Blue Cross and Blue Shield of Minnesota has chosen to implement the Collaborative Care Management platform from MEDecision, a Pennsylvania provider of software, services and clinical content to health care payers, in order to strengthen its case management and utilization management functions.
The largest health plan in the state, BCBSMN covers 2.7 million Minnesotans through its health plans or plans administered by its affiliated companies. In 2003 they were one of the first in the country to offer consumer-directed health plans.
MEDecision's Collaborative Care Management platform offers resources to optimize data analysis, apply clinical rules, automate workflow processes and electronically connect patients, payers and providers to give each a shared view of a patient’s current and historic medical information. This will serve to better help BCBSMN in maintaining the challenges of lowering their costs, improving medical outcomes, increasing quality of care and enhancing their relationships with members.
There are three solutions in MEDecision's Collaborative Care Management platform: data gathering and analytics, enabling payers to create the right programs to target the right members and provide the appropriate feedback to providers; advanced medical management and clinical rules and processes, which allows payers to manage their population across the continuum of care and assess the clinical and financial outcomes of care management programs; and the collaborative data exchange, which electronically links payers, physicians, hospitals and other healthcare professionals to a common patient view and customized patient summary reports.
"We are delighted to have this opportunity to join forces with such a well-respected health plan," said MEDecision president and chief operating officer John H. Capobianco in a recent press release. "We believe our core case management and health information exchange offerings will be key in helping BCBSMN advance its case and utilization management services."