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The AIS Guide to Blue Cross and Blue Shield Plans: 2009
Published independently by Atlantic Information Services. Not affiliated with or sponsored, endorsed or approved by the BlueCross BlueShield Association or any of the independent Blue Cross and Blue Shield companies.

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Print
version: $427
Print & CD
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Pages:
249
ISBN: 1-933801-64-6
© 200
9
Pub Code: G
BLU

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’:

  • Definitions and requirements for BCBS licensees
  • Mergers, acquisitions and divestitures
  • Contracting and alliances
  • History and structure of the BCBSA
  • Financial results
  • Enrollment trends and projections
  • Executive compensation, workforce issues, outsourcing and downsizing
  • Growth strategies in FEHBP, individual products, CDH plans, limited benefit plans, Medicare Advantage, Medicare Part D, TRICARE, Medicaid, and others
  • Benefit design and pharmacy benefit strategies
  • Fee schedules and rates
  • Quality incentives and never-event policies
  • And much, much more.

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

 

Written By

The AIS Guide to Blue Cross and Blue Shield Plans is written and edited by the editorial staff of Atlantic Information Services.

 

Written For

  • HMOs, PPO and POS plans
  • Insurers
  • Hospitals and health systems
  • Group practices
  • Pharmaceutical companies
  • Other health care organizations

 

AIS Guarantee

Order The AIS Guide to Blue Cross and Blue Shield Plans for a 30-day risk-free inspection and test for yourself the value of this information resource. Order this comprehensive resource for a 30-day risk-free inspection and see its value for yourself. If within 30 days you are not 100% satisfied, you may return it to AIS and receive a full, prompt refund. For CD purchasers, refunds will not be made once the seal on the CD package has been broken. Please review your copy of the print version prior to breaking the seal.

 

Shipping Information

This item is shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes.) You should receive your order within 5-7 business days. Shipping cost is $5 per item.

Rush orders: Please call us at 800-521-4323 to place a rush order. We will overnight your order for an additional charge of $30, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.

 

Related Publications

The AIS Report on Blue Cross and Blue Shield Plans
Health Plan Week
Health Plan Facts, Trends and Data
The Next Generation of Disease Management

 

For further information call 800-521-4323 or e-mail customerserv@aispub.com

 
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If you do not wish to place your order online, click here to download a printable order form (PDF file), then submit your order via fax or mail, as directed on the form.

Related Publications

The AIS Report on Blue Cross and Blue Shield Plans

Health Plan Week

Health Plan Facts, Trends and Data

The Next Generation of Disease Management


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