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PubMedDate not supplied

Continuous quality improvement techniques enhance HMO members' immunization rates.

To have a positive impact on the immunization rate of the 4,000 newborn infants it covers each year, Blue Care Network of Southeast Michigan (BCNSEM), a 240,000-member health maintenance organization that is based on an independent provider association model, convened a continuous quality improvement team. One of the results of this initiative was the development and implementation of an immunization registry, which is used as an internal tracking and reminder system for its members and providers. In recognition of its efforts, BCNSEM recently earned a Celebrating Innovation award from the American Association of Health Plans.

Blue Cross Blue Shield Insurance Plans↗
PubMed2003

Meet the new WellPoint. Providers wonder how they and their patients will have to change to cope with the biggest managed-care merger to date.

Indianapolis-based Anthem, left, agrees to acquire rival Wellpoint Health Networks for $16.4 billion, creating the nation's largest health insurer. On the same day, current industry leader UnitedHealth Group agrees to pay $2.95 billion for Mid Atlantic Medical Services in an attempt to gain market dominance over the Eastern seaboard. What will the creation of these health plan powerhouses mean for providers.

Administrative Personnel↗
PubMed1982

Federal Employees' experience as a guide to the cost of insuring psychiatric services in the various states.

The two largest plans in the Federal Employees Health Benefits Program-Blue Cross and Blue Shield and Aetna - have reported benefit payments and the number of people who have used psychiatric services on a state-by-state basis for two decades. The author translates this experience into per capita utilization rates in a constant dollar terms and compares the benefit costs of the two plants over a 4-year period (1976-1979). Within each state, utilization rates did not change much over the 4 years, and the rank ordering among states by rate of utilization was quite similar for both plants. The author believes that the consistency noted can be useful in estimating costs of psychiatric coverage at the state level.

Blue Cross Blue Shield Insurance Plans↗