A Blue Cross and Blue Shield Association Presentation Consumers Take Center Stage 2007 Health Leaders Forum Federal Reserve Bank of Chicago and Regional Chamber Detroit, Michigan 2007 Detroit April 24, Scott P. Serota President & CEO
Agenda The Blues Consumers Take Center Stage Building a Better System Meet Meredith 2 270098
The Blues are the strongest Brand in healthcare across America #1 Brand Solid Financials Record Enrollment Quality Provider Networks 3 270098
Blues Enrollment Customers (in millions) Blues member enrollment is at an all-time record high 4 270098
International Markets Extending the Brand into high-profile international markets • Blue. Card Worldwide offers U. S. customers access to medical assistance worldwide • 7, 000 physicians in 200 countries • 850 hospitals in 84 countries • Blue. Worldwide Expat provides specialized insurance product for expatriates • 100+ accounts • 700 lives • Blue Brands licensed to independent companies in 50 countries in Europe, Central America and South America • 5. 5 million international subscribers 5 270098
Agenda The Blues Consumers Take Center Stage Building a Better System Meet Meredith 6 270098
A New Healthcare Model for the Future A true consumer-centric healthcare system for the future should clearly focus on the wants and needs of consumers Current Model Provider Future Model Consumer Employer Payer Government 7 270098
Shaping a Future Healthcare Model With more than 75 million lives, BHI leads in data scope and depth and is helping shape a future healthcare delivery model • Shaping new care delivery model – Partner with providers on outcomes and care patterns – Robust information for consumer decision-making – Support policy development • State-of-the-art informatics – Precise data – More statistically valid measures – Benchmark data across geographies 8 270098
Serving Consumer Healthcare Financial Needs Bank supports new Consumer-Directed Health Plans and HSAs, offering consumers integrated and easy-to-use service • Support growing number of Blue Plan CDHPs and HSAs • Easy-to-use, seamless and fully integrated consumer service • Simplify healthcare spending • Full line of financial services • Chartered to serve all 50 states 9 270098
Agenda The Blues Consumers Take Center Stage Building a Better System Meet Meredith 10 270098
Better Knowledge for Healthier Lives Helping consumers make more informed decisions while helping providers improve health outcomes and affordability Engaging consumers to enable more informed healthcare decisions Collaborating with providers to improve quality outcomes and affordability 11 270098
Collaborating with Providers to Raise Standards Raise standards, ensure more consistent quality care Primary Care Medicine Specialty Care Medicine Surgical Care Other Organizations 12 270098
Higher Standards Mean Better Care Specialty Care Centers focus on most challenging conditions • Bariatric surgery • Cardiac care • Transplants • Cancer care Developed in close collaboration with leading medical providers and specialty organizations 13 270098
Centers for Specialty Care: Transplant There are 70 evidence-based Blue Distinction Centers for Transplants in local communities nationwide Blue Distinction Centers for Transplants 14 270098
Centers for Specialty Care: Bariatric Surgery … and 125 Blue Distinction Centers for Bariatric Surgery Blue Distinction Centers for Transplants Blue Distinction Centers for Bariatric Surgery 15 270098
Centers for Specialty Care: Cardiac Care … and 375 Blue Distinction Centers for Cardiac Care Blue Distinction Centers for Transplants Blue Distinction Centers for Bariatric Surgery Blue Distinction Centers for Cardiac Care 16 270098
Higher Standards Yield Better Care Short-Term Major Complications for Bariatric Surgery Inpatient Mortality (Heart Attack) SM SM Mean Maximum 17 270098
Investing in Patient Quality and Safety Example: Partnership with Institute for Healthcare Improvement • Blues contributed $5 M to “ 5 Million Lives” campaign • Campaign aims to protect five million lives through: – Proven infection control practices – Evidence-based practices for congestive heart failure – Deployment of rapid response teams – Reduction of adverse drug events 18 270098
Agenda The Blues Consumers Take Center Stage Building a Better System Meet Meredith 19 270098
Meet Meredith is confronting several serious health problems • “I weigh more than I should” • “I have a family history of heart disease” • “My doctor just told me I need a coronary bypass” 20 270098
Meredith’s Dilemma A few years ago, Meredith would have had limited options for help in deciding what to do about her health problems • Get advice from friends • Ask her doctor for recommendations 21 270098
More Options Today With programs like Blue Distinction, Meredith has access to more pertinent information to make informed decisions • Compare bypass centers • Identify success criteria of several hospitals for treating heart disease • Manage costs while seeking best possible care • Connect with and learn from the experiences of other bypass patients 22 270098
More Useful Consumer Tools on the Horizon Meredith and other consumers like her are helping shape healthcare decision-making tools to enhance transparency • Market testing with hundreds of employees of Fortune 100 companies nationwide • Testing a broad range of cost and quality measures • Identifying consumer preferences for display design • Measuring impact on consumer decision-making 23 270098
Simplifying Information for Meredith Offer consumers valuable information that is easy to use Accessible logistical information Benchmarks and thresholds Note: this picture is hypothetical and strictly for illustrative purposes Care-specific clinical quality metrics Robust patient satisfaction data 24 270098
Personal Health Records for Consumers Collaborating with stakeholders to create consumer PHRs Blue Cross and Blue Shield Companies Plan PHRs for 2008 25 270098
In the Future, Consumers Are Center Stage Picture a consumer-centric, information-driven system Consumer Health Plans Physicians Rx Pharmacy Financial services / tools Labs Other Providers (e. g. care managers) Health and Wellness Hospitals 26 270098
A Blue Cross and Blue Shield Association Presentation Consumers Take Center Stage 2007 Health Leaders Forum Federal Reserve Bank of Chicago and Regional Chamber Detroit, Michigan 2007 Detroit April 24, Scott P. Serota President & CEO
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