The AIS Guide to Blue Cross and Blue Shield Plans: 2009

Published independently by AIS. Not affiliated with or sponsored, endorsed or approved by the Blue Cross and Blue Shield Association or any of the independent Blue Cross and Blue Shield Companies.

The AIS Guide to Blue Cross and Blue Shield Plans: 2009 is a reliable source of information on Blue Cross and Blue Shield companies' products and market strategies that keeps tabs on the local, multi-state and nationwide efforts that give Blues plans distinct market advantages as health insurance providers to millions of Americans.

The AIS Guide to Blue Cross and Blue Shield Plans is packed with facts, trends and data about:
- Financial results and enrollment trends
- Growth strategies
- Benefit design and pharmacy benefit strategies
- Fee schedules, rates and network contracting
- Quality incentives and never-event policies.

It includes financial projections and hard-to-find data on revenues, earnings, enrollment and medical loss ratios, plus insight into a range of specialized areas, such as:
- Executive compensation
- Enrollment by product type and by state
- Personal health records
- Mergers, acquisitions and alliances
- Health care reform and universal coverage issues
- Marketing strategies
- Health improvement initiatives
- Green initiatives
- Coverage policies & rescissions
- Operational software and systems
- Cost & quality monitoring and reporting

TABLE OF CONTENTSChapter 1: What Is a Blue Cross and Blue Shield Plan?
- History, Function & Structure of the BCBSA
- BCBS Trade Names & Marketing Advantages
- BCBSA Licensee Requirements & Association Guidelines
Chapter 2: Corporate Leadership, Structure & Events
- Corporate Growth Strategies
- Mergers, Acquisitions & Divestitures
- Green Initiatives
- BCBS Leadership
- Workforce, Outsourcing & Downsizing
- BCBS Plan Executive Compensation
- Directory of Blue Cross & Blue Shield Organizations
Chapter 3: Enrollment Statistics & Market Share
Chapter 4: Financial Performance of BCBS Companies
- Cost & Revenue Data
- Publicly Traded BCBS Organizations
- Not-for-Profit BCBS Organizations
Chapter 5: Health Care Reform & Universal Coverage Initiatives
- Legislative Efforts
- National Perspectives
- State-Level & Local Programs
Chapter 6: Growth Strategies for Commercial Health Plan Markets
- FEHBP
- Individual (Non-Group) Products
- CDH Plans
- Group Health Marketing & Brokers
- Limited Benefit Plans
- Local Market Issues & Strategies
Chapter 7: Growth Strategies in the Public-Sector
- MA & Part D
- Medicaid, SCHIP & Local Public Programs
- Other Public/Private Partnerships
Chapter 8: Benefit Design Innovations
- Benefit Design Strategies & Moves
- Specialty Benefit Strategies & Results
- Dental & Vision Benefits
- Medical Tourism
- Pharmacy Benefit
Chapter 9: Wellness, Prevention & Disease Management Programs
- Health Improvement Initiatives
- Evidence-Based Medicine
- Obesity
- Medical Home Models
- Contracting & Alliances
Chapter 10: Provider Relations, Fees & Conflicts
- Network Contracting
- Fee Schedules & Rates
- Never-Event Policies
- Quality Incentives & Data
Chapter 11: Legal & Regulatory Challenges
- Premiums & Rate-Setting Issues
- Coverage Policies & Rescissions
- Non-Profit/For-Profit Conversions
- Fraud & Abuse, Corruption & Wrongdoing
Chapter 12: Information Technology & Claims-Processing Issues
- Personal Health Records
- Cost & Quality Monitoring & Reporting
- Operational Software & Systems
- Provider Upgrades & Incentives