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Innovative Partner: BlueHealth Solutions for Your Clients

No two people approach health the same, so today’s organizations need more than just a health insurance provider. And with our Health and Wellness program, we’re your partner in health and wellness, offering award-winning data analytics and real-time referrals to identify the members who benefit most from clinical or coaching support. Watch this video to learn more how we can help fuel meaningful health improvements within your clients’ organizations.


Solutions for Everyone

BlueHealth Solutions’ total population health management approach is based on a whole-person, member-centric model of care. With a focus on “Every Member, Every Day,” we provide a personal level of support to each member wherever they are on the health continuum.

We offer flexible strategies that let members manage conditions and overcome barriers to health and wellness. We provide support for all health needs—from members who just need help making healthier choices to those facing complex, catastrophic illnesses.

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Care Management

Our care managers assess company's health risks and needs in order to develop and implement appropriate care plans and advise them on health maintenance and disease prevention.

Disease Management

Our whole-person approach personalizes support and guidance for members with chronic conditions.

High-Risk Maternity Management

We provide support for women who need special care for complicated pregnancies.

NICU Babies Management

This program addresses the needs of premature and newborns with medically complex issues through the baby’s first birthday.

Musculoskeletal Care

We offer solutions for improving the quality of care being delivered to members with painful spine and joint conditions, while reducing overall costs.

Transplant Management

We offer assistance and coordination of quality care for organ transplant recipients.

Targeted Care Campaigns

Members with chronic conditions get special attention. Our targeted outreach encourages them to close gaps in care for their conditions with interaction through email, mail, phone or text.

Pharmacy Care Management

Prescriptions can be one of the largest expenses for a company's employees. We offer programs to help improve safety, drug compliance and health outcomes while reducing costs.

Utilization Management

This program ensures members receive timely, cost-effective care when and where it’s needed.

Rare Disease Management

We provide support and guidance upon diagnosis of a rare disease. Members with our pharmacy benefit have access to our preferred specialty pharmacy network that offers additional support and guidance from nurses and pharmacists specially trained in medication therapy management for patients with rare diseases.

High-Tech Imaging

When diagnostic tests are needed to help diagnose a condition, we will ensure the use of those tests is effective and that members receive the right amount of care.

Transition of Care

We offer support to members if they need to move from an acute care facility to another appropriate setting.

Lifestyle Coaching

Personal health coaching educates and guides members in setting and reaching goals for topics like blood pressure, cholesterol, nutrition, physical activity, stress management, tobacco cessation and weight management.

For more information reach out to your BlueCross broker or account executive – or give us a call at (888) 924-2204.