more about Enhanced

Advocate

Learn more about Advocate

Advocate Plus

Learn more about Advocate Plus

300+         300+ 1000+

$100,000 $75,000 $50,000

✔️ ✔️ ✔️

✔️ ✔️ ✔️

✔️ ✔️ ✔️

✔️ ✔️ ✔️

N/A ✔️ ✔️

N/A ✔️ ✔️

N/A ✔️ ✔️

N/A ✔️ ✔️

N/A ✔️ ✔️

N/A N/A ✔️

N/A N/A ✔️

N/A N/A ✔️

N/A N/A ✔️

Learn more about Enhanced Learn more about Advocate Learn more about Advocate Plus

A portfolio powered by technology

Blue Cross Coordinated Care is powered by advanced technology to deliver your employees a streamlined, personalized experience.

  • Member Snapshot - The Member Snapshot provides Blue Cross with a comprehensive, personalized view of each member using a cloud-based data and informatics infrastructure.
  • Advanced Analytics - Advanced analytics generate proactive recommendations based on care gaps and other advocacy and health care journeys.
  • BCBSM Coordinated Care App - Offers personalized recommendations, simple connections to care teams and curated health and benefit content to support your employees’ needs.
  • Integrated Suite of Digital Tools - Our integrated suite of digital tools, through a Blue Cross member account at bcbsm.com and the Blue Cross mobile app, allow users to search for health care providers, review their benefits, estimate costs and research sites of care.

Have questions about Coordinated Care?

To learn more about the Coordinated Care Portfolio and how it could benefit your company, reach out to your Blue Cross representative today or visit our frequently asked questions.

Contact us Frequently asked questions