- 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.
The amount that remains when an insurer subtracts its liabilities and capital from its assets.
Industry:Health care
The number and timing of losses that will occur in a given group of insureds while the coverage is in force.
Industry:Health care
The manager who oversees the programs and services that support the organization as a whole, such as enrollment, claims, member services, office management, human resources, and other "back room" functions. Also known as a chief operations officer.
Industry:Health care
A provider contract clause that describes how and under what circumstances the parties may end the contract.
Industry:Health care
Programs that offer drugs ordered and delivered through the mail to plan members at a reduced cost.14
Industry:Health care
A process the MCO uses to help determine what activities must occur before the patient is ready for discharge and the most efficient way to conduct those activities.
Industry:Health care
A contract provision, included in all standard provider contracts, that allows either the MCO or the provider to terminate the contract when the other party does not live up to its contractual obligations.
Industry:Health care
An organization that provides behavioral health services by implementing managed care techniques.
Industry:Health care
A coordinated system of preventive, diagnostic, and therapeutic measures intended to provide cost-effective, quality healthcare for a patient population who have or are at risk for a specific chronic illness or medical condition. Also known as disease state management.
Industry:Health care
