Blue Cross Receives Disease Management Awards


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February 10, 2009

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Jean Miller
651.662.6479 

EAGAN - Blue Cross and Blue Shield of Minnesota has received three awards for excellence from the Disease Management Purchasing Consortium, manager of the largest database of vendored disease management programs. The awards are in recognition of Blue Cross' performance in achieving cost savings and reducing adverse health events for its members. Blue Cross' disease management efforts improved quality of care in:

  • diabetes
  • asthma
  • congestive heart failure
  • coronary artery disease

The disease management awards recognized:

  • commitment to achievement of validly measured outcomes in common chronic conditions, including coronary artery disease, congestive heart failure and diabetes
  • outstanding performance in achieving the lowest chronic disease adverse event rate among Blue Cross Plans in a commercial population
  • achieving the greatest reduction in adverse events from 2004-2007

Al Lewis, founder and President of Disease Management Purchasing Consortium International, Inc. said, "Blue Cross' disease management programs are improving chronic disease outcomes for purchasers and their members. Blue Cross is working to prevent disease from progressing, and their efforts are succeeding in reducing adverse events. This is essential work if we are to change our health care system to be more efficient and effective."

"Blue Cross was able to help people become more involved in their health and actually change results by reaching out to those needing help achieving their goals," said Dr. David W. Plocher, chief medical officer at Blue Cross. Dr. Plocher was recently recognized as a national leader in disease management by Managed Healthcare Executive magazine. "Blue Cross is honored to be recognized by the Disease Management Purchasing Consortium for our commitment to members' health improvement."

"For every dollar we invested in health improvement, we saw a return of approximately $2. Our new Whole Person Health Support program is our latest innovation in improving member health. It's designed so that one team of dedicated nurses handles the full range of health challenges: prevention, episodic and chronic conditions and catastrophic illness care. Our members have no interruption in continuity--no duplications or handoffs from case management to disease management. It's a single point of contact."

A key tool in the program is a "living database" which is created by linking multiple sources of information. Member profiles in the living database contain claims, benefits and pharmacy data, as well as information from providers and the members themselves. "Pooling all of these inputs gives us the most timely, relevant set of information available to identify members who need help with their conditions," stated Dr. Plocher.

About Blue Cross and Blue Shield of Minnesota
Blue Cross and Blue Shield of Minnesota, with headquarters in the St. Paul suburb of Eagan, was chartered in 1933 as Minnesota's first health plan and continues to carry out its charter mission today: to promote a wider, more economical and timely availability of health services for the people of Minnesota. A nonprofit, taxable organization, Blue Cross is the largest health plan based in Minnesota, covering 2.9 million members in Minnesota and nationally through its health plans or plans administered by its affiliated companies. Blue Cross and Blue Shield of Minnesota is an independent licensee of the Blue Cross and Blue Shield Association, headquartered in Chicago. Go to bluecrossmn.com to learn more about Blue Cross and Blue Shield of Minnesota.

About Disease Management Purchasing Consortium Inc. (DMPC)
DMPC is the leading procurement/measurement consulting firm in the disease management field. More than two hundred individuals and organizations have applied for a DMPC Certification for measurement, and thirty payor organizations have received Certification in Savings Measurement Validity. The DMPC Outcomes Benchmarking Database is the largest in the DM field, encompassing 31 health plans, states and employers covering 30-million lives. Some of its findings are being published in The Journal of Population Health Management and the forthcoming book edited by DMPC founder Al Lewis, The Future of Disease Management. More information, including a complete list of DMPC-Certified organizations and individuals, is at www.dismgmt.com.  



 

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