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360° Health®

A total-health solution that surrounds everyone with the help they need to live healthier, feel better and save money doing it.

Clinical Solutions

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Clinical solutions includes our streamlined suite of programs designed to connect with and engage our members in managing their health needs. The focus we place on educating members regarding the proper use, compliance, safety and quality of their medications is designed to help members live healthier every day – and that helps you too. 
Because it’s not just about prescriptions. It’s about empowering members to learn and take an active role in their health care. How? We combine our clinical and cost-of-care messages into one communication to reduce member abrasion and make a stronger impact. Members don’t receive multiple letters focused on individual clinical and cost-of-care programs. And, to help ensure coordination of care and compliance, physicians also receive a consolidated communication with similar messages. 
Safety 
Medication Safety
These programs help promote medication awareness among members, physicians and pharmacists. 
Safety Edits
Safety edits help prevent harmful drug interactions, drug duplications or the use of certain drugs by those with specific conditions. These point-of-service edits automatically notify pharmacists when a medication may be unsafe for a member. 
Therapy Management 
Compliance
We educate members on the importance of sticking to their medication therapy, plus we send physicians messages too. And we’re seeing consistent results – compliance has improved 30%, on average. 
Appropriate Use
We send our members personalized messages tailored to their individual diseases. Monitor for over and under use. And remind physicians of national prescribing guidelines. 
Behavioral Health
Our behavioral health programs help educate members about the importance of taking their medications and following up with their doctor. 
Care Management
For members in our disease management and care management programs, our pharmacists are available to help answer questions and address concerns. 
© 2014 BlueCross BlueShield of Georgia
Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.