Blue High Performance Network (Blue HPNSM)
Available 1/1/2021
Enhanced Quality, Increased Savings
Our new Blue High Performance NetworkSM (Blue HPNSM) is designed to deliver greater value for you and your employees. We select providers for Blue HPN that are focused on delivering quality care, and the network provides an average of more than 10% savings1 compared to the PPO.
Access
Blue HPN is available in more markets nationwide than our competitors, with portable access across over 55 major markets. When inside an HPN service area, your employees have access to care from any Blue HPN provider with no primary care physician (PCP) selection or referrals needed. When traveling outside of an HPN service area, your employees have access to emergent and urgent care through a network of Blue Cross and Blue Shield providers.
Quality
Providers in Blue HPN are measured on a consistent set of quality metrics across four key domains central to better overall care delivery.
- Appropriateness of Care to reduce harm and waste
- Best Practice Adherence to support guideline-based treatment
- Health Management to promote preventive care and chronic condition management
- Outcomes to measure effective care delivery
Providers are measured across these domains through a set of eight national and eight local metrics from industry-respected sources2 – creating consistency across markets while addressing key health care issues in local markets.
Cost Savings
With Blue HPN, your employees have in-network only3 access to quality care through a network that offers an average of more than 10% in additional savings as compared to our already industry-leading PPO. Blue HPN is a great option to help employers tailor benefit offerings to maintain access to high quality providers while being conscious on cost objectives.
Making it Simple for You and Your Employees
Blue Cross and Blue Shield of Texas (BCBSTX) now has two national network products for your employees to choose from.
- For employees living outside major metro areas, the PPO will continue to provide the broad quality access you've come to expect from BCBSTX.
- For employees living inside major metro areas, Blue HPN is designed to drive additional savings to help your bottom line while providing access to quality providers.
Visit our Blue HPN website to learn more or contact your BCBSTX Account Representative.
1 Savings are based on Consortium Health Plans analysis, 2019. Savings are on average and assume 100% enrollment. Results will vary based on employer locations and implementation.
2 Measures align with those being utilized by credible industry organizations, including American Hospital Association, Catalyst for Payment Reform and America’s Health Insurance Plans.
3 Out-of-network coverage is available for emergency situations.
