BCBST Value Story
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Transcript of BCBST Value Story
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
2010 1
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
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
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
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
Broad Network AccessFrom Tennessee to the World
2010 5
NationalNational
GlobalGlobal
LocalLocal
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
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
2010 7
NationalNational
GlobalGlobal
LocalLocal
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
2010 8
GlobalGlobal BlueCard® PPO
Worldwide Program
7,000 providers
1,000 hospitals
178 countries
LocalLocal
NationalNational
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
2010 9
The Valueof Blue SOLUTIONS
Making a 360°Impact
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
Impact at Every Touchpoint
2010 10
Providers
Community
Home & WorkplaceMembers | Employers | Brokers
Financial Impact | Social Engagement
Provider Collaboration | Cost and Quality Transparency |Quality-Based Compensation
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
Impact at Every Touchpoint
2010 11
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
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
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
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
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
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
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
2010 16
The Valueof Blue Employers
Superior service and efficiencies
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
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
04/11/23 18
The Valueof Blue Brokers
Supporting ease of business
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
Impact at Every Touchpoint
2010 19
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
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
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
04/11/23 21
Direct and Indirect Business
Value Impact
Based on Commissioned StudyBased on Commissioned Study
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
Impact at Every Touchpoint
2010 22
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
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
$7.5 MillionTo Over 400 Charitable Organizations
2010 23
*2008*2008
Access and Uninsured
20%
Disease Managementand Prevention
23%
Education Disparities and Diversity
36%
Economic and Community
Development21%
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
Promoting Better Health
04/11/23 24
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
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
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
04/11/23 26
The Valueof Blue Providers
Collaborative initiatives and support
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
An Impact at Every Touchpoint
2010 27
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
The Valueof Blue
LVS© BlueCross BlueShield of Tennessee 2010. All rights reserved. Proprietary and Confidential information.
2010 28
The Valueof Blue Solutions
Plans for better health. Plans for a better life.®