The AIS Guide to Blue Cross and Blue Shield Plans: 2012

*Published independently by Atlantic Information Services. 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.

From the publishers of the successful monthly newsletter The AIS Report on Blue Cross & Blue Shield Plans,* comes the completely updated competitive intelligence resource, The AIS Guide to Blue Cross & Blue Shield Plans: 2012.* It contains 12 information-packed chapters, with facts, trends & data about:
*Blues solutions to regulatory challenges under health care reform, including exchanges, Medicaid expansion programs, MLRs & refunds.
*Blues innovative approaches to provider relations, such as Most Favored Nation clauses, provider incentives, ACOs, quality contracts & patient-centered medical homes.
*Blues continuing development of cost-saving operational tactics, such as health improvement initiatives & collaborations, oncology management tactics, utilization of electronic health records & e-prescribing initiatives.

Whether you count BCBS plans as partners or competitors, The AIS Guide to Blue Cross & Blue Shield Plans contains reliable information on Blues products, market strategies, acquisitions & alliances. It includes financial projections & hard-to-find data on executive compensation, revenues, earnings & enrollment, plus insight into premium trends, rate hike proposals, & more. You can use this information to gain an understanding of Blues plans market strategies, operational tactics & cost-containment techniques.

Table of Contents
Ch 1 What Is a BCBS Plan?
*BCBSA Licensee Requirements & Association Guidelines
*BCBS Trade Names & Marketing Advantages
*Political Donations, Lobbying Efforts & Expenses
Ch 2 Corporate Leadership, Structure & Events
*Mergers, Acquisitions & Major Moves
Highmark M&A Activity
Ch 3 Enrollment Statistics & Market Share
*Membership Gains & Losses
*National & State Enrollment & Market Share for BCBS Plans
*Enrollment Breakdown by Sector & Risk
Ch 4 Financial Performance of BCBS Companies
*Publicly Traded BCBS Organizations Financial Results
*Not-for-Profit BCBS Organizations Financial Results
*Administrative Spending
*Key Financial Indicators
Ch 5 Health Care Reform & Regulatory Survival Strategies
*Health Reform Impact & Outlook
*Marketing Strategies & Retail Presence
*Health Insurance Exchanges & High-Risk Pools
*Medicaid Markets & Expansion Programs
*MLRs
Ch 6 Premiums & Rate-Setting Issues
*Premium Strategies & Trends
*Rate Hike Proposals, Awards & Denials
Ch 7 Product Offerings & Contracts in Specific Markets
*Federal Employee Health Benefits Plan
*Individual & Small Group Products
*Group Health Marketing & Brokers
*Local Market Issues & Strategies
*MA, Part D & Medigap Markets
*Medicaid, SCHIP & Local Public Programs
Ch 8 Provider Relations, Fees & Conflicts
*ACOs
*Patient-Centered Medical Homes
*Alternative Quality Contracts & Global Payment Systems
*Provider Incentives & Quality Data
*Contract Disputes & Controversies
*Networks & Nurses
Ch 9 Coverage Issues & Specialty Benefits
*Pharmacy Benefit Strategies & Results
*Home Care Coverage & Initiatives
*Autism & Mental Health
*Coverage Conflicts & Decisions
Ch 10 Wellness, Prevention & DM Programs
*Health Improvement Initiatives & Collaborations
*Oncology Management
*Obesity & Smoking Cessation
Ch 11 IT & Claims-Processing Issues
*Electronic Health Records
*Social Media & Web Marketing
*Operational Software & Systems
*Security Breaches & Issues
*e-Prescribing Initiatives
*Fraudulent Claims
Ch 12 Directory of BCBS Plans