1. Transitioning to a paperless environment
June 20, 2017

2. History
Where we started
Where we are now

3. The challenges… Commitment to growth Commitment to efficiency
Commitment to cost accountability and enhanced value to our customers
Commitment to corporate citizenship
Commitment to the highest levels of privacy and security

4. Our approach
Commitment
Review
Action

5. What we have done – External stakeholders
Plan Members
Direct Billing
Online/Mobile
Direct Deposit
Notifications (claim statements)
Plan Member site
Communications

6. What we have done – External stakeholders
Plan Sponsors/Administrators
Online services (member updates, enrolments and changes)
File interface
Online reporting dashboards
Communications

7. What we have done – External stakeholders
Service Providers
Online Portals – Direct Billing
Communications

8. What we have done – External stakeholders
Group and Individual
Billings, Invoices
Employer Group Electronic Enrolment
Travel Sales

9. What we have done – Internal Stakeholders
Recycling/green initiatives
Reducing printing volumes, paper consumption
Internal communication ( )
Reference/training materials

10. Partnership with the Government of Alberta
Since 1970
Pharmacy, vision and paramedical
Coverage for Seniors
Non Group Coverage
Palliative Coverage
Optical Assistance for Seniors
Assured Income for the Severely Handicapped
Income Support
Adult Health Benefit
Alberta Child Health Benefits
Children Services
Child and Youth Supports
Learners
Public Health Activities Program
Pharmacy Services Program
Insulin Pump Therapy Program
RAPID
Alberta Blue Cross has been a strong partner with the Government of Alberta for over 43 years.
Since 1970, Alberta Blue Cross has worked closely with Government of Alberta to develop a number of highly customized processes that represent many of the best practices in drug plan management today.
Starting with the Coverage for Seniors program in 1970, ABC today administers pharmacy, dental, vision and paramedical benefits across 15 Government sponsored programs.
Programs include Coverage for Seniors, Non-Group Coverage, Assured Income for the Severely Handicapped and Income Support.
Coverage for Seniors, provides coverage for prescription drugs and other health-related services not covered by the Alberta Health Care Insurance Plan (AHCIP). In 2015– 2016, there were 590,810 seniors and dependents with coverage through this plan.
Non-Group Coverage, a plan available to all Alberta residents under 65 years of age, also provides coverage for prescription drugs and other health-related services not covered by the Alberta Health Care Insurance Plan (AHCIP). In 2015–2016, there were 99,198 Albertans with coverage through this plan.
Assured Income for the Severely Handicapped (AISH), provides health-related assistance to eligible adults with a disability. In , there were 57,280 Albertans with coverage through this plan.
Income Support (IS), is a plan that provides financial assistance and health benefits to Albertans who do not have the resource to meet their basic needs. In , there were 62,632 Albertans who accessed this plan.
Retina Anti-Vascular Endothelial Growth Factor Program for Intraocular Disease (RAPID)

11. Initiatives
To administer the program, Alberta Blue Cross provides a number of services for the Government of Alberta (i.e., the plan sponsor) and Albertans (i.e., plan members).
The first service includes enrolling Albertans into the health benefit programs. ABC currently receives electronic enrollment files from the Government of Alberta
Another service we provide is the billing process for the Non-Group Coverage program, which is a premium based plan. In the most recent fiscal year, there were over 99,000 Albertans, who did not have coverage through a private plan that were covered.
Nearly 100% of the claims are direct bill. In 2015/16, ABC processed 37 million drug claims on behalf of Alberta Blue Cross plan members, with over 95% being billed directly to ABC.

12. So that’s a snapshot of the different initiatives we’ve worked on with the Government of Alberta over the years, and we look forward to working on more.
So to wrap-up, we’ve done a considerable amount of work when it comes to finding efficiencies in the different services we provide for our plan members, benefit providers and plan sponsors, including the Government of Alberta. Internally, as Dan discussed, we’ve made changes to our work flow processed and also held various campaigns to Go Green and continue to encourage staff to do their part. Going paperless and leveraging digital tools and platforms has been important to us, and we look forward to building on our success as we go forward.
On behalf of Dan, I’d like to thank everyone for having us in today. If there are any questions, please let us know!