Blue Cross and Blue Shield (BCBS) headquarters are located in chicago, illinois. It was founded in 1929. It has a federation of 36 separate united states health insurance organizations providing healthcare to more than 106 million americans. Policy Changes Limit Health Care Options According to texomashomepage.com BCBS insurance in Wichita Falls,Texas, has big changes coming in january of 2016, limmiting health care options. If you have a individual plan all Preferred Provider Organization (PPO) individual policy holders with Blue Cross Blue Shield, you will be switched to a Health Maintenance Organization (HMO) policy. When it comes to benefits, the difference between an HMO and a PPO, is that an HMO has no benefits
Blufish is a Canadian company founded in Ottawa, Ontario, in 2012 by Youssef Chahrour, a 23 year old business mogul. At Blufish, Mr. Chahrour and his team created a new, innovative product that would assist the lovers of the outdoors in all their water purification needs!
Membership Services (MSD) at Kaiser Permanente used to be a modest department of sixty staff. However, over the past few years the department has doubled in size, creating minor departmental reorganization. In addition the increase of departmental staffing, several challenges became apparent. The changes included primary job function, as well as the introduction of new network system software which slowed down the processes of other departments. These departments included Claims (who pay the bills for service providers outside of the Kaiser Permanente network), and Patient Business Services (who send invoices to members for services received within Kaiser Permanente). Due to the unforeseen challenges created by the system upgrade, it was decided that MSD would process the calls for both of the affected departments. Unfortunately, this created a catastrophic event of MSD receiving numerous phone calls from upset members—who had received bills a year after the service had been provided. The average Monday call volume had risen from 1,800 to 2,600 calls per day. The average handling time for each phone call had risen as well—from an acceptable standard of 5.6 minutes to an unfavorable 7.2 minutes. The department continued to be kept inundated with these types of calls for the two years that these changes have been effect.
Bristol-Myers Squibb currently employs over 57,000 people in more than 60 countries around the world. A highly diversified corporation, BMS has career opportunities in a variety of business and technical fields. For a descriptive list of current openings, as well as contact names and addresses, consult Bristol-Myers Squibb's employment page at www.bms.com/joinus. Recruiting also takes place on over 50 college campuses in the U.S. and at various job fairs and conferences.
One being the Health Maintenance Organizations (HMO), which was first proposed in the 1960s by Dr. Paul Elwood in the "Health Maintenance Strategy”. The HMO concept was created to decrease increasing health care costs and was set in law as the Health Maintenance Organization Act of 1973, after promotion from the Nixon Administration. HMO would, in exchange for a fee, allow members access to employed physicians and facilities. In return, the HMO received market access and could earn federal development funds. An HMO is a integrated delivery system that combines both the delivery and financial aspects of health care for consumers. Under the HMO, each patient is appointed to a primary care physician (PCP), who is essentially accountable for the long-term care of the members that she/he has been assigned and any specialists that a patient needs to see should be referred by their PCP. Some examples of HMOs are Kaiser Permanente and Humana. HMOs are licensed at the state level, under a license that is known as a certificate of authority. A pro of an HMO is that treatment for a patient can begin prior to their insurance being authorized; A member may benefit from this because there would be little to no treatment delays. A con of an HMO is that in order to save cost, most HMOs provide narrow provider networks; A member may not benefit if in an emergency because their “in-network” emergency room might be far or there are “quick-care” in their
The federal uniform health care system should be based on Texas not the other way around. With a universal rate system that will soon be implemented the government is forcing insurance companies to sell their health part of the company just to exit the market. Texas must oppose Obamacare by enacting our own alterations that will increase health insurance competition and thus driving down cost. Texas officials need to lower market entry to start up health insurance companies to help promote competition. A uniform healthcare system might be priced lower bu...
Health Maintenance Organizations, or HMO’s, are a very important part of the American health care system. Also referred to as managed care programs, HMO's are combinations of doctors and insurance companies that are formed into one organization. This organization provides treatment to its members at fixed costs and decides on what treatment, if any, will be given based on the patient's or doctor's current health plan. Sometimes, no treatment is given at all. HMO's main concerns are to control costs and supposedly provide the best possible treatment to their patients. But it seems to the naked eye that instead their main goal is to get more people enrolled so that they can maintain or raise current premiums paid by consumers using their service. For HMO's, profit comes first- not patients' lives.
The Affordable Care Act was a critical step towards universal healthcare. Twenty-nine million Americans are still without health care coverage. Expanding the accessibility to the ACA and reducing the cost is necessary. The U.S. spends more on health care per person than any other advanced nation in the world. Reducing the complexity of the tax credit program is the first step to improving the ACA. The premium tax credit is a refundable tax credit designed to help eligible individuals and families with low or moderate income afford health insurance purchased through the Health Insurance Marketplace. There are requirements made for the Marketplace by the Department of Health and Human Services that have to do with whether you are eligible or not
In North Carolina there’s over 499,178 residents receive their coverage with help of Affordable Care Acts subsidies. Many families receive support to cover cost-sharing, such as co-payments. The loss of this combined support will cost each recipient an average of $6,943 in 2019. Medicare recipients benefit from lower prescription drug costs thanks to Affordable Care Act. The cost of elimination of this price protection would cost Medicare recipients an average of $1,013 a month.
The first health insurance plans began during the Civil War in the mid 1800’s, with the earliest plans only covering against accidents related to travel via rail or steamboat. Eventually, plans became more elaborate, covering all illnesses and injuries. In 1929, the first modern group health insurance plan was formed. In Dallas, Texas a group of teachers contracted with Baylor Hospital for room, board, and medical services in exchange for a monthly fee. And in 1932, Blue Cross and Blue Shield offered group health insurance plans for the first time (Neurosurgical Medical Group, 2007).
The Affordable Care Act (ACA) was passed into law to provide greater healthcare coverage to millions of Americans. The passage of the ACA bill into law was to eliminate the gap between existing health care disparities among the undeserved, underprivileged and minority groups. However, the ACA have not abolish health care disparities but only reduce them to some extent. For instance, The ACA mandates that both Medicaid and insurance plans cover lifesaving preventive services recommended by the US Preventive Services Task Force, including colorectal cancer (CRC) screening and choice between colonoscopy, fecal occult blood testing (FOBT) and flexible sigmoidoscopy (Green, Coronado, Devoe, & Allison, 2014).
The purpose of this policy brief is to seek facts about Medicaid Expansion, and make a decisions if the state of Florida should expand their Medicaid. The policy brief describe the advantages of expanding Medicaid in all states, and the disadvantages of making it a requirement for every states in the United States. The state of Florida should expand Medicaid Coverage.
US Census Bureau. (2013). Income, Poverty anbd Health Insurance Coverage in the United States: 2013. Washington DC: US Government Printing Office.
The new 5 P’s of marketing now impact the marketing potential of healthcare organizations by offering changes in sales rep – physician access, purchasing, formulary decision making, and growing patient empowerment. The new 5 P’s of marketing are: Physicians, Patients, Payers, Public, and The Presence of Politics. The Heart Hospital Baylor Plano is an Acute Care Hospital located in Plano, TX. The Baylor Plano Heart Hospital opened in January 2007. The facility provides outpatient services, inpatient services, and emergency services to patients.
The hallmark of this era was the emergence of the prepaid practices and the emergence of the Blue Cross and Blue Shield (the Blue Cross and Blue shield were commonly referred to as the blues). It was noted that most hospital physicians continued to retain the Blues until 1970‘s (Kongstvedt, 2009).
The Big Blue is often a name use by many to describe the world’s largest provider of