- 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.
The provision that drugs on the preferred list and those not on the preferred list will both be covered by a PBM or MCO.19
Industry:Health care
A method of marketing that uses one or more media to elicit an immediate and measurable action - such as an inquiry or a purchase - from a customer or prospect. Also known as direct response marketing.
Industry:Health care
An evaluative process in which a health care organisation undergoes an examination of its operating procedures to determine whether the procedures meet designated criteria as defined by the accrediting body, and to ensure that the organisation meets a specified level of quality.1
Industry:Health care
The consolidation into a single operation of operations that were previously carried out separately by different providers.
Industry:Health care
The amount that remains when an insurer subtracts its liabilities and capital from its assets.
Industry:Health care
Healthcare quality indicators that gauge the extent to which healthcare services succeed in improving or maintaining satisfaction and patient health.
Industry:Health care
The manager who oversees the programmes and services that support the organisation as a whole, such as enrollment, claims, member services, office management, human resources, and other "back room" functions. Also known as a chief operations officer.
Industry:Health care
A provider contract clause that describes how and under what circumstances the parties may end the contract.
Industry:Health care
The insurance professionals who perform the mathematical analysis necessary for setting insurance premium rates.
Industry:Health care
