BCBSRIBlue Cross and Blue Shield of Rhode Island
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Through this automation initiative, BCBSRI has improved overall performance, increased budget compliance, enforced process compliance, reduced maverick spending, increased spend under management and visibility, and focused resources on high value and strategic activities.
PharmaCare launched its generic-substitution initiative with BCBSRI under a voucher program.
BCBSRI contains its administrative costs, with only about 10 percent of every premium dollar going to administration, by making careful choices to ensure a balanced and productive use of technology and personnel.
The Provider POS Direct application will be hosted for BCBSRI in a TriZetto data center.
Benefits: Here are the impacts at BCBSRI (BCBSNH's are similar).
BCBSRI selected Softscape Apex after concluding that the organization needed a more flexible, more linear solution.
BCBSRI is the largest health insurer in Rhode Island, with a dominant 61% market share in 2004.
Deployed at BCBSRI in under seven months, the BlueLYNCS customer contact center solution includes healthcare-specific workflows and integration to legacy IT systems to intelligently manage customer and business interactions across the payer enterprise.
The combined solutions, branded as eQuality ContactStore Plus, will enable BCBSRI to continue its proactive recording practices for liability protection while providing a highly effective means of evaluating customer service delivery to improve performance.
Standard & Poor's also said that the outlook on BCBSRI is stable.