Accreditations

Member for

1 year 7 months
First Name
Shane
Last Name
Bartley
ACID
C636
Submitted by [email protected] on Sat, 01/28/2023 - 06:00

Accreditations

URAC is a national organization that promotes improvement in the quality of health care management through accreditation, education and measurement. Accreditation by URAC validates for members that we are focused on quality improvement and that we conduct activities in a manner consistent with national best practice standards. Accreditation is an external seal of approval of our quality and customer service activities.

BCBSKS means quality

HEALTH PLAN (COMMERCIAL PRODUCTS, HEALTH INSURANCE MARKETPLACE)

URAC Accredited Health Plan - Expires 07/01/2025
URAC Accredited Health Plan - Health Insurance Marketplace - Expires 07/01/2025

According to URAC, URAC's health plan accreditation standards address key issues stated in the Affordable Care Act (ACA) requirements, focusing on quality improvement activities that promote patient safety across many channels including but not limited to: wellness and health promotion, utilization management, care coordination, mental health parity, medication safety and care compliance, and patient experience of care.  

Obtaining this accreditation demonstrates that Blue Cross and Blue Shield of Kansas:

  • Conducts business in a manner consistent with national standards
  • Offers clients, members and providers reassurance that their health plan members are being managed by an organization that meets national clinical and quality standards
  • Has the infrastructure necessary to meet the ever-changing needs in the health care landscape

Case management

URAC Accredited Case Management

URAC indicates health plans accredited in the case management standards enable organizations to successfully train case managers, identify individuals for case management, manage and conduct case management activities in an efficient and professional manner, promote the autonomy of consumer and family decision making, maintain confidentiality and delegate responsibility.

Disease management

URAC Accredited Disease Management

URAC works one-on-one with each organization to create a tailored program from the ground up – a program that is fully documented, employs a valid evaluation process, reports on its performance, seeks provider feedback and respects consumers. Coupled with the core standards, obtaining URAC’s disease management accreditation ensures that organizations:

  • Implement a process to assess the health condition of each participant, taking into account cases where more than one chronic health condition may be present
  • Conduct assessments according to a standard process
  • Implement interventions designed to respond to the specific health needs of the patient
  • Employ evidence-based decision-support tools that are reviewed and updated annually

Company Facts

Member for

1 year 7 months
First Name
Shane
Last Name
Bartley
ACID
C636
Submitted by [email protected] on Sat, 01/28/2023 - 06:00
Body

Legal name

Blue Cross and Blue Shield of Kansas, Inc.

Common name

Blue Cross and Blue Shield of Kansas
(Please note: “BCBSKS” or “Blue Cross” are acceptable on second reference)

Mission statement

Being the insurer Kansans trust with their health

Company headquarters

 

1133 SW Topeka Blvd.
Topeka, KS 66629-0001

BCBSKS also has offices in Dodge City, Garden City, Hays, Hutchinson, Independence, Lawrence, Manhattan, Salina, Pittsburg and Wichita.

 

Classification

Mutual insurance company

Service area

All Kansas counties except Johnson and Wyandotte (103 of 105 counties)

Year founded and other key dates

  • 1941: The Kansas Legislature passes enabling legislation for a “hospital service corporation.”
  • 1942: The Kansas Hospital Service Association (later Blue Cross of Kansas) is incorporated.
  • 1945: The Kansas Legislature passes enabling legislation for a “medical service corporation,”and the Kansas Physicians Service (later Blue Shield of Kansas) is incorporated.
  • 1983: Blue Cross of Kansas and Blue Shield of Kansas consolidate into one corporation.
  • 1992: The Kansas Legislature officially classifies BCBSKS as a mutual insurance company.

National affiliation

BCBSKS is an independent licensee of the Blue Cross Blue Shield Association. Each of the 35 Blue Plans is separate and independent. However, the Blue Plans cooperate with each other on many inter-Plan services for customers and other projects.

Regulatory supervision

All premiums and insured benefit programs must be filed with the Kansas Insurance Department. KID has the power to disapprove premiums and regulate reserve levels.

Governance structure

BCBSKS is governed by a 16-member board of directors; 15 are non-employees. They represent individual and group policyholders. A few of the board members are policyholders who also are health care providers.

Chair of the Board

Leonard R. Hernandez, New Strawn

President and Chief Executive Officer

Matt All, Lawrence

Number of employees (as of Dec. 31, 2021)

1,612
(1,458 in Topeka, 154 outside of Topeka)

Provider networks

For 2021, 96 percent of all providers in the BCBSKS service area, including 99 percent of all medical doctors and 99 percent of all acute care facilities.

People served (as of Dec. 31, 2021)

TOTAL: 971,536

 

2021 health claims

Processed
BCBSKS/Solutions/ASO: 17,813,671

Paid
BCBSKS, Solutions, AICK, ASO: $3,070,063,943

Key financial data (as of Dec. 31, 2021)

Total assets: $2,437,436,800
Total liabilities: $1,084,303,331
Policyholders’ reserves: $1,353,133,469
Payroll: $132,718,527
Total taxes paid:* $53,639,772
* Includes payroll, federal and state income, personal property, real estate and premium taxes and ACA Health Insurance Provider Tax for BCBSKS and its subsidiaries.

Subsidiaries and business units

  • Advance Insurance Company of Kansas (AICK) is the company's subsidiary that sells life, disability and employee assistance plans in the BCBSKS service area. (www.advanceinsurance.com)
  • The Blue Cross and Blue Shield of Kansas Foundation was incorporated in 2005 and seeks to fund programs and activities that are, at their core, health-related.
  • BlueCross BlueShield Kansas Solutions was incorporated in 2013 to give the company greater flexibility in designing benefit plans to meet the needs of the changing marketplace.
  • Administrative Services of Kansas, conducting business as Blue Cross and Blue Shield of Kansas (dba) ASK, was formed in 1982, and was charged with developing a network to collect electronic claims. Since its inception, ASK has expanded its services to include electronic remittance notices, electronic acknowledgements, member eligibility and benefit information, claim history and electronic pre-certification and referrals. ASK performs services for hundreds of other insurance carriers and commercial payers through the company's EDI Midwest Clearinghouse. (www.ask-edi.com)

Ratings, accreditations and awards – Blue Cross and Blue Shield of Kansas

  • A.M. Best: A or “excellent” (Rating earned separately by BCBSKS and AICK)
  • URAC Accredited – Health Plan (commercial)
  • URAC Accredited – Health Plan with Health Insurance Marketplace
  • URAC Accredited – Disease Management
  • URAC Accredited – Case Management
  • Contact Center World Class CX Certification through the Service Quality Measurement Group (SQM) Contact Center Industry Voice of the Customer Service Excellence Program, 2017
  • Contact Center World Class FCR (first call resolution) Certification from (SQM), 2016
  • World Class Certified Call Center from SQM, 2009, 2010, 2011, 2012, 2013
  • Highest Customer Satisfaction for the Health Care Industry Award from SQM, 2009, 2010, 2011, 2012, 2013
  • Blue Cross and Blue Shield Association: BlueCard® Provider Satisfaction Award for Highest System-wide Provider Satisfaction, 2011, 2012; Brand Excellence Award for Provider Satisfaction, 2007-2010; Brand Excellence Award for Member Retention, 2010
  • Kansas Chamber, Ad Astra Award, 2017
  • Kansas Department of Wildlife, Parks & Tourism, Recognition Award, 2017
  • Kansas Public Health Association, Corporate Public Health Award, 2018
  • United Way of the Plains (Wichita), Gold Award, 2017; Bronze Award, 2012, 2013, 2014, 2015, 2016
  • United Way of Greater Topeka, Bronze Award, 2011
  • Salina Area United Way, Silver Corporate Leaders, Outstanding Citizenship, Bronze Award, 2011
  • American Heart Association, Fit-Friendly Worksite, Platinum Level, 2012, 2014, 2015; Gold Level, 2008-2011, 2013, 2016; Bronze Level, 2017
  • American Heart Association, Community Fitness Innovation, 2010, 2012
  • Meals on Wheels, Corporate Citizen Award, 2018
  • TARC Industries, 2015 Customer of the Year
  • Community Blood Center, Large Business Award, 2017; Top Business Award, 2014, 2016
  • Junior Achievement of Kansas, Certificate of Recognition for Volunteerism, 2016

Awards – Blue Cross and Blue Shield of Kansas Foundation

  • Outstanding Foundation, Association of Fundraising Professionals – Topeka Chapter on Philanthropy, 2011, 2018
  • Girl Scouts of Northeast Kansas and Northwest Missouri, Philanthropy Award, 2017
  • Kansas Family Partnership, Prevention Award of Excellence, 2016
  • President’s Award, Kansas Association for Health, Physical Education, Recreation and Dance (KAHPERD), 2011

MX+CX Yearbook

Member for

4 months 1 week
First Name
Kelsey
Last Name
Strole
ACID
G643
Submitted by [email protected] on Fri, 01/27/2023 - 12:41

The marketing and customer experience division is made up of four departments that are important to our brand’s image and sustainability:

Marketing

Corporate communications

Customer experience

Competitive intelligence &

market research

2022 took us on many journeys and adventures. We have put together a collection of accomplishments from across our division, showing the journey each and every one of us here at Blue Cross and Blue Shield of Kansas has been on. Wow, what a year! We have done great things, and we want to show off our hard work!

Emergency Air Ambulance Network Change

Member for

1 year 7 months
First Name
Aaron
Last Name
Ansell
ACID
C613
Submitted by [email protected] on Fri, 01/27/2023 - 09:00

We want to inform you of a change to our emergency air ambulance network. Effective January 1, 2023, Global Medical Response (MedTrans) will no longer be considered an in network provider with Blue Cross and Blue Shield of Kansas (BCBSKS). BCBSKS's goal is to develop lasting, mutually cost-effective contractual relationships with our providers, while also remaining cognizant of our members premium dollars. Unfortunately, we were unable to come to a mutual agreement in this situation but remain open to future contracting conversations.

If you have any questions, please contact your BCBSKS Institutional Provider Consultant.

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Medical Policy Update

Member for

1 year 7 months
First Name
Aaron
Last Name
Ansell
ACID
C613
Submitted by [email protected] on Tue, 01/24/2023 - 12:00

Blue Cross and Blue Shield of Kansas (BCBSKS) has published the following updated medical policies on the  BCBSKS Website. Click on a link to view the details of each policy.

Published 01/24/23:

If you have questions regarding this publication, please contact your BCBSKS provider consultant/representative.

Institutional Providers
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Blue Cross and Blue Shield of Kansas Foundation Awards $200,000 in Healthy Habits for Life Grants

Member for

1 year 7 months
First Name
Aaron
Last Name
Ansell
ACID
C613
Submitted by [email protected] on Mon, 01/23/2023 - 12:00
Headline
BCBSKS foundation assists schools in promoting healthy lifestyle choices to their K-12 students
Body

TOPEKA, Kansas (Jan. 19, 2023) – Each year, the Blue Cross and Blue Shield of Kansas Foundation shares nearly $200,000 in Healthy Habits for Life grants to assist schools in implementing programs that promote healthy lifestyle choices to their K-12 students. This year, 119 schools were awarded grants. These school-based programs must address at least one of four criteria: reduce cardiovascular risk, increase physical activity, learn healthy eating habits, and reinforce positive mental health among students.

Since its creation in 2006, the Healthy Habits for Life grant program has awarded nearly $2 million through more than 1,900 grants. School personnel have used past grant dollars to educate students on healthy portion sizes, begin a daily walking program for students before or after school, invest in equipment for physical education classes, and much more.

Layne Nash, physical education teacher from Farley Elementary School in Topeka, recently received a Healthy Habits for Life grant. Nash purchased an obstacle course that will better support cardiovascular fitness and plans on hosting a family night so that students can share it with family.

"Being able to apply and receive a grant like the Healthy Habits for Life grant from Blue Cross and Blue Shield of Kansas allows for teachers like myself to open up new opportunities for our students.” said Nash “Not all students have the same opportunities as one another outside of school so I’m excited to implement a new obstacle course style unit that students can explore and utilize.”

“I love incorporating a lot of fitness and movement in majority of my lessons because it improves body control and can also boost balance and flexibility and muscular strength.  My students will love to challenge themselves with the purchase of this equipment!”

Chelsea Koenigsman, physical education teacher from Northeast Magnet High School in Wichita, also received a Healthy Habits for Life grant. Koenigsman purchased equipment that will allow students to explore different workouts safely and increase their physical activity.

"We are excited to spend most of the grant money for our weight room. We plan to purchase some lighter weight equipment for our beginner lifters. With this equipment, we plan to have a new unit for our ninth grade PE class to learn the basics of weightlifting." said Koenigsman. "With this equipment, we plan to have a new unit for our 9th grade PE class to learn the basics of weightlifting and hopefully spark some interest."

“With our PE budget being low and equipment being split between three different classes, not much can be purchased each year. Having the opportunity to apply for a grant like Healthy Habits for Life, gives us the opportunity to make larger purchases. This grant money will provide opportunities for our primarily freshman class to learn the basics of weightlifting. This will give students the freedom to have more weight choices that are appropriate for them.

View a complete list of the 2022-23 Healthy Habits for Life grant recipients.

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About the Blue Cross and Blue Shield of Kansas Foundation

The Blue Cross and Blue Shield of Kansas Foundation promotes the good health of Kansans who live in the Foundation’s 103-county service area. Blue Cross and Blue Shield of Kansas, the largest health insurer in the state, incorporated the Foundation in 2005 as a way to further deepen its commitment to helping all Kansans lead healthier lives, an effort which both entities believe is an essential factor in keeping health care affordable. Through its giving, the Foundation focuses on key health issues that can impact the lives of many Kansans. It funds programs and activities that are, at their core, health-related and in particular, promote health improvement, community health access and/or education, healthy behaviors, prevention initiatives and direct health services to the uninsured. The Blue Cross and Blue Shield of Kansas Foundation and Blue Cross and Blue Shield of Kansas are independent licensees of the Blue Cross Blue Shield Association. Both entities serve all Kansas counties except Johnson and Wyandotte. For more information on the Foundation, visit bcbsks.com/foundation.

Group Health Plans

Member for

4 months 1 week
First Name
Kelsey
Last Name
Strole
ACID
G643
Submitted by [email protected] on Fri, 01/13/2023 - 12:49
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Which group size are you?

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Blue Cross and Blue Shield of Kansas Employees, Foundation Give $269,767 to United Way Campaigns Across the State

Member for

1 year 7 months
First Name
Aaron
Last Name
Ansell
ACID
C613
Submitted by [email protected] on Wed, 01/11/2023 - 12:00
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TOPEKA, Kansas (Jan. 11, 2023) – Today, Blue Cross and Blue Shield of Kansas (BCBSKS) employees, retirees and the Blue Cross and Blue Shield of Kansas Foundation donated a total of $269,767 to United Way campaigns across the state.

“As board chair for the United Way of Kaw Valley, there are exciting things on the horizon and campaigns like this one make it possible for the underserved in our communities to receive the help they need,” said Matt All, president/CEO of Blue Cross and Blue Shield of Kansas and the Blue Cross and Blue Shield of Kansas Foundation. “I am proud that our employees see the value in the work that they do and choose to step up in big ways to support our fellow Kansans.”

In Topeka, where a majority of employees work, All presented the United Way of Kaw Valley with a check in the amount of $212,888. The amount includes an employee and retiree contribution of $164,853, as well as a $50,000 donation from the BCBSKS Foundation.

Employees were also able to participate in volunteer projects to show their support for the campaign. Employees in Topeka spent time at LULAC Senior Center and the Topeka Veteran’s Administration. Topeka area and field office employees also created uplifting cards that were distributed to both LULAC and the Topeka VA.

BCBSKS employee and Foundation donations in Shawnee, Jackson, Jefferson and Douglas counties serve all age ranges with a concentration on childhood success, family success, family supports, and Black, Indigenous and people of color. Jessica Lehnherr, president and CEO of the United Way of Kaw Valley, is grateful for the partnership with BCBSKS.  

"Blue Cross and Blue Shield of Kansas is a leading example of companies that engage employees in serving in the community. We appreciate their donation and our long-standing relationship with them," Lehnherr said. “We know the pandemic has disrupted so many of our daily lives, yet BCBSKS employees continue to support and engage in our community in so many ways. We are so grateful for the continued support to make our community a better place to live, work and play.”

In Hutchinson, Salina and Wichita, employees and the BCBSKS Foundation raised $37,161 that will be divided among their respective local United Way organizations. United Way organizations in Hays, Dodge City, Manhattan, Garden City and Pittsburg received $2,500 donations.

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About Blue Cross and Blue Shield of Kansas

For more than 80 years, Blue Cross and Blue Shield of Kansas has built a reputation of trust with its members and contracting providers by providing outstanding customer service while quickly and accurately processing claims; fairly administering benefit plans and contracts; offering programs, services and tools to help members improve or maintain their health; and operating under the highest ethical standards while being good stewards of premium dollars. Blue Cross and Blue Shield of Kansas is an independent licensee of the Blue Cross Blue Shield Association and is the state’s largest insurer, serving all Kansas counties except Johnson and Wyandotte. For more information, visit bcbsks.com.

About the Blue Cross and Blue Shield of Kansas Foundation

The Blue Cross and Blue Shield of Kansas Foundation promotes the good health of Kansans who live in the Foundation’s 103-county service area. Blue Cross and Blue Shield of Kansas, the largest health insurer in the state, incorporated the Foundation in 2005 as a way to further deepen its commitment to helping all Kansans lead healthier lives, an effort which both entities believe is an essential factor in keeping health care affordable. Through its giving, the Foundation focuses on key health issues that can impact the lives of many Kansans. It funds programs and activities that are, at their core, health-related and in particular, promote health improvement, community health access and/or education, healthy behaviors, prevention initiatives and direct health services to the uninsured. The Blue Cross and Blue Shield of Kansas Foundation and Blue Cross and Blue Shield of Kansas are independent licensees of the Blue Cross Blue Shield Association. Both entities serve all Kansas counties except Johnson and Wyandotte. For more information on the Foundation, visit bcbsks.com/foundation.

BCBSKS closed MLK Day

Member for

1 year 7 months
First Name
Aaron
Last Name
Ansell
ACID
C613
Submitted by [email protected] on Wed, 01/11/2023 - 12:00

Blue Cross and Blue Shield of Kansas will be closed Monday, January 16, 2023 in observance of the Martin Luther King Jr. holiday. The payment schedule will be altered as outlined below:

  • Friday, Jan. 13 weekly payments for the holiday on Monday -- Will be mailed on Tuesday, Jan. 17. EFT payments will settle into accounts on Thursday, Jan. 19.

For more information, please contact your BCBSKS provider consultant/representative.

Institutional Providers
Professional Providers

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