BCBST Value Story

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The Value of Blue LVS © BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information. 2010 1

Transcript of BCBST Value Story

Page 1: BCBST Value Story

The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

2010 1

Page 2: BCBST Value Story

The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

2010 2

The Valueof Blue PRODUCTS

Flexible, affordable plans

Page 3: BCBST Value Story

The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

2010 3

*Specialty Products, other than DentalBlue and VisionBlue, are not insured by BlueCross BlueShield of Tennessee.*Specialty Products, other than DentalBlue and VisionBlue, are not insured by BlueCross BlueShield of Tennessee.

Medical

Flexible Plan Options to Support All Groups

Specialty

Traditional and Voluntary

Value-BasedBenefit Plans

Page 4: BCBST Value Story

The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

2010 4

The Valueof Blue NETWORKS

Unmatched access and discounts

Page 5: BCBST Value Story

The Valueof Blue

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Broad Network AccessFrom Tennessee to the World

2010 5

NationalNational

GlobalGlobal

LocalLocal

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The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

As Market Leader, We ProvideBroadest Access and Deepest Discounts

2010 6

LocalLocal Two network options

(Networks P and S)

19,000 physicians

150 hospitals

2,200 dentists

1,500 pharmacies

54% average discount (Physician and Hospital)

NationalNational

GlobalGlobal

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The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

BlueCard® PPO

896,400 providers

5,350 hospitals

51% discount average

1,600 designated centers

46 states

Out-of-State Members Join 1-in-3 Americans With a BlueCross BlueShield Health Plan

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NationalNational

GlobalGlobal

LocalLocal

Page 8: BCBST Value Story

The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

Global Service and Care Expected from BlueCross BlueShield of Tennessee

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GlobalGlobal BlueCard® PPO

Worldwide Program

7,000 providers

1,000 hospitals

178 countries

LocalLocal

NationalNational

Page 9: BCBST Value Story

The Valueof Blue

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2010 9

The Valueof Blue SOLUTIONS

Making a 360°Impact

Page 10: BCBST Value Story

The Valueof Blue

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Impact at Every Touchpoint

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Providers

Community

Home & WorkplaceMembers | Employers | Brokers

Financial Impact | Social Engagement

Provider Collaboration | Cost and Quality Transparency |Quality-Based Compensation

Page 11: BCBST Value Story

The Valueof Blue

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Impact at Every Touchpoint

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Equipping Brokers

Supporting Employers

Engaging MembersWhole-person, whole-family approach to help navigate the healthcare system and empower Well+Wise consumers

Exceptional service delivery to ensure plan adoption and long-term satisfaction

Resources and consultation to help maximize your revenue and minimize your overhead

Page 12: BCBST Value Story

The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

2010 12

The Valueof Blue Members

Driving 100%, All-In Engagement

Page 13: BCBST Value Story

The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

Impact at Every Touchpoint

04/11/23 13

Engaging Members

Health behavior has twice the impact on health than genetics. It’s the No. 1 influence on health today

Preventable illness accounts for 90% of the cost of care – yet only 5% of spending is on preventive care

Consider 100 employees, each with three health

risks. Removing one risk factor per employee saves

up to $149,400 in lost productivity

Page 14: BCBST Value Story

The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

Impact at Every Touchpoint

04/11/23 14

Engaging Members

Whole-person, whole-family approach to help members navigate the healthcare system and become Well+Wise consumers through:

Better guidance and education

Better support for wellness and lifestyle health needs

Better solutions for chronic condition care

Page 15: BCBST Value Story

The Valueof Blue

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2010 15

Impact at Every Touchpoint

Health Coaching

Incentives & Rewards

Integrated Care Coordination

BluePerks

ConsumerCoaches

24/7/365Nurseline

Online Decision Support Tools

Wellness & Lifestyle Support

PreventiveReminders

BiometricScreenings

BlueAccessMember Portal

PersonalHealth Analysis

Page 16: BCBST Value Story

The Valueof Blue

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2010 16

The Valueof Blue Employers

Superior service and efficiencies

Page 17: BCBST Value Story

The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

Impact at Every Touchpoint

2010 17

Supporting Employers

Exceptional service delivery to ensure plan adoption and long-term satisfaction

Superior claims and member services

Enrollment and billing options, including eCheck

Flexible reporting options

Well+Wise® 100% all-in approach to educate, activate and incent better health

BlueAccess for Employers with online Resource Center

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The Valueof Blue

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04/11/23 18

The Valueof Blue Brokers

Supporting ease of business

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The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

Impact at Every Touchpoint

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Equipping BrokersResources and consultation that provides unique time- and cost-saving opportunities:

Local sales and account management

Single Point of Contact support

Consumer Coaches for CDHC expertise

Broker Seminars for CE Accreditation

BlueAccess personalized Broker portal with

online Resource Center

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The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

2010 20

The Valueof Blue Communities

Supporting healthier lives and lifestyles

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The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

Strong Economic Impact on Tennessee

Local, State andFederal Taxes

$7.5Million

Charitable Contributions

$136Million

$1.34Billion

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Direct and Indirect Business

Value Impact

Based on Commissioned StudyBased on Commissioned Study

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The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

Impact at Every Touchpoint

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Supporting Better Health and Patient Outcomes

Giving Back to Communities, Charities and OrganizationsSupporting Tennessee through charitable giving and volunteer programs to create positive change in our communities across the state

Creating a healthier Tennessee by encouraging better health and healthy living through program funding, research, sponsorships and grants

Page 23: BCBST Value Story

The Valueof Blue

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$7.5 MillionTo Over 400 Charitable Organizations

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*2008*2008

Access and Uninsured

20%

Disease Managementand Prevention

23%

Education Disparities and Diversity

36%

Economic and Community

Development21%

Page 24: BCBST Value Story

The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

Promoting Better Health

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Patient and Hospital Safety

Addressing Childhood Obesity

Reducing Infant MortalityMemphis Blues Project | Telemedicine | Girls, Inc.IMPACT Program | Vanderbilt Preterm Research

WalkingWorks for Schools | Born to Move | Good Health Club Physicians’ Toolkit

Tennessee Center for Patient Safety | Tennessee Surgical Quality Collaborative | Better Health Outcomes for Tennessee

Page 25: BCBST Value Story

The Valueof Blue

LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.

Promoting Healthy Lifestyles

04/11/23 25

BlueCross Spring Fling

BlueCross Bowl

Tennessee Senior Olympics4,000 athletes | annual event | 30 years of competition |

1,600 athletes | 56,000 spectators | 300,000 TV viewers

4,500 athletes | 38,000 spectators

Page 26: BCBST Value Story

The Valueof Blue

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04/11/23 26

The Valueof Blue Providers

Collaborative initiatives and support

Page 27: BCBST Value Story

The Valueof Blue

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An Impact at Every Touchpoint

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Quality-Based Compensation

Cost and Quality Transparency

Provider CollaborationLocal Network Management | Clinical Health Records | E-Prescribing | Patient-Centered Medical Home

Decision-Support Tools | Quality Measures | Blue Distinction Centers® | Real-Time Claims Adjudication

Pay-for-Performance | Practice Pattern Analysis | HEDIS Measures | Patient Safety and Satisfaction | Hospital Outcomes

Page 28: BCBST Value Story

The Valueof Blue

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2010 28

The Valueof Blue Solutions

Plans for better health. Plans for a better life.®