The BCBSM Strive Health kidney care program is described in a provider document for Medicare Advantage members in specified Michigan counties.
This program is described in a provider facing home based services document, not on an employer page. It names Medicare Plus Blue and BCN Advantage members, so employers should treat it as a Medicare program unless the carrier confirms otherwise.
What the program is and what members do.
What the program is
The document describes Strive Health as an enhanced care management program with integrated, nurse practitioner led, high touch care for eligible members with chronic kidney disease. It says the aim is to intervene early to help slow kidney disease progression, reduce dialysis crashes, increase home dialysis adoption and reduce hospitalizations.
How members use it
The document says participation is voluntary and directs providers to Strive’s Provider Engagement Manager to learn more or schedule. It does not describe a member sign-up path beyond that.
What it does not cover
The document says members attributed to providers in Blueprint contracts are not eligible, and that if a member qualifies for both HarmonyCares and Strive Health, only Strive Health engages with the member. It does not publish results.
Eligibility, funding and plan design.
Who can use it
The document says Medicare Plus Blue and BCN Advantage members diagnosed with chronic kidney disease stage 4 or 5 or end stage renal disease who live in listed Michigan Lower Peninsula counties, including Wayne, Oakland, Macomb, Washtenaw and Kent among others. The document is addressed to providers.
How it is funded or sold
The document does not discuss employer pricing or funding type. It says members will not be attributed to Strive Health and Strive Health will not submit claims.
Where it fits in plan design
It is a care management layer for a narrow, high need Medicare population. Commercial groups should not count on it. Employers with Medicare Advantage retirees in the listed counties may want to ask about it.
What to settle before relying on it.
Do any of our members live in the listed counties?
Eligibility depends on county and diagnosis. We would map the group’s Medicare Advantage population against the county list and ask the carrier to confirm.
Does a commercial equivalent exist?
The source is limited to Medicare lines. We would ask the carrier what kidney care support exists for commercial members and how it is accessed.
How is member information shared?
The document describes a provider engagement contact. We would ask how member data moves between the carrier and Strive Health and what the employer is told.
Common questions about this program.
Is Strive Health a commercial benefit?
The document we read describes Medicare Plus Blue and BCN Advantage members. Confirm with the carrier whether anything similar applies to your commercial group.
Which diagnoses qualify?
The document names chronic kidney disease stage 4 or 5 and end stage renal disease.
Is it available everywhere in Michigan?
No. The document limits it to listed counties in the Lower Peninsula.
Where these details come from.
This page summarizes what BCBSM publishes. Programs change, so confirm current details with the carrier before relying on them.
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