Real time notes from WHCC Innovation CongressIn Rhode Island BCBSRI have identified a number of consumer segments Cost shifting to consumers is reaching a plateau. Value-based benefits are being looked to in order to lower future costs. Value-based benefits are not a cost containment strategy. They are a long term prevention strategy. Benefit Design needs to be matched to the different consumer segments. eg. Healthy at Risk v Chronic v Complex. Value-Based Benefits need strong employer participation. BCBSRI has an account management structure for employer accounts that coordinates between Retention, renewal and service management functions.