Care delivered the way each member prefers: “anytime, anywhere” care
A wider view of care that includes genetics, social factors, and behavioral healthcare needs
High-tech, high-touch support
Tools that enable a simpler care and coverage experience for members
A focus on sick care:
A reactive system in which doctors only spend an average of 7 minutes with each patient
Behavioral health “otherized”:
Mental health care not integrated into health plans; limited treatment options
Rising drug prices:
Runaway drug costs force patients to ration medications or even skip treatment
Opaque payment processes:
Patients often don’t know what they owe at the time of service; the payment process is slow
Whole-person anytime, anywhere care:
A proactive, modern ecosystem in which doctors and patients view health holistically and share decision-making; care options include virtual appointments, community resources, and in-home care
Embedded behavioral health care:
Behavioral health is built into plans alongside primary care; more treatment options
Drugs prices controlled through price transparency tools, direct contracting, and more
Simpler payment processes:
Bundled payments so providers and patients can focus on care; retail-like checkout and more
Jose Herrera: I'm still having on my mind the idea that I'm going to make it, and God's going to help me to have my transplant. That's why I'm motivated to keep fighting.
My name is Jose Herrera. I'm 54 years old. I have a terminal disease that he calls pulmonary fibrosis. I don't have good days anymore. I have bad days and real bad days. I met Denise at the clinic. My doctor introduced me with them. I wasn't expecting her to come to my house to the following day, and she showed up.
Denise Oliva: There were resources that I knew that he could obtain that would be useful and make his life a lot easier. Jose's wife, Susanna, was unaware that she could receive paid family leave.
Susanna: [foreign language].
Denise Oliva: It helped them not deplete their savings. Our goal is to get him to obtain a lung transplant, and in order to do so, he has to be at a certain weight. So I immediately knew to link him with Project Angel Food. It's a meal delivery system that provides meals to individuals with certain health conditions.
Jose Herrera: Since then, I've been losing 13 pounds.
Susanna: [foreign language].
Jose Herrera: When you visit a doctor, you're talking to a professional that is training to do his work. When you meet people like Denise, you can feel like a family, like a person you can hug.
Denise Oliva: The better rapport that we have, the more we can coach them into being more independent and become advocates for themselves, as well.
Jose Herrera: I'm still around. I'm still alive, so I'm not worried. I'm not going to stop here. I'm going to be fighting.
For providers: Blue Shield pays claims upfront
For providers: automation means less paperwork
For patients: consolidated, real-time view of bills
For patients: choice in payment type and timing, including 0% payment plans and pay by text