Blue Shield 101

The California Schools Employee Benefits Association Offers Blue Shield Medical Coverage July 1, 2017

For CSEBA, Blue Shield will offer Access Plus HMO, TRIO (the Accountable Care
Organization plan), PPO and H.S.A plans. Blue Shield’s network matches our current
Anthem program between 95% and 98%. There will be very little disruption to our
members. Blue Shield and CSEBA will help relocate the few members that need
transitional assistance.
Blue Shield has a dedicated team throughout Southern California including a major office
in Woodland Hills in Los Angeles. They maintain high quality provider networks for both
their PPO and HMO customers.

Accountable Care Organization (ACO)
Accountable care organizations benefit members by helping to:

  • Avoid unnecessary trips to the emergency room
  • Manage drug therapies to improve clinical outcomes
  • Shorten hospital stays
  • Prescribe the most effective and affordable medications
  • Coordinate care to eliminate duplication
  • Reduce readmissions

Accountable Care organizations mean a partnership between the medical group, hospitals, and Blue Shield. They coordinate the care of members between each group achieving better outcomes for the patients. Blue Shield’s ACO product has shown the following results:

  • Up to 13% reduction in hospital admissions
  • Up to 27% decrease in days spent in the hospital
  • $325 Million in total cost savings for their members

Blue Shield 101 Video 

Train the Trainer Video 

Blue Shield Concierge

Blue Shield Trio ACO HMO

Frequently Asked Questions

[faq p=1355]
[faq p=1450]
[faq p=1353]

[faq p=1358]
[faq p=1360]
[faq p=1362]
[faq p=1364]
[faq p=1367]
[faq p=1369]
[faq p=1371]
[faq p=1373]
[faq p=1375]
[faq p=1377]
[faq p=1379]
[faq p=1381]
[faq p=1383]

Leave a Comment