- 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.
A type of partial structural integration in which one or more separate organisations combine resources to achieve a stated objective. The particindependent practise associationting companies share ownership of the venture and responsibility for its operations, but usually maintain separate ownership and control over their operations outside of the joint venture.
Industry:Health care
A patient with one or more medical conditions that persist for long periods of time or for the patient's lifetime.
Industry:Health care
Locally based, privately operated organisations that offer affordable group health coverage to businesses with fewer than 100 employees. Also known as purchasing pools, health insurance purchasing co-ops, employer purchasing coalitions, or purchasing coalitions.25
Industry:Health care
An ethical principle, which, when applied to managed care, states that managed care organisations and their providers allocate resources in a way that fairly distributes benefits and burdens among the members.13
Industry:Health care
An itemised statement of healthcare services and their costs provided by a hospital, physician's office, or other provider facility. Claims are submitted to the insurer or managed care plan by either the plan member or the provider for payment of the costs incurred.
Industry:Health care
A large pool of individuals for which health coverage is provided by the group sponsor. A large group may be defined as more than 250, 500, 1,000, or some other number of members, depending on the MCO.
Industry:Health care
Accounts that contract on a local basis for group employee health benefits. These accounts contrast with national accounts.
Industry:Health care
The number of days, counted from the day of admission to the day of discharge, that a plan member is confined to a hospital or other facility for each admission.
Industry:Health care
