Think healthcare is still about a doctor’s scrawl on a prescription pad, paper charts, or endless telephone hold times? Think again. Blue Shield of California—the first California health plan provider to open a retail presence at a grocery store—is using cloud and social technologies to make its business more efficient and help Californians lead healthier lives.
A not-for-profit dedicated to providing access to high-quality healthcare at an affordable price, Blue Shield has been using Sales Cloud and the Salesforce Platform since 2007. Employees in functional teams across Blue Shield of California sell and manage employer accounts from first contact through group enrollment with a custom order management system. “Not only did we streamline processes and become more efficient, but we were able to do it at a fraction of the cost of other alternatives,” says Reva Gould, Director .
When Blue Shield formed a new ACO—or accountable care organization—it naturally turned to Salesforce. The innovative plan design, called BlueGroove, provides personalized support to help clients stay fit, and offers lower costs and other incentives to clients who lead healthy lifestyles. Complete consumer histories are maintained in Salesforce, bringing together information from patients, plan administrators, and physicians, and matching it with third party risk assessments. Using Service Cloud portals, doctor’s offices and patients can access data on work out regimens, upcoming appointments, and more.
“With BlueGroove, consumers can save money by taking good care of themselves,” explains Gould. “Salesforce provides the platform we need to implement innovative new health plan designs.”