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Employer Plans

Blue High Performance Network

Local expertise, nationwide reach

High-quality care. Better care delivery. Lower total cost of care. For you and your employees – today and tomorrow.
Blue High Performance Network

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 65+ major metro areas.1

Access

In-network only coverage across 65+ major US markets

Savings

Significant savings over our industry-leading PPO

Quality

Carefully selected network of providers who are committed to and accountable for enhancing care quality

Experience

Simple tools and resources to enhance the employee experience when navigating and planning care

Access

BlueHPN offers seamless in-network only access across 65+ major US markets – and is the only high performance network with presence in all of the top 10 US cities.1

Members have access to emergency and urgent care when traveling to most major US cities. They can simply use the Find Care tool on our member portal or mobile app to locate in-network options.2(Out-of-network coverage is for medical emergencies only.) Your organization can offer BlueHPN as a dual option with other Blue Cross NC medical products, and you can integrate your medical plan with any of our existing pharmacy plans. Talk with your authorized Blue Cross NC representative for details.

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.3

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. The health systems are fully committed to value-based care and accountable for meeting the “Blue Premier standard” in relation to cost and quality goals. This allows us to achieve savings that few competitors can match.3

Nationally, the BlueHPN network offers 11% total cost of care savings on average compared to our industry-leading PPO, and up to 20% savings in some markets.1

Charlotte-Gastonia-Concord-York

Collaboration with the Atrium Health system

Winston-Salem-Greensboro-High Point

Collaboration with the Wake Forest Baptist Health system

Raleigh-Durham-Chapel Hill

Collaboration with the Duke Health system

Hickory-Statesville

Collaboration with the Iredell Health system and Frye Regional Medical Center (a Duke LifePoint Hospital)

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 toward better outcomes and value. This approach helps ensure that all of your employees 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
  • Willingness to partner and become contractually accountable for improving outcomes
  • Efficiency and affordability in care delivery, leading to lower total costs

BlueHPN assesses performance in 4 quality areas:

  1. Appropriate care that is patient-centric and reduces waste
  2. Best practices that use evidence-based medicine to effectively treat your employees
  3. Better health management to prevent illness and better manage chronic conditions
  4. 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

Blue Cross NC supports our members with helpful resources and digital tools, which can include:

Dedicated customer service

Teams based right here in North Carolina

Portal and mobile app

Blue Connect℠ includes our Find Care tool to find higher-quality, lower-cost providers in the BlueHPN network2

Telehealth and care navigation

Easily access convenient care – virtually or down the street4

Care management

Innovative programs and services to help with health issues, medical cost management, and total well-being5

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.

To ensure BlueHPN succeeds, we provide employers with 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.