Oct. 8, 2024
You may receive information about certain commercial members’ care as part of our Risk Identification and Outreach program. Our multidisciplinary RIO team collaborates with providers on initiatives to enhance safety, such as safely managing opioid medications and facilitating follow-up care.
If RIO contacts you by fax, email or phone, you can help support our members’ care by reviewing the information and providing any details requested.
Interventions based on data: RIO’s medical and behavioral health professionals, physicians, pharmacists and clinical data analysts develop targeted interventions based on claims data. They reach out to members and providers to discuss or facilitate:
- Opioid education, such as pain management options, safe dosing, naloxone usage, medication storage and disposal, and risks of long-term opioid use after surgery
- Follow-up care for a recent diagnosis of depression that is untreated, such as psychotherapy and/or pharmacological treatment
- Follow-up care for multiple emergency room visits with primary care physicians or specialists
If you have questions, contact RIO@bcbstx.com or call 1-888-372-2159.