Blue Shield of California

Affordable, quality healthcare for Californians.

Oakland, California, USA

Blue Shield of California is a non-profit health plan, established in 1939 by the California Medical Association, dedicated to providing high-quality, affordably priced healthcare to Californians. As a mutual benefit corporation, it caps net income at 2%, returning excess earnings to members and the community, while actively transforming its technology infrastructure with cloud computing and data integration.

Shareable draft

Check out Blue Shield of California on @MedStartr Today Blue Shield of California is a non-profit health plan, established in 1939 by the California Medical Association, dedicated to providing high-quality, affordably priced healthcare to Californians. As a mutual benefit corporation, it caps net income at 2%, returning excess earnings to members and the community, while actively transforming its technology infrastructure with cloud computing and data integration. #Maternity #JointReplacement #EndOfLifeCare #MentalBehavioralHealth #SpineCare #CancerScreening #SubstanceUseDisorder #Other #HealthPlanBenefitsRisk #HealthInsurance #MedMo #MedStartrVentures

https://www.medstartr.ai/s/uCdG5uFFDew

Get Involved in Blue Shield of California

How We Help

Problem Statement

Providing Californians with access to high-quality, affordably priced healthcare.

Core Technology

Cloud computing (Microsoft Azure), data integration (Experience Cube Data Hub for near real-time data), real-time processing (real-time claims payments with OODA Health/Cedar), customized telemedicine systems, statewide health information exchange.

Key Differentiators

Non-profit mission and '2% Pledge' (capping net income at 2% and returning excess to customers or community), focus on affordability and value (driving down prescription costs, improving health data systems), extensive networks and accessibility (large PPO and HMO networks statewide, BlueCard® national network, telehealth), commitment to quality and innovation (Accountable Care Organization program, modern health ecosystem), diversity, inclusion, and customer service, local focus and market share leadership in California Medicare Supplement (Medigap) policies, BlueSky program for youth mental health, Enhanced Care Management for Medi-Cal members, integration of mental health services into primary medical care via the Collaborative Care Model, and a strategic focus on becoming a technology-driven healthcare company.

Clinical Focus

Maternity, joint replacement, spine care, end-of-life care, cancer screening, mental health, and substance use disorders.

Target Customers

Californians (individuals, families), employer groups, Medi-Cal members, and those seeking Medicare Supplement (Medigap) policies.

Product Stage

Mature

Company Info

Business Model: Non-profit health plan, mutual benefit corporation (B2C and B2B for individuals, families, employer groups, government programs).
Founded: 1939
Website: blueshieldca.com

Disease Areas

Maternity Joint Replacement End-of-Life Care Mental Health Spine Care Cancer Screening Substance Use Disorders

Technologies

Data IntegrationMicrosoft AzureExperience Cube Data HubReal-Time ProcessingCloud ComputingTelehealth & TelemedicineHealth Information Exchange

🌐Website

MedStartr Engagement Score

The MedStartr Index is a reflection of how the crowds that come to MedStartr everyday to find healthcare innovations reacted. Calculated by our AI agent Fyggy based on algorithms we have been building since 2012 and over 100 different factors, the math is proprietary and complex. Suffice to say, it has been found to be highly correlative with early stage company growth. What you see here is the public version. To learn more or to get deeper access to our predictive data on startup success for your fund or company, click here.

Comments

Comments from new members are shown once the company's team has approved them. Please follow the community rules.

Be the first to comment.

What do you think of Blue Shield of California?

A HUGE part of what early stage companies, and even late stage ones, need and get on MedStartr is honest feedback from actual patients, clinicians, hospital leaders and industry insiders. It is very easy to get tunnel vision as a founder. Please tell the team that runs this company what you think.

Clinical Benefit Potential

The potential for a project to have a large and significant impact on medical care, treatment, or prevention.

Feasibility

The likelihood that this will provide benefit for patients / care givers and that the founders can execute on their vision and plan.

Innovativeness

The distinguishing features, concept, or technology that differentiates the entry compared to others that already exist and are in widespread use.

Fundability

The reviewers' beliefs that the idea is fundable or can make it to sustainability without outside investment.

Scalability

Some great ideas are destined to failure because they are too complex or too expensive. The reviewer should consider the likelihood that a project as explained, or perhaps with some tweaks, could possibly become a worldwide solution within a reasonable time frame.

Presentation Quality

How well the team presented the idea.

Submit anonymously — my name won't be shown to the team or on this profile

Your scores and comments are shown with your review on this company's profile.