Monday, May 03, 2010

#whccic Jim Gallagher BCBSRI Bridging the Customer/Consumer Divide

Real time notes from WHCC Innovation Congress

In Rhode Island BCBSRI have identified a number of consumer segments

Cost shifting to consumers is reaching a plateau.

Value-based benefits are being looked to in order to lower future costs.

Value-based benefits are not a cost containment strategy. They are a long term prevention strategy.

Benefit Design needs to be matched to the different consumer segments. eg. Healthy at Risk v Chronic v Complex.

Value-Based Benefits need strong employer participation.

BCBSRI has an account management structure for employer accounts that coordinates between Retention, renewal and service management functions.

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