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Tom MacLean to Head New Government Programs Unit

Mar. 15, 2013

Albuquerque, NM — Blue Cross and Blue Shield of New Mexico (BCBSNM) is pleased to announce that Tom MacLean will head the new Government Programs Unit, as the Vice President of Government Programs Medical Management. The unit will support clinical operations for Government Programs, including Medicare and Medicaid business for the Health Care Service Corporation (HCSC) Enterprise. The unit will focus on care coordination and early intervention, case and condition management, medical review, and utilization management in collaboration with the HCSC Blue Cross and Blue Shield plans in Texas, Oklahoma, and Illinois.

The Government Programs Unit will be staffed with new positions located in New Mexico. These positions will include health coordinators, customer advocates, case managers, medical reviewers, and medical directors. These new positions will support the Medicaid Centennial Care implementation, the new Medicare-Medicaid Alignment Initiative implementation, and the already established government programs' clinical operations. The unit will be instrumental for the growing success of government programs.

MacLean and his team will focus on the delivery of integrated market-leading health management solutions that promote the health and wellness of members, meet the requirements of an evolving health care landscape, and demonstrate value and improved outcomes.



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