The New Spectrum of Blues Products

Published independently by Atlantic Information Services and not affiliated with, or sponsored, endorsed or approved by the BlueCross BlueShield Association or any of the independent Blue Cross and Blue Shield companies

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The New Spectrum of Blues Products is a valuable report on the flow of traditional, consumer-directed, Medicare Advantage and other products that Blue Cross and Blue Shield plans continue to bring to their markets.

Blue Cross and Blue Shield plans continue to develop new plan and product designs across the health care continuum, preparing them for the challenges of both the current environment and emerging markets. Blues plans have continued to improve their competitiveness, increasing membership through new products for underserved markets, through federally funded programs — including the Medicare Part D drug benefit, via effective partnerships with one another and by capitalizing on their broad provider networks.

You'll also read details about the development and success of Blues plans' efforts in the Medicare Advantage and Medicare supplements markets, and how they are increasing their consumer-directed offerings and strengthening their quality-incentive programs while continuing to offer new PPO and HMO products.

The New Spectrum of Blues Products is an insider's guide to what's new with the Blues plans and how those product designs are helping to keep the Blues plans among the nation's most recognized, progressive and competitive health plans. You'll gain insights into how to boost your own market share and bottom line. Order your copy today!

 

Table of Contents

Product Development in Traditional Blues Markets

• Okla. Blues Offer Pooled PPO Plans to Manufacturers' Group
• Ark. Blues Will Alter Networks as AWP Law Finally Takes Effect
• Calif. Blue Cross Teams With CalPERS to Expand Telemedicine
• Mass. Blues Plan Goes Online to Cut Provider Administrative Hassles
• Blues Plans Develop More Low-Cost Products Aimed at Small-Group, Individual Members
• Michigan Blues Plan Restructures for New Markets, New CEO
• Blues Launch Medicare SNPs, PFFS Plans, but Rivals Lead in Product Development
• Calif. Blue Shield Introduces PPOs Tailored to Young Adult Crowd
• R.I. Senate Unanimously Approves Bill Allowing Blues Plan to Diversify
• Florida Blues Plan Joins Prime Therapeutics as Equity Partner

• Highmark Grows Specialty Units With Vision, TRICARE Dental Deals
• In-sourcing Behavioral Health Care Takes Contracting, IT Investments, Blues Say
• Some Blues Eye Potentially Lucrative Long-Term Care Units
• WellPoint, Prime Therapeutics Tackle Specialty Pharmacy Spending
• Minn. Blues Plan Models Novel Injectable Rx Savings Strategy
• Blues Plans Use Variety of Strategies to Mitigate Patient Risk From Rx Safety Issues
• Blues Use Bariatric Surgery Centers as Part of Obesity DM Programs

• Blues Submit Part D Filings in Upper Midwest, Pa., Elsewhere
• Blues Plans Submit Product Bids to CMS for PDP, Medicare Advantage PPO Options
• Blues Plans Land MA, PDP Awards From CMS, Start Marketing Regional PPO, Rx Programs
• High Enrollment Volume Leads to Delays for Medicare Part D Beneficiaries, Blues Say
• Bush Wants Blues to Offer New HSA-Based Option Through FEHBP
• Blues Don't Anticipate Dramatic Changes In '07 Medicare Advantage Product Lines
• Blues Plans Are Starting to Use ASP Reimbursement Methods
• Several Blues Plans Beat Out Stand-Alone PDP Competition in Gaining Enrollment
• OPM Asks Congress to Let Blues Offer HSA to Federal Employees

• Blues Plans Use P4P Programs to Boost Quality, Cut Surpluses
• Blues Use Financial Incentives to Improve Quality of Care
• Blues Now Have P4P Programs in 32 States, With More in Development
• To Boost Adoption of E-Prescribing, Blues Consider Incorporating Programs Into P4P
• N.C. Blues Plan Pilots Bridges to Excellence P4P Initiative for MDs
• Mass. Blues Expand P4P Program to Include More Hospitals, MDs

• HRA-, HSA-Based Products Help Minn. Blues Plan Boost Growth
• Lumenos Could Make WellPoint Formidable Contender in CDH
• Blues Plans Increase IT Investments in Bid To Get Consumers More Involved in Care
• Blues Beef Up CDH Portfolios With New Plans, Tools for '06
• Blues Plans' EHRs Could Improve Quality of Care, Cut Duplication, Respond to Disasters
• Account-Based CDH Plans Are Gaining Traction in Minnesota
• Blues-Owned Health Bank Could Help Plans Seize Share in Emerging HSA, CDH Markets
• VISA, American Express Partner With Blues to Get Piece of HSA Business
• HSAs/HDHPs Are More Effective Than HRAs, Minnesota Blues Find
• Blues Plans Add New Features, Services to EHR Initiatives
• New Blues Bank Taps Fiserv; Plans Prefer Current Partners
• Table: CDH Product and Enrollment Update From Selected Blues Plans

• HMOs, PPO and POS plans
• Insurers
• Hospitals and health systems
• Pharmaceutical companies
• Other health care organizations

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