Mission Report 2024
Being digital-first and making health care simpler
We’re improving members’ health journey by continuing to enhance interactive digital platforms that deliver more personalized and holistic health care.
Improving digital experiences
In 2024, Blue Shield exceeded its goals to transition to cloud technology, enabling real-time data access through tools like the Member Health Record. By securely connecting more data sources for members and providers, we fostered better shared decision-making and improved health outcomes. We are working toward a seamless healthcare experience akin to members’ daily digital interactions in other industries, while saving natural resources and reducing waste.
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Your Health in the Palm of Your Hand: Blue Shield of California Is Reimagining Health Record Access
Applying technology to understand member needs
In 2024, we transformed support for members with complex care needs by integrating pharmacy and Healthcare Effectiveness Data and Information Set (HEDIS) data into our intelligent data hub, the Experience Cube. This data flows into Care Connect, the care management solution we built with Salesforce, helping care managers track preventive screenings and manage chronic conditions more effectively.
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Why Blue Shield of California Partners With Big Tech
Securing prior authorization for care in real time
We also expanded our strategic collaboration with Salesforce in 2024 to reimagine the Prior Authorization process. Our integration with providers’ electronic medical records streamlined 20+ systems into one process. When prompted by a physician, it can search a patient's electronic health record for clinical information relevant to the prior authorization request and return answers in near real-time in most cases.
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Prior Authorization Reimagined