AI Case Study

Blue Cross Blue Shield reduced post hospitalisation costs by over 20% by driving patient engagement with digital post care programs using smart devices, sensors and machine learning

Blue Cross and Blue Shield of Nebraska (BCBSNE) started using Wellframe's solution to help customers manage health conditions. Using analytics and mobile app, they were able to implement health coaching and behavioral health programs. The app uses machine learning to map how to connect to customers better. It reduced telephone care manager support costs by 17% and mobile care management costs by 41%.

Industry

Healthcare

Healthcare Providers And Services

Project Overview

"In 2015, Blue Cross and Blue Shield of Nebraska (BCBSNE), a health plan serving approximately 500,000 members, determined it could expand its approach beyond traditional means to improve care management. It uses Wellframe's solution in BCBSNE’s health
coaching, case management, and behavioral health programs. With the Wellframe solution, care managers from BCBSNE could work with members through a mobile application on members’ smartphones or tablets, easily delivering a personalized, daily
care plan and HIPA. "

Wellframe's solution successfully identifies the best ways and time to engage with customers and suggests how to educate them better about self-care

Reported Results

The company claims:

* Care Plan Adherence grew to 96%
* More than 77% diligently followed post care programs
* 17 - 41% reduction in post-hospitalisation medical costs

Technology

Function

Customer Service

Technical And Product Support

Background

"Blue Cross and Blue Shield of Nebraska (BCBSNE) is a health plan serving approximately 500,000 members. Non-clinical factors contribute to 80% of variance in health outcomes."

Blue Cross Blue Shield worked with Wellframe to develop a digital 30 day post hospitalisation care plan.

Benefits

Data

Members regularly record their health status and data such as medication adherence.