Programs to support your patients' needs
BCBSRI is committed to developing innovative programs that collaborate with you to support patients. These programs can help them navigate the challenges of complex or advanced illness, support chronic conditions outcomes, and reduce hospitalizations. These programs also can help you:
- Enhance care coordination, working with your team to help members get the right care at the right time
- Improve patient outcomes through enhanced support and wrap-around services
- Reduce administrative burden by helping with the complexities of navigating care
All with no additional cost to providers or patients for program participation.
Use the links below to learn more about each program. The BCBSRI Provider Relations team may be able to help you find other resources not addressed here. Contact BCBSRI Provider Relations at ProviderRelations@bcbsri.org.
NOTE: Not all members are eligible for all programs. Eligibility may vary based on plan, employer, or clinical criteria.
Conditions and programs
Cancer support
Program: Daymark Health
- Navigation and support for cancer patients
- 24/7 virtual and in-home care, symptom management, mental health, and social support
- Complements provider care for seamless experience
Hear directly from one of our members. Watch the video.
Members may be referred by calling Daymark at (401) 203-3779.
Kidney disease (CKD 4-5, ESKD)
Program: Interwell 360
- Team-based care for advanced kidney disease
- Clinicians, social workers, and advocates collaborate with providers
- Individualized care plans, in-person or phone engagement
Members may be referred by calling Interwell at 1-888-233-9499.
In-home complex care
Program: HouseCall by Blue (ConcertoCare)
- In-home and virtual care for patients with multiple medical needs
- 24/7 support for patients, families, and caregivers
- Teams can include physicians, nurse practitioners, behavioral health providers, pharmacists, care managers, and social workers
- Providers receive regular, real-time updates and reports
Members may be referred by calling ConcertoCare at 1-888-966-3044.
Preventive assessment & screening
Program: Care Connectors
- Health assessments and preventive screenings in homes, mobile clinics, assisted living, telemedicine, and embedded PCP offices
- Nurse practitioners review history, recommend screenings, and perform point-of-care testing
- Monthly visit summaries for providers
Congestive heart failure (CHF) & COPD
Program: Advanced Monitoring Caregiving (AMC)
- Remote patient monitoring for CHF and chronic obstructive pulmonary disease (COPD)
- Patients receive easy-to-use devices (scale, blood pressure cuff, inhaler sensor, pulse oximeter, smart tablet) for home use
- Assigned nurse provides coaching, monitors readings, and shares data with providers
- May help reduce emergency visits and hospitalizations
- Providers can refer eligible patients directly
Members may be referred by calling AMC at (401) 375-4373.
Behavioral health
Program: BCBSRI Behavioral Health Case Management program
- Staffed by experienced mental health and substance use professionals
- Education and support
- Coordination of care
- Help to close gaps related to social determinants of health
Members may be referred by calling BCBSRI at 1-855-649-1606 Monday through Friday, 8:00 a.m. to 4:30 p.m. or emailing triage_group@bcbsri.org.
Diabetes management
Program: Livongo by Teladoc Health
- Patients receive a connected glucose meter and unlimited strips/lancets
- Readings upload to a secure account for provider access
- Health coaches are available for nutrition and lifestyle support
Members may be referred by calling Livongo at 1-800-945-4355.
Daymark Health, Inc. ("Daymark") is an independent company contracted by Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide care coordination services. Daymark has contracted with Daymark Health DE LLC ("Medical Group") to enable access to Medical Group's employed licensed providers to provide clinical services.
Interwell Health is an independent company contracted by Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide advanced kidney care services.
ConcertoCare is an independent company contracted by Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide in-home healthcare support services.
Care Connectors Medical Group is an independent company contracted by Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide health assessment services.
Advanced Monitoring Caregiving, Inc. is an independent company contracted by Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide remote patient monitoring services.
Livongo by Teladoc Health is an independent company contracted by Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide chronic condition management and other health benefit programs.