Our revamped approach to health management delivers a comprehensive, effective member experience that addresses the entire health continuum, from complex conditions to lifelong wellness. Components include:
Holistic Health Management
This clinical model proactively targets members dealing with significant health challenges. A care team, led by a health advisor, collaborates to manage high-cost, high-complexity members, regardless of condition.1
State-of-the-art algorithms help health advisors deliver interventions that can have the greatest impact on health outcomes and cost of care.
Personalized communications remind members of missed appointments, tests and prescription refills and emphasize the importance of preventive screenings and immunizations.
Evidence-based guidelines help prevent misuse and overuse across the full spectrum of health care costs: inpatient services, outpatient services and specialty drug preauthorization.
Well onTarget® Member Wellness Portal
Wellness and lifestyle self-management programs and other resources address a variety of topics, including:
- Weight loss
- Tobacco cessation
- Asthma, diabetes and other chronic conditions
- Sleep health
- Financial wellbeing
Professionally certified coaches counsel employees on health and lifestyle issues, via phone or secure messaging. Examples of coaching topics include:
- Stress management
- Physical activity, nutrition and weight management
- Tobacco cessation
- Blood pressure, cholesterol and other chronic conditions
Employers can reward their employees for making smarter choices about their health. Our Incentives Programs increase healthy behaviors, can be integrated into an employer’s medical plan design, and reduce their role in administering the program. It also offers members an easy-to-use experience through our Well onTarget portal.
The Fitness Program offers a flexible option to get in shape and stay active. Choose from a nationwide network of fitness centers that can work with your lifestyle, whether you are at home or on the road. Membership is month to month with no long-term contract. Access to discounts through a nationwide Complementary and Alternative Medicine (CAM) network of 40,000 health and well-being providers such as massage therapists, personal trainers and nutrition counselors.3
Members can earn and redeem points for completing healthy activities like taking a Health Assessment, enrolling in a self-management program, joining the Fitness Program or using a fitness tracker.4
The 24/7 Nurseline is staffed by registered nurses who are available 24 hours a day, 7 days a week. Nurses guide members to the appropriate level of care for their health issue, answer general health questions and direct members to an audio library of more than 300 health topics available in English and Spanish.
This structured maternity program enables early identification of high-risk pregnancies and supports and educates expectant mothers from early pregnancy to six weeks after delivery.
Women’s and Family Health
The comprehensive Women’s and Family Health program offers a modern and flexible app-based coaching approach to pre-pregnancy, pregnancy, and parenting support delivered by Ovia Health®.
Additional Coaching Solutions via Digital Health Partners
Expanded support for metabolic syndrome, obesity and diabetes delivered by third-party vendors helps reduce risks involved with costly chronic diseases.6
- Naturally Slim provides an anytime, anywhere online coaching program that builds behavioral skills to promote long-term weight loss and reduce the risk of metabolic syndrome.
- Omada integrates remote monitoring tools, interactive lessons and social community support to help prevent obesity-related conditions like diabetes and heart disease.
- The Omada for high blood pressure program provides a customized experience to improve blood pressure control through online education.
- Livongo delivers an end-to-end diabetes management solution that combines a connected glucose meter with personal support by certified diabetes educators.
- The Livongo high blood pressure program provides tools and resources to help monitor blood pressure, manage nutrition and understand blood pressure trends.
- Hinge Health® for chronic back, hip, or knee pain lets participants exercise their way back to joint health in the comfort of their own home.
1 Communications and information from the program are not meant to replace the advice of health care professionals. Members should talk to their doctors about their health care needs. Decisions regarding course and place of treatment remain with members and their health care providers.
2 Available with certain packages.
3 The Fitness Program is provided by Tivity HealthTM, an independent contractor which administers the Prime Network of fitness centers. The Prime Network is made up of independently-owned and managed fitness centers.
4 Well onTarget is a voluntary wellness program. Completion of the Health Assessment is not required for participation in the program. Blue Points Program Rules are subject to change without prior notice. See the Program Rules on the Well onTarget Member Wellness Portal for more information. Member agrees to comply with all applicable federal, state and local laws, including making all disclosures and paying all taxes with respect to their receipt of any reward.
5 Not available to HMO members
6 Available to ASO accounts only. Not available for HMO networks. Charges per participant are billed via claims and come out of the employer group’s medical spend. Naturally Slim is an independent company that provides Metabolic Syndrome Management for Blue Cross and Blue Shield of Montana. Omada is an independent company that provides Obesity-related Chronic Disease Prevention Solutions for Blue Cross and Blue Shield of Montana. Hinge Health is an independent company that provides an online musculoskeletal management program for Blue Cross and Blue Shield of Montana.