Keeping Members and Customers at the Center
Kim A. Keck
President and CEO, BCBSRI
Randy A. Wyrofsky
Board Chair, BCBSRI
Guided by our vision to passionately lead a state of health and well-being across Rhode Island, Blue Cross & Blue Shield of Rhode Island (BCBSRI) found new ways in 2018 to improve how our members and customers experience healthcare.
For the second consecutive year, we showed positive financial results. Even more meaningful to us, we remained the insurer of choice for more than 375,000 Rhode Islanders. There is nothing more valuable to our company than the trust our members and customers place in us. In both our annual and community reports, we share stories of how we continue to earn that trust.
In the area of controlling medical costs, strengthened relationships with providers made a difference. In 2018, the 40% of providers who participated in coordinated systems of care served more than 60% of BCBSRI members. All of those providers were paid in part based on patient outcomes rather than number of services rendered. That is one important milestone on the journey toward reaching the triple aim of the right care in the right setting at the right time. Along these same lines, homing in on decreasing unnecessary use of emergency services, our emergency department task force employed a multipronged approach to help members understand the best options for care, which we estimate avoided approximately $4.5 million in costs.
Even as we implemented more affordable solutions for our members and customers, we redoubled our efforts to increase access to high-quality care, most evidently in behavioral health. Through policy changes and the creation of new programs, we opened additional doors for Rhode Islanders of all ages seeking behavioral health services, including help for substance use disorders. Our leadership investment of $5 million over five years to the new Behavioral Health Fund at The Rhode Island Foundation will advance statewide innovations in this arena.
Innovation will also benefit our Medicare members as we partner with Oak Street Health®, a company making incredible strides in the area of coordinated care with services like transportation and events designed to battle the social isolation so many seniors in underserved neighborhoods face. Oak Street Health will open three primary care centers in 2019.
Thank you for your support—and your trust.