Blue Shield of California
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Why Blue Shield of California Is Shaking Up its Prescription Drug Model
Blue Shield of California is cutting many of its ties with CVS Caremark (though not all) and adding four additional partners for its prescription drug benefits. These partners include Mark Cuban Cost Plus Drug Company and Amazon Pharmacy. The changes are needed to disrupt the current broken system, said Salina Wong, senior director of clinical pharmacy programs at Blue Shield of California.
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Payer’s Place: Peter Long, Blue Shield of California
Peter Long of Blue Shield of California discusses how they focus on member experience and ways to improve their overall healthcare needs.
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Payer’s Place: Dawn Maroney
Dawn Maroney, President, Markets of Alignment Health and CEO of Alignment Health Plan, to discuss how they are using technology to provide better service and care to consumers.
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Consumer / Employer, Health Tech
Healthcare Moves: A Monthly Summary of Hires and Layoffs
Here is a selection of recent executive hires, exits, promotions and layoffs occurring across the healthcare industry.
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MedCity Pivot: Blue Shield of California CEO Says Value of HealthTech Has Been Mixed So Far
Paul Markovich believes in the value of health tech in managing both chronic diseases and in general health and wellness. In this episode, he talks about the company’s Wellvolution platform and the digital tools that are offered there to members, now even to those on Medicaid.
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Why Blue Shield of California Made Its Wellvolution Platform Available to Medi-Cal Members
Blue Shield of California’s Wellvolution platform includes programs for mental health, diabetes reversal, addiction and nutrition. Last month, the payer made the platform available to its Medi-Cal members, a process that took two years.
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Blue Shield of California Adds Virta Health to Network for Diabetes Care
Virta is available this month to all Blue Shield of California members enrolled in preferred provider organization plans for individual and family, fully insured, self funded and Medicare Advantage. The payer has been working with Virta since 2019 when the digital health company joined Blue Shield of California’s Wellvolution, a platform of digital lifestyle apps.
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Blue Shield of California Launches ‘Virtual First’ Health Plan With Accolade, TeleMed2U
Blue Shield of California’s new health plan, Virtual Blue, gives members virtual access to primary care through Accolade and virtual access to specialty care through TeleMed2U. If needed, they can also receive in-person care through the payer’s PPO network.
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Artificial Intelligence, Health Tech, Payers
Blue Shield of California, Google Cloud to develop real-time claims processing platform
The companies will build their claims processing platform on Google Cloud’s infrastructure, leveraging artificial intelligence and machine learning capabilities. The goal of the collaboration is to improve patient and provider experience and reduce spending on administrative processes.
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Startups, Health Services, Health Tech, Payers
Insurers back kidney care startup Cricket in $83.5M round
Cigna Ventures and Blue Shield of California contributed to a funding round for Cricket Health, a startup that provides services to help patients identify chronic kidney disease and get support in treatment. The investment was led by Valtruis, a firm that invests in value-based care companies.
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Applying Remote Patient Monitoring to Surgery Prep and Recovery, Oncology and Women’s Health
Join us to learn about the latest trends in remote monitoring and how to extend its benefits beyond chronic conditions to more patients – all while using fewer staff resources.
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Health IT, Health Tech, Payers
California insurer rolls out Covid-19 triage tool
Blue Shield of California is partnering with digital health startup GYANT to roll out Covid-19 screening tools to hospitals in its network for free. Hospitals can deploy the tool on their websites, without having to integrate it with their health record systems.
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Health Services, Health Tech, Payers
Blue Shield of California makes Teladoc visits free
Blue Shield of California is waiving out-of-pocket costs for members accessing telehealth services through Teladoc. The change will apply to members of its commercial plans.
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Health Tech, Patient Engagement, Payers
Benefits platform Accolade files for IPO
Accolade, a platform designed to boost employee engagement with their health benefits, filed preliminary paperwork for an IPO. The company plans to be listed on Nasdaq as ACCD
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Blue Shield of California launches marketplace with a new approach to wellness
“We realized that that the old way of doing things – which was identifying a single point solution and putting that out to members – wasn’t going to work,” said Bryce Williams, Blue Shield of California’s vice president of lifestyle medicine.
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How Blue Shield of California helped cut its members’ opioid use by more than half
Recently, the San Francisco-based health plan reported positive results that showed a 56 percent reduction in overall opioid use among members with chronic, non-cancer pain from 2014 levels.
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Rock Health survey reveals pitfalls for digital health CEOs and how to navigate them
A report from Rock Health on streamlining enterprise sales in digital health found that more than half of CEOs (54 percent) admitted to doing “very little” or just “moderate” research on the would-be customers they pitched. Cue facepalm.
Promoted
Payer’s Place: Dr. Anil Singh
Dr. Anil Singh shares his insights into the strategies employed by the organization to identify the most effective digital solutions for their members.
Promoted
Discover the Next-Gen Platform for Integrated Collaborative Care
Beyond EHRs and digital front doors, reducing the gaps in patient care journeys.
