Statistics and Analytical Sciences
This purpose of this study is to quantify potential cost savings and member care improvements as a result of engagement through BlueCross BlueShield of Tennessee’s (BCBST) Identification and Stratification (IDStrat) process. Commercial members engaged in clinical management that were identified through IDStrat were compared to commercial members identified through other means across several metrics including per-member, per-month (PMPM) cost and physician visits. Members identified by IDStrat experienced a statistically significant 7% greater reduction in costs after being engaged when compared with those identified by other methods. Members identified by IDStrat also experienced a significant reduction in emergency room visits after engagement. Future work aims to study the impact of wait time on cost savings.