Blue Cross: Policy levers for changing systems to build a circular economy

Challenge

Blue Cross and Blue Shield of Minnesota addresses systemic challenges of racial and health equity and the social determinants of health and works toward a circular economy through community partnership and advocacy. Blue Cross and Blue Shield of Minnesota (Blue Cross) understands that embracing the principles of the circular economy is key to creating a healthcare system that works for everyone. They also understand that tackling the systemic challenges that create disparities and keep people from achieving their full health potential is just as important as assisting members when they interact with the health care system.

To advance solutions focused on racial and health equity, the social determinants of health, and circularity, Blue Cross centers systems change, partnership, and advocacy. At all levels of the organization, there is an understanding that these complex issues require long-term commitments from a diverse set of stakeholders, including partners in the state and federal government. Blue Cross uses its voice as a leader in the health care industry by encouraging policymakers to approach community health holistically and create structural change to achieve equitable health outcomes.

Result

Blue Cross’ Social Impact strategy, with focuses on racial and health equity and the social determinants of health, guides their initiatives to help sustain and improve the health of Minnesota communities, while also working to lower health care costs and improve the company’s competitiveness. In support of these goals, Blue Cross takes an organizational approach of partnering with community leadership and acknowledging that solutions for addressing health inequities lie within communities. Each community leverages its existing power and brings community voices to the conversation. This approach has guided the formation of the Blue Cross Giving Gardens, the way the Blue Cross and Blue Shield of Minnesota Foundation distributes funds, and Blue Cross’ role as a catalyst and convener in coalition leadership. Read more about Blue Cross’ involvement in the Minnesota Healthy Kids Coalition, Minnesotans for a Smoke-Free Generation, and the Minnesota Health Literacy Partnership.

Blue Cross also addresses social determinants of health by communicating with policymakers in state and federal government about policy solutions to systemic barriers to a healthy society for all. Blue Cross’ history of success in using policy advocacy is demonstrated by their leadership in raising the sale age of commercial tobacco from age 18 to 21 through “Tobacco 21.” Their responses to the COVID-19 pandemic and the murder of George Floyd demonstrate how they continue to model leadership through advocacy.