- 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.
Programmes that offer drugs ordered and delivered through the mail to plan members at a reduced cost.14
Industry:Health care
Employees in the claims administration department who oversee the work of several claims examiners.
Industry:Health care
An organisation that provides behavioural health services by implementing managed care techniques.
Industry:Health care
The difference between the highest and lowest rates that a health plan charges small groups. The National Association of Insurance Commissioners' Small Group Model Act limits a plan's allowable rate spread to 2 to 1.
Industry:Health care
The integration of both the financing and delivery of health-care within a system that seeks to manage the accessibility, cost, and quality of that care.
Industry:Health care
The process of calculating the appropriate premium to charge purchasers, given the degree of risk represented by the individual or group, the expected costs to deliver medical services, and the expected marketability and competitiveness of the MCO's plan.
Industry:Health care
Any entity that utilises certain concepts or techniques to manage the accessibility, cost, and quality of health-care.
Industry:Health care
A type of operational integration that enables patients to receive a variety of healthcare services from the same organisation or entity, which streamlines administrative processes and increases the potential for the delivery of high-quality health-care.
Industry:Health care
Change that is controlled, but rarely planned, and that can lead to positive, negative, or even unintended results.
Industry:Health care
Any dental plan offered by an organisation that provides a benefit plan that differs from a traditional fee-for-service plan.
Industry:Health care
