General I
Behavioral health encompasses which four key categories of support?
Mental health, substance use, autism, well-being
50%
Consisting of three core and five specialty care programs, (blank) aims to address the unique behavioral health challenges of our members and their dependents through personalized care management, clinical guidance, and customer service.
Blue Cross Coordinated Care
Which two resources are available for members who wish to receive care virtually?
(1) Virtual provider network - accessed through bcbsm.com under "Find Care"
(2) Virtual Care by Teladoc Health - only offered as a buy up for ASC groups
These teams use the capabilities deck to recruit new business
Sales
________ is neurodevelopmental condition characterized by persistent difficulties in social interaction and communication, along with restricted and repetitive patterns of behavior, interests, or activities.
Autism
True or false: nearly 1 in 20 Americans live with a mental illness
False: 1 in 5
This workplace benefit provides employees with confidential, professional help to employees who need assistance with managing personal difficulties or life challenges.
EAP (Employee Assistance Program)
These types of services are designed to provide immediate support and intervention, offering an alternative to emergency room visits.
Crisis services
All materials created for outside audiences must be run through this area for review
Corporate Communications
_______ is the emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, work productively, learn effectively, contribute to our communities and make choices.
Mental health
How much money is estimated in annual productivity losses due to unresolved behavioral health issues?
$48 billion
By reviewing the medical necessity of services, this process helps reduce unnecessary treatments and supports efficient health care use. It includes evaluating services for clinical guideline alignment, assessing the need for prior authorization and monitoring length of stay to promote timely and effective care. These efforts support better health outcomes and responsible cost management.
Clinical decision support
The _____ delivers integrated whole-person health in the primary care setting, expanding the member's care team with a behavioral health manager and consulting psychiatrist. There is over 294 Michigan practices designated to use this.
Collaborative Care Model
This vital team member updates the capabilities deck every year
Bri
______ is the use of alcohol or another substance that leads to health issues or problems at work, school or home.
Substance use disorder
True or false: on average, one person dies by suicide every six hours in the United States
False: Michigan only
Name the five Blue Cross Coordinated Care BH specialty care programs.
Substance use disorder, older adults, maternity, eating disorder, and autism
In September 2024, the _____ was launched to incentivize evidence-based care, 48-hour appointment access and improved member engagement. By aligning provider incentives with measurable improvements in depression and anxiety symptoms, supporting better outcomes.
The capabilities deck is stored on what platform?
Blue Cross Behavioral Health has a vision to consistently demonstrate market leadership in BH services by delivering innovative whole-person solutions, while increasing efficiencies and producing high quality results for our customers. Our strategy to accomplishing this focuses on addressing what three primary areas?
(1) Access to care and member experience, (2) High-value and high-quality care delivery, and (3) Customer focus and market value
Since 2020, the Blue Cross behavioral health in-person and virtual network grew by what percentage? Bonus points if you can name 3 different types of behavioral health providers
55%
Examples include: psychiatrists, psychologists, advanced practice nurses, physician assistants, clinical nurse specialists, clinical social workers, marriage & family therapists, professional counselors, behavioral analysts, addiction medicine providers
This virtual solution is being removed from the deck because we have termed the contract
AbleTo
_______ is the experience of health, happiness and prosperity. It includes having high life satisfaction, a sense of meaning or purpose, and the ability to manage stress.
Well-being
Most of the members receiving care through Blue Cross fall into this category on the risk continuum
Rising risk