- 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 consolidation into a single operation of operations that were previously carried out separately by different providers.
Industry:Health care
Healthcare quality indicators that gauge the extent to which healthcare services succeed in improving or maintaining satisfaction and patient health.
Industry:Health care
The insurance professionals who perform the mathematical analysis necessary for setting insurance premium rates.
Industry:Health care
Dollar amounts set by MCOs that limit the amount a member has to pay out of his/her own pocket for particular healthcare services during a particular time period.
Industry:Health care
Committees that are convened to address specific management concerns. Also known as special committees.
Industry:Health care
Treatment that is provided to a patient who is able to return home after care without an overnight stay in a hospital or other inpatient facility.
Industry:Health care
The extent to which a network offers the appropriate types and numbers of providers in the appropriate geographic distribution according to the needs of the plan's members.
Industry:Health care
Members of a company's board of directors who do not hold other positions with the company.
Industry:Health care
A rating method under which a health plan or MCO divides its members into classes or groups based on demographic factors such as geography, family composition, and age, and then charges all members of a class or group the same premium. The plan cannot consider the experience of a class, group, or tier in developing premium rates. Also known as modified community rating.
Industry:Health care
