• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Life Sciences
  • Investments
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage

Blue Cross NC, Duke Health Form New Company to Offer Medicare Advantage Plan for Seniors

by Fred Pennic 04/03/2019 Leave a Comment

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Blue Cross NC, Duke Health Form New Company to Offer Medicare Advantage Plan for Seniors

Blue Cross and Blue Shield of North Carolina and Duke University Health System have together formed Experience Health, a new health insurance company to offer a Medicare Advantage Plan in 2020. Jointly owned by Blue Cross NC and Duke Health, Experience Health brings together two of the most trusted and innovative names in healthcare to create a locally owned and operated non-profit health plan.

Why Experience Health?

Blue Cross NC and Duke Health formed Experience Health to take advantage of the strengths of both organizations in a new type of collaboration. As a new entity incorporated in North Carolina, Experience Health has established agreements with Blue Cross NC to provide enrollment, billing, and claims services to its customers, and with Duke Health providers and facilities to provide medical services, including population health management programs to improve the health of Experience Health members.

Experience Health Leadership

Experience Health is governed by a board of directors consisting of three members each from Blue Cross NC and Duke Health. It has a professional staff headed by a CEO, Mark Waggoner, who has more than 20 years of health care leadership experience among health insurers and providers.

Experience Health Medicare Advantage Plan for NC Counties

Experience Health intends to offer a Medicare Advantage plan in the following North Carolina counties, with coverage starting January 1, 2020, subject to approval by the federal Centers for Medicare and Medicaid Services (CMS): Alamance, Durham, Franklin, Granville, Lee, Orange, Person, Vance, and Wake. If the application is approved by federal regulators, Experience Health will be available as an option during the Medicare Annual Enrollment Period starting in the fall of 2019. Members may seek in-network care with Duke Health physicians and facilities.

Collaborative Effort to Enhance Quality of Care

 

“Our goal at Duke Health is always to seek innovative ways to lead in the delivery of highest-quality care to our patients, their families, and loved ones,” said A. Eugene Washington, MD, Chancellor for Health Affairs, Duke University, and President and CEO, Duke University Health System. “Experience Health represents a one-of-a-kind collaboration between Duke Health and Blue Cross NC to enhance the quality of care, the patient experience, and to bring even greater value to our patients.”

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Tagged With: CMS, health insurance, MD, medicaid, medicare, Medicare Advantage, Patient Experience, physicians, Population Health, Population health management, The Blue Cross Blue Shield Association (BCBSA), Value-Based Care, WASHINGTON

Tap Native

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

Reader Interactions

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Featured Insights

Digital Health Funding Q3 2025: Choppy Undercurrents Beneath a Steady Surface

Most-Read

Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

KLAS Report: Epic's Native Ambient Speech Tool Reshapes Customer AI Strategies

KLAS Report: Epic’s Native Ambient Speech Tool Reshapes Customer AI Strategies

Epic Unveils MyChart Central and New APIs to Advance Interoperability at Open@Epic

Epic Outlines Roadmap for Next-Generation Data Sharing at Open@Epic

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

Oracle Confirms Layoffs in Kansas City

Oracle Confirms Layoffs in Kansas City

Philips Future Health Index 2025: AI and Digital Tech Can Help Solve Cardiac Care Crisis

Philips Future Health Index 2025: AI and Digital Tech Can Help Solve Cardiac Care Crisis

Optain Health Secures $26M to Advance AI-Powered Retinal Screening

Optain Health Secures $26M for AI-Powered Retinal Screening

Sutter Health and Epic Launch "Sutter Sync" to Optimize Remote Chronic Care

Sutter Health and Epic Launch “Sutter Sync” to Optimize Remote Chronic Care

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • Submit An Op-Ed
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2025. HIT Consultant Media. All Rights Reserved. Privacy Policy |