Now you can have confidence in the value of your healthcare choices
ELEVATE YOUR REWARDS TO THE NEXT LEVEL
Next-Level Incentives
You want to help your members improve their health, save on healthcare costs, and increase involvement in their own healthcare. The key to all this? Next-level incentives.
Integrating engagement rewards, such as Bluebook Plan Design+™, directly into your plan increases efficiency by ensuring savings are realized as soon as the claim is processed. By offering incentives, you can more effectively steer members toward the right providers.
What makes Bluebook Plan Design+ different?
Bluebook Plan Design+ integrates incentives directly into your medical plan rather than layering them on top in the form of cash-based rewards. The result is increased efficiency, member engagement, and savings.
Additionally, Bluebook Plan Design+ can be offered by our partner third-party administrators (TPAs) with a network of their choice and no collection of the member cost share. Cost steerage is decided by the plan sponsor, delivering the flexibility TPAs want.
How It Works
First, we partner with the TPA to analyze data and set the benefit design differential to raise out-of-pocket costs for standard use and lower out-of-pocket costs for high-value providers.
Program details are incorporated into plan docs, the open enrollment guide, and member education materials.
Members utilize Bluebook to search for their care and easily identify high-value providers.
When a claim is received for one of the eligible procedures, it will be confirmed by the TPA if the claim meets the requirements.
If requirements are met, the preferred benefit level is applied.
Bluebook is there to support the member, in conjunction with the TPA, throughout.
The Member Experience
Members who choose high-value providers have the incentive applied to reduce their out-of-pocket costs or the out-of-pocket costs are completely waived.
- The member searches on Healthcare Bluebook’s platform or contacts our team to find high-quality care at a Fair Price™.
- They receive their required care from a high-value provider.
- The claim is adjudicated, and the out-of-pocket cost is reduced or waived.
- If the member doesn’t seek care from a high-value provider, they pay standard out-of-pocket costs.
Why Plan Design+?
Bluebook Plan Design+ is the next tier of member engagement and incentives. It directly incorporates cost, value, and member choice, leading to increased engagement, boosted efficiency, and an enhanced member experience.
Based on the utilization of high-quality providers who deliver care at a Fair Price™, this healthcare engagement plan integration:
- Captures more available savings
- Provides flexibility, enabling plan designs to be structured around positive and negative incentives
- Adjusts out-of-pocket benefit differentials
Bluebook Plan Design+ is flexible enough to support preferred provider organizations (PPOs) and high-deductible health plans (HDHPs). This ensures existing options are preserved, maximizing value within the network.
The Results You Need
Bluebook Plan Design+ has been shown to: