From the publishers of the successful monthly newsletter The AIS Report on Blue Cross and Blue Shield Plans, comes a new competitive intelligence resource: The AIS Guide to Blue Cross and Blue Shield Plans: 2009. It contains 12 information-packed chapters, with facts, trends and data about Blues plans’:

Whether you count Blue Cross and Blue Shield plans as partners or competitors, The AIS Guide to Blue Cross and Blue Shield Plans contains reliable information on Blues’ products, market strategies, acquisitions and alliances. It includes financial projections and hard-to-find data on revenues, earnings, enrollment and medical loss ratios, plus insight into market share expansion initiatives at both the multi-state and national levels. You can use this information to develop new operational tactics — such as selling, underwriting and networking strategies — as well as devise cost-saving techniques.

The AIS Guide to Blue Cross and Blue Shield Plans: 2009 and The AIS Report on Blue Cross and Blue Shield Plans are published independently by AIS. They are not affiliated with or sponsored, endorsed or approved by the Blue Cross and Blue Shield Association or any of the independent Blue Cross and Blue Shield companies.

CD Version Available for Easy Data Manipulation and Fast Searching! The CD version of The AIS Guide to Blue Cross and Blue Shield Plans: 2009 is packed with data and analysis not contained in the print version. It includes data in Excel spreadsheets, so you can easily create your own analyses, as well as directory contact information, and a complete user-friendly PDF version of the book for fast searching. Plus, all CD purchasers receive a free copy of the print version!

 

Table of Contents

Methodology

Chapter 1: What Is a Blue Cross and Blue Shield Plan?

• History, Function and Structure of the Blue Cross and Blue Shield Association
• BCBS Trade Names and Marketing Advantages
• BCBSA Licensee Requirements and Association Guidelines

Chapter 2: Corporate Leadership, Structure and Events

• Corporate Growth Strategies
• Mergers, Acquisitions and Divestitures
• Green Initiatives
• BCBS Leadership
• Workforce, Outsourcing and Downsizing
• Other BCBS Staff Changes
• BCBS Plan Executive Compensation
• Directory of Blue Cross and Blue Shield Organizations

Chapter 3: Enrollment Statistics and Market Share

Chapter 4: Financial Performance of BCBS Companies

• Cost and Revenue Data
• Publicly Traded BCBS Organizations
• Not-for-Profit BCBS Organizations

Chapter 5: Health Care Reform and Universal Coverage Initiatives

• Legislative Efforts
• National Perspectives
• State-Level and Local Programs

Chapter 6: Growth Strategies for Commercial Health Plan Markets

• FEHBP
• Individual (Non-Group) Products
• Consumer-Directed Health Plans
• Group Health Marketing and Brokers
• Limited Benefit Plans
• Local Market Issues and Strategies

Chapter 7: Growth Strategies in the Public-Sector

• Medicare Advantage and Medicare Part D
• Medicaid, SCHIP and Local Public Programs
• Other Public/Private Partnerships

Chapter 8: Benefit Design Innovations

• Benefit Design Strategies and Moves
• Specialty Benefit Strategies and Results
• Dental and Vision Benefits
• Medical Tourism
• Pharmacy Benefit

Chapter 9: Wellness, Prevention and Disease Management Programs

• Health Improvement Initiatives
• Evidence-Based Medicine
• Obesity
• Medical Home Models
• Contracting and Alliances

Chapter 10: Provider Relations, Fees and Conflicts

• Network Contracting
• Fee Schedules and Rates
• Never-Event Policies
• Quality Incentives and Data

Chapter 11: Legal and Regulatory Challenges

• Premiums and Rate-Setting Issues
• Coverage Policies and Rescissions
• Non-Profit/For-Profit Conversions
• Fraud and Abuse, Corruption and Wrongdoing

Chapter 12: Information Technology and Claims-Processing Issues

• Personal Health Records
• Cost and Quality Monitoring and Reporting
• Operational Software and Systems
• Provider Upgrades and Incentives

Master Table of Contents
Index of Charts