Blue High Performance Network
Local expertise, nationwide reach
Like any company, you want the most value for your health care spending. Your employees want that, too. And while cost is always top of mind, quality is what truly sets higher-value, higher-performing health care apart from health care that’s simply lower cost.
That’s why Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is excited to offer Blue High Performance Network® (BlueHPN®). It’s designed to deliver enhanced quality and lower costs by partnering with providers who are committed to – and accountable for – improving care today and in the future. Keep reading to learn about this national network that’s built on local market expertise, spanning 68+ major metro areas.1
Access
BlueHPN offers seamless in-network only access across 68+ major U.S. markets – and is the only high performance network with presence in all of the top 25 U.S. cities.1
Members have access to emergency and urgent care when traveling.2 They can simply use the Find Care tool on our member portal or mobile app to locate in-network options.3
Savings and reach
With BlueHPN, your employees have access to quality care through an innovative national network that offers significant savings on average compared to our industry leading PPO.4
Your employees can save, too. Not just in lower premiums, but also the potential for lower out-of-pocket costs from high-performance providers delivering more coordinated care at lower negotiated rates. It’s a win-win across the board.
BlueHPN is poised to deliver exceptional savings because it “shares DNA” with Blue Premier℠, our value-based care program. Participating health systems are fully committed to value-based care and being held accountable for meeting the “Blue Premier standard” in relation to cost and quality goals.
Nationally, the BlueHPN network offers 11% total cost of care savings on average compared to our industry-leading PPO, and more than 20% savings in some markets.4
Quality
We’ve thoughtfully designed BlueHPN using our local expertise, deep data, and strong relationships to partner with the right providers in each market to drive meaningful change and value. This approach helps ensure that all of your employees located in BlueHPN markets have access to higher-performing, higher-value care.
BlueHPN physicians, hospitals, and specialists are thoughtfully selected in each market based on factors that include:
- Individual performance across meaningful national and local quality indicators
- Participation in value-based care, tying payment to quality performance
- Efficiency and affordability in care delivery, leading to lower total costs
BlueHPN assesses performance in 4 quality areas:
- Appropriate care that is patient-centric and reduces waste
- Best practices that use evidence-based medicine to effectively treat your employees
- Better health management to prevent illness and better manage chronic conditions
- Improved outcomes, such as lower readmissions, to deliver better employee health
Measured through:
- Nationally consistent clinical measures aligned with industry-recognized standards
- Market-specific clinical measures that address local care gaps
Experience
Your employees can expect a clear, consistent health care experience with simple communications, engagement tools, and decision support to help them use their benefits and plan their care. And for your business, we provide administrative ease through turnkey implementation and employee education support.
This includes a toolkit of materials to engage employees before and after Open Enrollment. You’ll also get a playbook with tips on using the materials effectively.