Decreasing The Cost Of Health Care, Increasing The Quality: Nation's Fourth Largest Health Insurer Completes Successful Launch Of Collaborative Care System For Its Blue Cross And Blue Shield Plans In Illinois, New Mexico, Oklahoma And Texas
Health Care Service Corporation creates care management model to integrate and analyze medical data, pinpoint cost-saving prevention and intervention treatment opportunities to optimize member health
June 27, 2007
CHICAGO — Health Care Service Corporation (HCSC), which operates the Blue Cross and Blue Shield plans in Illinois, New Mexico, Oklahoma and Texas, today announced the successful completion of its multi-state collaborative care management system that the insurer is counting on to serve as a model for solving some of health care's thorniest problems. The immediate goal: to improve the quality of health care delivered to health plan members and reduce the amount of spending tied to inefficient and ineffective delivery of care. The long-term payoff: increasing consumer control over personal health and out-of-pocket health care costs, and reducing medically unnecessary spending so that health insurance premiums can be made more affordable.
Known as Blue Care Connection, the collaborative care system is designed to apply a comprehensive set of medically established clinical rules and protocols to a compilation of claims data, health care provider records and self-reported patient information, and then identify best-practice intervention and prevention treatment opportunities. The health insurer also hopes to reduce redundancies in care and recognize best outcomes among physicians to encourage an optimum level of care throughout the health care system.
Health Care Service Corporation
Health Care Service Corporation, a Mutual Legal Reserve Company, is the largest non-investor-owned health insurer in the United States and the fourth largest health insurer in the country overall, with 11.5 million members in its Blue Cross and Blue Shield plans in Illinois, New Mexico, Oklahoma and Texas. HCSC has a rating of AA– from Standard and Poor’s, A2 from Moody’s and A+ from A.M. Best Co. HCSC is an independent licensee of the Blue Cross and Blue Shield Association.
