Datapoint: Blue Cross and Blue Shield of Minnesota Members See $400 of Annual Savings From Fully Integrated Care

A new report from Blue Cross and Blue Shield of Minnesota found that members enrolled in plans with fully integrated medical and pharmacy benefits saw average annual savings of $422 per member, per year (PMPY). The report analyzed two years of data from about 500,000 Minnesota Blues members enrolled in self-funded plans; some had integrated pharmacy benefits via Prime Therapeutics, while others had pharmacy benefits managed via a separate vendor. PMPY medical costs for members with integrated benefits were found to be 14% lower, and hospitalizations were 18% lower. The results were even more impactful on members with chronic disease, who saw 21% lower medical costs and 22% lower hospitalizations. Blue Cross and Blue Shield of Minnesota is the largest insurer in its home state, with 2,089,213 members. More than half (54.6%) of its members are enrolled in self-funded plans.

Source: AIS’s Directory of Health Plans

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AIS Health Staff

AIS Health Staff

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