- 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.
Preventive care programmes designed to determine if a health condition is present even if a member has not experienced symptoms of the problem.
Industry:Health care
A mistake that occurs when a planned treatment or procedure is delivered incorrectly or when a wrong treatment or procedure is delivered.
Industry:Health care
A factor, such as the ability to demonstrate quality, that helps organisations to compete successfully with other MCOs for business.
Industry:Health care
Waivers that gave states the authority to offer more comprehensive services to specified categories of Medicaid recipients through demonstration projects.
Industry:Health care
A not-for-profit entity, usually created by a hospital or health system, that purchases and manages physician practices.
Industry:Health care
A federal designation that allows MCOs to enter into Medicare risk contracts without having to obtain federal qualification as an HMO.
Industry:Health care
Waivers that allowed states to manage Medicaid recipients' access to providers by assigning recipients to a primary care case manager or by enrolling recipients in an HMO.
Industry:Health care
A health plan member's expression that his expectations regarding the product or the services associated with the product have not been met.
Industry:Health care
The evaluation of health questionnaires submitted by all proposed plan members to determine the insurability of the group.
Industry:Health care
