- Industry: Health care
- Number of terms: 4240
- Number of blossaries: 0
- Company Profile:
The Blue Cross Blue Shield Association (BCBSA) is a federation of 39 separate health insurance organizations and companies in the United States. Combined, they directly or indirectly provide health insurance to over 100 million Americans.
An ethical principle which, when applied to managed care, states that managed care organisations and their providers have a duty to present information honestly and are obligated to honour commitments.24
Industry:Health care
For provider organizations, the unification of two or more previously separate providers under common ownership or control, or the combination of the business operations of two or more providers that were previously carried out separately and independently.
Industry:Health care
The manager responsible for the plan's computer hardware and software systems, its telephone and electronic communication systems, and its electronic commerce capabilities.
Industry:Health care
The element of the marketing mix that an organisation uses (1) to inform consumers about its products, the prices of its products, and how to obtain its products, (2) to persuade consumers to purchase its products, and (3) to remind consumers about the benefits associated with transacting business with the organization.
Industry:Health care
An automated system that answers calls with recorded or synthesised speech and prompts the caller to respond to a menu of options by entering information through a touchtone keypad or by speaking into the phone.
Industry:Health care
The four tools of promotion-advertising, personal selling, sales promotion, and publicity.
Industry:Health care
Performance standards that are developed by the MCO and are based on the organization's historic performance levels.
Industry:Health care
The review and possible authorization of proposed treatment plans for a patient before the treatment is implemented.
Industry:Health care
An internal (private) computer network, built on Web-based technologies and standards, that is only available to members of the computer network.
Industry:Health care
The collection and analysis of information about the practise patterns of individual providers.
Industry:Health care
