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Blue Cross Blue shield is an association of 42 independent, locally operated health plans. As such, each health plan in the organization is a private insurer that offers coverage to mostly corporate employees. Collectively, they cover 81.5 million people in the U.S. And Canada, and Represent 28.6% of the U.S. population. Through membership in the association, the independent insurers (which formulate their own strategies) are able to offer health plans that can be taken to other areas of the country by pooling the medical professionals that they do business with. In addition to private companies, Blue Cross Blue Shield has partnered with the U.S. Government to offer Medicare services. In 1939 the Blue Cross symbol was officially adopted by a commission of the American Hospital Association (AHA) as the national emblem for plans that met certain guidelines. Blue Cross and Blue Shield insurance companies were set up as community sponsored, non-profit service plans that were based on contracts with hospitals and subscribers. Most of these general voluntary plans accept subscribers...
As such, Blue Cross Blue Shield is the standard bearer for the medical insurance industry rather than its strategist.
The Blue Cross and Blue Shield Plans occupy a unique niche: they are both sellers of health insurance and buyers of health services. Because companies party to these plans were innovators, they were able to develop a dominant market share in most geographic areas. Many experts, as a result, believe that they receive favorable tax treatment, which includes non-profit organization status and tax exemption.
Blue Cross and Blue Shield's strategic plans are often political ones, as the organization represents the interests of their 42 independent health plans. The independent plans share vested interests in the same political action, which dictates the policies they wish the Government to implement. In the past, Blue Cross and Blue Shield has absorbed most of the operational aspects of Medicare. This strategy has been plagued by mismanagement and fraud. It is estimated that $100 billion a year is…
Strategic Management Health Care First student: The text notes that there are several elements to action plans. First, the management needs to set objectives for action plans, the resources required to make the plans work, a plan for measuring results, what actions are going to be taken (Swayne, Duncan and Ginter, 2008). Right now, Steve Morgan needs to set some objectives. That is the most important thing. He has an idea about
(Preist, 2007) The different issues that are affecting the facility are: directly tied to a lack of leadership inside the organization. This is problematic, because the staff members will often look to upper management and supervisors to determine how they should be interacting with patients. When they see that managers do not care, they will exhibit similar kinds of views as part of their job. This is the point that
Strategic Planning Present how strategic planning, performance improvement, and information systems are interrelated and fundamental to the delivery of quality health care. Over the last several years, the health care system has been facing considerable challenges. This is because the total number of patients is rapidly increasing and costs are rising. Evidence of this can be seen with a study that was conducted by the Kaiser Foundation. They found that insurance premiums
Health Care Delivery Systems The structure and organization of the resources that make it possible to provide health care services to target populations is referred to as a health care system. The variety of health care systems is very wide with strong evolutionary histories tied to the governments, religious organizations, charitable organizations, labor unions, and for-profit market participants. Five Health Care Delivery Systems Reid set out around the world to study healthcare systems
Healthcare Delivery of Quality Health Care The good old saying; health is wealth is as valid today as it was at the time when it was said. Health is the most important construct of human happiness. It is a unique element which cannot be substituted by any other thing on the face of earth. It is no exaggeration to say that all the facilities and privileged of life can be enjoyed only
These products and services, then, offer clients/patients with alternatives that ultimately require them to change their lifestyle, including their subsistence to medical or health care. To counter this detrimental effects of substitute products and services that "promise" wellness and health of the body, the hospital must develop a "credibility campaign" in which both doctors and patients must become advocates for the hospital and medical/health care in general. Doctors will be