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Home ❯ Blue High Performance Network (BlueHPN) for Employers

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 (BlueHPNSM). 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




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​High-quality care.
Better care delivery. 
Lower total cost of care. 
For you and your employees – today and tomorrow …




In-network only coverage across 65+ major U.S. markets1


ACCESS



Significant savings over our industry-leading PPO2


SAVINGS



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

QUALITY



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

EXPERIENCE

Access

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

Members have access to emergency and urgent care when traveling to most major U.S. cities. They can simply use the Find a Doctor tool on our member portal or mobile app to locate in-network options.3 (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

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.2

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 PremierSM, Blue Cross NC’s 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.2

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

In the North Carolina market, you can see average savings over our Blue Options® PPO of:2

Charlotte-Gastonia-Concord-York

Through collaboration with the Atrium Health system:

Self insured groups see an average 16.8% cost of care savings

Fully insured groups see up to 21.6% premium savings

Winston-Salem-Greensboro-High Point

Through collaboration with the Wake Forest Baptist Health system:

Self insured groups see an average 12.3% cost of care savings

Fully insured groups see up to 18.1% premium savings

Raleigh-Durham-Chapel Hill

Through collaboration with the Duke Health system​:

Self insured groups see an average 13.3% cost of care savings

Fully insured groups see up to 18.7% premium savings

Hickory-Statesville

Through collaboration with the Iredell Health system and Frye Regional Medical Center (A Duke LifePoint Hospital):

Self insured groups see an average 10.2% cost of care savings

Fully insured groups see up to 16.4% premium savings

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

To us, high performance isn’t just achieved once — it requires ongoing effort. That’s why BlueHPN quality criteria and measurement will evolve to continually influence better care delivery and drive greater accountability. So, you and your employees can rest easy knowing that your health plan is only growing stronger and stronger over time.

BlueHPN assesses performance in four quality areas:

Appropriate care that is patient-centric and reduces waste
Best practices that use evidence-based medicine to effectively treat your employees
Better health management to prevent illness and better manage chronic conditions
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
Blue ConnectSM member portal and mobile app – which includes our easy-to-use Find a Doctor tool to find higher-quality, lower-cost providers in the BlueHPN network3
Telehealth and Health Line BlueSM for convenient care and helpful guidance4,5
Healthy Outcomes suite of programs and services to help with health issues, medical cost management and total well-being6

 

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.

Let's Talk!

Contact your Blue Cross NC sales representative to learn more about the benefits of offering BlueHPN to your employees.

 

Don't have a contact with us? Complete the form below and we'll follow up with you.

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Have questions or want to learn more about our solutions? Complete the form below — and we'll be in touch soon!

 

This form is for employers with more than 50 full-time employees. If you have 1-50 employees, please use this form.

 

Use this form for less than 51 full-time employees.
  • 1

    Members have access to the nationwide BlueHPN network of providers. Using the Find a Doctor tool, available on our member portal and app, they can easily locate in-network providers while at home or traveling. Urgent and emergent care is also covered when outside of the BlueHPN market areas to ensure members have the right coverage for emergencies. 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.

  • 2

    Total cost of care savings based on Consortium Health Plans analysis, 2020. Savings are on average and assume 100% enrollment. Results will vary based on employer locations and implementation. Fully Insured savings based on Blue Cross and Blue Shield of North Carolina analysis, February 2020. Fully Insured savings are premium savings which include medical, Rx, administration, premium taxes, and more. Results will vary based on employer location, plan selection, and implementation.

  • 3

    Blue Cross NC offers several decision support tools, such as Find a Doctor and Find Medical Cost, to aid members in making decisions around their health care experience. These tools are offered for member convenience and should be used only as reference tools. Members should consult their own legal counsel, tax advisor or personal physician as applicable throughout their health care experience.

  • 4

    Telehealth services are subject to the terms and conditions of the member’s health plan, including benefits, limitations and exclusions. Telehealth services are not a substitute for emergency care. Decisions regarding your care should be made with the advice of your doctor.

  • 5

    Blue Cross NC provides the Health Line Blue program for member convenience. Blue Cross NC is not liable in any way for the goods or services received through Health Line Blue. Blue Cross NC reserves the right to discontinue or change the program at any time without prior notice. Decisions regarding care should be made with the advice of a doctor. Depending on the member’s plan, selected programs may not be available to them at this time. Members should check with their benefits administrator or Blue Cross NC Customer Service to determine eligibility. Blue Cross NC has contracted with a third-party vendor independent from Blue Cross NC to bring you Health Line Blue.

  • 6

    Blue Cross NC offers these wellness programs to help members improve their health; results are not guaranteed. Blue Cross NC contracts with a separate third-party vendor for certain parts of our wellness programs and is not liable for goods or services received from this vendor. Blue Cross NC can change or stop our wellness programs at any time. The program’s goal is to help members make better decisions about their health and to help them comply with their doctor’s plan of care. Decisions about care should be made with the advice of a doctor.

  • Atrium Health, Duke Health, Frye Regional Medical Center (A Duke LifePoint Hospital), Iredell Health System and Wake Forest Baptist Health are independent companies that are solely responsible for the services they offer. They do not offer Blue Cross or Blue Shield products or services. All other trade names are the property of their respective owners.

  • 51+ Fully Insured: Estimated premium savings potential is based upon a blend of all members and other factors based upon in which BlueHPN MSA each member lives regardless of where in the nation that member lives. Estimated Premium differentials are based upon same or nearly same in-network medical benefit levels on our broad network Blue Options PPO product.

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