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City of Melbourne   Capabilities Presentation Scott Chapman Public Sector January 17, 2008
Points for Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Leader in Employee Benefit Solutions for Florida Municipalities  Over 100 Florida Municipalities choose BCBSF  Average tenure - 10.3 years Okaloosa Holmes Washington Walton Wakulla Flagler Volusia Bradford Columbia Union Lafayette Jefferson Taylor Hamilton Suwannee Hernando Sumter Sarasota Okeechobee St. Johns Indian  River Highlands Glades Nassau Gadsden Calhoun Gilchrist Lake Bay Alachua Citrus DeSoto Dixie Hendry Jackson Levy Madison Marion Martin Pasco Polk Lee Santa  Rosa Franklin Manatee Leon Gulf Putnam Charlotte Local BCBSF office Municipalities by Florida County in Blue ,[object Object],[object Object],[object Object],[object Object],[object Object],Pinellas Broward Okaloosa Holmes Washington Walton Wakulla Seminole Flagler Volusia Bradford Columbia Union Lafayette Jefferson Taylor Hamilton Suwannee Hernando Sumter Sarasota Okeechobee St. Johns Osceola Indian R. Highlands Glades Nassau Monroe Gadsden Calhoun Liberty Gilchrist Lake Brevard Bay Baker Alachua Citrus Clay Collier DeSoto Dixie Hardee Hendry Jackson Levy Madison Marion Martin Pasco Polk Lee Santa Rosa Franklin Escambia Hillsborough Orange Manatee Leon Duval Gulf Putnam Miami-Dade Palm Beach Charlotte St. Lucie
Advantage of Our Networks Blue Care ® (HMO) Blue Choice ® (PPO) Blue Options SM Network Blue SM Traditional Traditional Brevard County – 1,055 Statewide – 18,637 Brevard County – 1,260 Statewide – 26,831 Brevard County – 950 Statewide – 19.768 Brevard County – 1,300 Statewide – 31,670 Brevard County – 1,300 Statewide – 31,670
Network Access 31,670 26,831 19,768 18,637 Physicians  (Statewide) Facilities & Key Physician Groups Physicians  (Brevard) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1,300 1,260 950 1,055 Traditional BlueChoice  PPO BlueOptions   Open Access POS   BlueCare Open Access HMO
Blue Delivers Unparalleled Access to Care in Florida and Beyond * As of January 2006 ** As of March 2006  *** BlueCard statistics per BCBSA June 2005 National Network Access through BlueCard ® *** Access in ALL 50 States More than 820,000 Physicians More than 5,500 Hospitals More than 31,500 Physicians* More than 210 Hospitals** Statewide Access Broad, Comprehensive Local Network Welcomed in over 200 Countries Worldwide “ Access to the Right Care at the Right Time for the Right Person at the Right Place”
BCBSF Provides Greater Discounts* in Brevard County and Florida * Based on Brevard County  claims repricing off billed charges as provided in Brevard County/Schools RFP N/A N/A 53.8% 53.8% Aetna 54% 55% 57% 60% BCBSF N/A N/A 51.8% 51.8% Cigna N/A N/A 52.3% 52.3% United N/A PPO N/A Open Access POS   N/A 50% Health First Traditional Open Access HMO  Total  Medical Services
Sophisticated Customer Service ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],From High-touch to High-tech
Easy Online Access for Members ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dedicated Service Unit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Advisory Tools ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Top Ranked Health Plan ,[object Object],J.D. Power and Associates 2007 National Health Insurance Plan  Satisfaction Study SM “ This stuff doesn’t happen by accident.  [Blue Cross has] worked at it, and it shows at a very consistent level of scoring across all the factors.” “ They are doing… basic blocking and tackling… well, but they are going above and beyond in their interaction with their members.”   David Stefan, Executive Director of Healthcare Practice J.D. Power and Associates 736 Aetna 732 CIGNA 729 Humana 741 United 779 BCBSF Southern Region Scores
Blueprint for Health ® Disease Management  Capabilities for our Customers
Current Program* ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],*  Through Health Dialog ®
Expanded Chronic Condition Management* ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],* Conditions managed by Health Dialog ®
Identifying Individuals for Care Coordination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Earlier, Faster, and More Effective!
Our Care Coordination Nurses are Local! Jacksonville Gainesville Orlando Port St. Lucie West Palm Ft. Lauderdale Miami Panama City Tallahassee Tampa Sarasota Ft. Myers Pensacola ,[object Object],[object Object],[object Object],[object Object],[object Object],Personal Outreach to Members at Point-of-care
Health Coaches ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Helping Members Make Better Informed Health Decisions
Does Health Coaching Work? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Industry Leading On-site Wellness Program for City of Melbourne  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],20,000+ employees 100+  groups 350+ people  received urgent referrals Our Statewide 2006-07 Participation
Why Blue Cross and Blue Shield of Florida? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References Volusia County School Board Indian  River County Schools Wuesthoff Health Systems  S School Board of Polk County Sumter County Board of County Commissioners Lake County Board of County Commissioners Tera Townsend, Director of Risk Mgt. (352) 793-5607 Sharon Wall, Director of Employee Services (352) 343-9426 Sandy Higgenbotham, Risk Manager (386) 734-7190 x  20300 Gerald Koziel,  Director of Risk Management (772) 564-3060 Stetson University Lake County School Board Betty Whiteman, Director of Human Resources (352) 735-7186   Becky Nelsen, Dir. Compensation & Benefits (352) 253-6519 George Fayer, Chief Financial Officer 321-636-2211 x-5030 Steve Henderson, Director, Risk Management (863) 534-0785
A Few of the Companies We Serve Note:  Please do not contact these businesses without prior approval from BCBSF Central Florida Leesburg Florida  The Lakefront City

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Capabilities Pres

  • 1. City of Melbourne Capabilities Presentation Scott Chapman Public Sector January 17, 2008
  • 2.
  • 3.
  • 4. Advantage of Our Networks Blue Care ® (HMO) Blue Choice ® (PPO) Blue Options SM Network Blue SM Traditional Traditional Brevard County – 1,055 Statewide – 18,637 Brevard County – 1,260 Statewide – 26,831 Brevard County – 950 Statewide – 19.768 Brevard County – 1,300 Statewide – 31,670 Brevard County – 1,300 Statewide – 31,670
  • 5.
  • 6. Blue Delivers Unparalleled Access to Care in Florida and Beyond * As of January 2006 ** As of March 2006 *** BlueCard statistics per BCBSA June 2005 National Network Access through BlueCard ® *** Access in ALL 50 States More than 820,000 Physicians More than 5,500 Hospitals More than 31,500 Physicians* More than 210 Hospitals** Statewide Access Broad, Comprehensive Local Network Welcomed in over 200 Countries Worldwide “ Access to the Right Care at the Right Time for the Right Person at the Right Place”
  • 7. BCBSF Provides Greater Discounts* in Brevard County and Florida * Based on Brevard County claims repricing off billed charges as provided in Brevard County/Schools RFP N/A N/A 53.8% 53.8% Aetna 54% 55% 57% 60% BCBSF N/A N/A 51.8% 51.8% Cigna N/A N/A 52.3% 52.3% United N/A PPO N/A Open Access POS N/A 50% Health First Traditional Open Access HMO Total Medical Services
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. Blueprint for Health ® Disease Management Capabilities for our Customers
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22. References Volusia County School Board Indian River County Schools Wuesthoff Health Systems S School Board of Polk County Sumter County Board of County Commissioners Lake County Board of County Commissioners Tera Townsend, Director of Risk Mgt. (352) 793-5607 Sharon Wall, Director of Employee Services (352) 343-9426 Sandy Higgenbotham, Risk Manager (386) 734-7190 x 20300 Gerald Koziel, Director of Risk Management (772) 564-3060 Stetson University Lake County School Board Betty Whiteman, Director of Human Resources (352) 735-7186 Becky Nelsen, Dir. Compensation & Benefits (352) 253-6519 George Fayer, Chief Financial Officer 321-636-2211 x-5030 Steve Henderson, Director, Risk Management (863) 534-0785
  • 23. A Few of the Companies We Serve Note: Please do not contact these businesses without prior approval from BCBSF Central Florida Leesburg Florida The Lakefront City

Editor's Notes

  1. Healthcare Advisor provides members with personalized health care information to help them think through their health care decisions. The Healthcare Advisor provides personalized information on the following: More that 150 conditions and procedures including medication options, condition management and procedure preparation. Questions to ask your doctor and insurance company regarding the management of a condition or preparation for a procedure. A community chat room to ask the advice of other people and provide input about any health topic. Links to other resources including useful websites, organized by healthcare topic.