Introducing New Blue Cross NC Member Outreach Team

Beginning July 15, 2024, the new Blue Cross NC Member Outreach Team will be conducting a telephone outreach campaign for targeted members and new enrollees.

Medicare Advantage (MA) members and Commercial Individual Under 65 (IU65) and Small Group members will be contacted by agents of the Member Outreach Team.

The goal of the outreach campaign is to educate and assist members with the following:

• Primary Care Physician selection
• Scheduling and completing an Annual Preventive Visit
• Incentives, benefits and services, including the Blue Connect Member Portal
• Scheduling and completing an In-Home Assessment with the vendor Optum HouseCalls
• Care Gap Closures (Risk and Quality)

The projected outcome of the new team’s efforts may lead to but not limited to an improvement and / or increase in:

• Overall MA Stars Rating
• Member experience
• Healthcare Effectiveness Data and Information Set (HEDIS) quality measure performance
• Risk Adjustment and Quality care gap closures
• Unattributed member reduction
• Plan Utilization and Member Retention
• Blue Connect enrollment
• Annual Wellness Visit completion
• In-Home Assessment completion
• Risk Adjustment Factor / Risk Revenue

Providers may be contacted by the Member Outreach Team over the phone to connect with a member.