The AIS Guide to Blue Cross and Blue Shield Plans: 2010

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Health Plan Facts, Trends and Data: 2009-2010

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Print version: $398
Print & CD versions: $548
Pages:
473
ISBN: 1-933801-65-4
© 2009

Pub Code: GHPF14

For everyone in the health care industry, the past year has been unlike any before — with turbulent economic conditions and the battle for health care reform affecting the way you need to do business and stay competitive. Health Plan Facts, Trends and Data will help you gain perspective and make sense of the state of the industry.

This well-organized resource is packed with reporting and analysis that charts the impact of events so you can quickly develop an understanding of possible implications for your organization. The all-new 2009-2010 edition contains key information on the hottest issues facing the industry today, including:

  • Federal and state employee health benefits programs
  • Strategies and challenges for the individual market
  • Impact of the economy on health plans
  • Health reform
  • SCHIP
  • Coverage expansions
  • Retail clinics
  • The Ingenix legal battle
  • Never events
  • Quality initiatives
  • Online tools
  • Personal health records
  • Disease management
  • E-prescribing initiatives
  • And much more!

Stay ahead of your competition in this constantly changing arena. Order your copy of Health Plan Facts, Trends and Data today!

Also Available on CD: For an additional $150, you can order the convenient CD version of Health Plan Facts, Trends and Data. The CD contains all of the information in the print version and you’ll find what you need instantly with the user-friendly, searchable PDF format. Plus, all CD purchasers receive a free copy of the print version!

Table of Contents

Chapter 1: Health Plan Industry Trends

  • Health Plan Enrollment Trends
  • Mergers and Acquisitions
  • Federal and State Employee Health Benefits Programs
  • Costs, Premiums and Profitability
  • Marketing Strategies
  • Strategies and Challenges for the Individual Market
  • Executive Compensation Trends

Chapter 2: Health Plan Company News and Events

  • Health Plan Market Share
  • Impact of Economy on Health Plans
  • MCO Organizational Structure and Leadership

Chapter 3: Health Plan Financial Performance

  • Quarterly Results
  • Stock Market Performance

Chapter 4: Health Reform Initiatives

  • Federal Reform Initiatives and Legislation
  • SCHIP
  • State Reform Initiatives
  • Coverage Expansions
  • Industry Perspectives

Chapter 5: Blue Cross Blue Shield Plan Trends and Data

  • History
  • Enrollment Data

Chapter 6: Benefit Design and Consumer-Directed Health Trends

  • Health Plan Benefit Design Trends
  • Specialty Benefit Design
  • Product Launches and Coverage Expansions
  • Employer Strategies
  • Consumer-Directed Health Trends and Challenges

Chapter 7: Provider Contracting

  • Network Administration, Reimbursement and Contracting Issues
  • Retail Clinics
  • Overseas Medical Tourism
  • Never-Events
  • Quality Initiatives

Chapter 8: Health Plan Tools and Technology

  • Personal Health Records and Data Innovations
  • Online Tools
  • Medical Technology Initiatives
  • Information Technology for Health Plans

Chapter 9: Health Promotion and Disease Management Strategies and Challenges

  • Health Management and Utilization
  • Strategies for Specific Health Concerns
  • Medical-Home Models
  • Wellness Programs

Chapter 10: Pharmacy Benefit Management News and Strategies

  • Pharmacy Benefit Strategies
  • Pharmacy Costs and Trends
  • e-Prescribing Initiatives
  • Specialty Pharmacy Trends

Chapter 11: Medicare Advantage and Part D Business Strategies

  • MA Participation and Enrollment
  • Government Initiatives, Regulation and Funding
  • MA Marketing Issues
  • Medicare Part D Prescription Drug Benefit
  • Product Development
  • Medicare Advantage Regional Data

Chapter 12: States and Managed Medicaid Markets

  • Managed Medicaid Trends and Challenges
  • Medicaid Cost and Funding
  • Medicaid State Developments
  • Managed Medicaid Enrollment Data

Chapter 13: Legal Issues

  • Health Plan Liability and Legal Action
  • Antitrust and Fraud and Abuse Issues
  • Data Protection and Security
  • Provider Conflicts
  • Ingenix Legal Battle
  • Mental Health Parity
  • Rescission Developments

Chapter 14: Health Plan Resources and Directories

  • Federal and Regional Medicare Regulators
  • Health Plan Trade Associations
  • Health Plan Accrediting Bodies
  • State Health Plan Associations
  • State Insurance Commissioners
  • State Medicaid Directors
  • State Medicaid Pharmacy Directors

Master Table of Contents
Index of Charts

Written By

Health Plan Facts, Trends and Data was written and edited by the editorial staff of Atlantic Information Services.

Written For

  • Managers of HMOs, PPOs, POS plans and PSOs
  • Hospital managers and health system executives
  • Group practice managers
  • Managers of IDSs
  • Insurance executives
  • Employee benefits managers
  • Consultants and attorneys

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Order Health Plan Facts, Trends and Data for a 30-day risk-free inspection and test for yourself its value. If within 30 days you're not interested in keeping this comprehensive resource, just return it to AIS and we will send you a prompt, full 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.

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Related Publications

Health Plan Week

Drug Benefit News

Medicare Advantage News

Managed Medicare and Medicaid Factbook

The AIS Report on Blue Cross and Blue Shield Plans

Pharmacy Benefit Trends & Data

AIS's Directory of Health Plans

AIS’s 2003-2007 Health Plan Enrollment Statistics

 


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