Blue Shield Plan Physician Participation

Private Health Insurance: Coverage and Financial Experience, 1965

Data in table 1 give the actual or estimated number of persons covered at the end of 1965 for hospital care, surgical service, and physician inhospital visits by the Blue Cross and Blue Shield plans, by insurance companies, and by the independent plans. “Covered” means having some health insurance protection against the cost of these services. Benefits may be in the form of entitlement to servi...

Private Antitrust as a Public Good Blue Cross and Blue Shield United of Wisconsin and Compcare Health Services Insurance Corp., v. the Marshfield Clinic and Security Health Plan of Wisconsin, Inc

Medigap preferred provider organizations: Issues, implications, and early experience

The Health Care Financing Administration is sponsoring the Medicare Physician Preferred Provider Organization (PPO) Demonstration to assess the feasibility and desirability of including a PPO option under Medicare. Two sites are currently operational. At one site, Blue Cross and Blue Shield of Arizona is offering a PPO linked with a medigap insurance plan. This "medigap PPO" and its initial exp...

Michigan's fee-for-value physician incentive program reduces spending and improves quality in primary care.

As policy makers and others seek to reduce health care cost growth while improving health care quality, one approach gaining momentum is fee-for-value reimbursement. This payment strategy maintains the traditional fee-for-service arrangement but includes quality and spending incentives. We examined Blue Cross Blue Shield of Michigan's Physician Group Incentive Program, which uses a fee-for-valu...

Independent Plans Providing Medical Care and Hospital Insurance: 1950 Survey

Voluntary medical care insurance in the United States is, in general, provided through four kinds of insurers-Hue Cross hospitalization plans, Blue Shield surgical-medical plans, commercial insurance companies selling accident and health policies, and independint and nonagiliated plans. For the first three groups, national or summary information is available through the Blue Cross and Blue Shie...