Expanding Market Share: A Guide to Blues Plan Strategies and Alliances is an insider’s guide to the latest strategies and techniques used by Blue Cross and Blue Shield plans to develop and market insurance products — and how these benefit designs are helping to keep Blues plans among the nation’s most recognized and competitive insurers.
Blues plans cover about one in every three Americans, and they continue to develop new plan and product designs targeted at every health insurance market segment. This valuable report is packed with articles, charts and tables detailing the innovative product development, marketing efforts and alliances that have helped Blues plans stay on top in their local markets and beyond. It captures the details of:
- Blues plans in individual, small-group, middle-market and national accounts;
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Expansion efforts in market segments at state, multi-state and national levels;
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Blues’ strategies for state health reform efforts; and
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Alliances created to capitalize on federal programs like TRICARE, Medicare and Medicaid.
Gain insights into how to boost your own market share and bottom line. Order your copy of Expanding Market Share: A Guide to Blues Plan Strategies and Alliances today!
Table of Contents
Introduction
Chapter 1: Blues Product Development in Commercial Markets
- Highmark, Independence File Consolidation Plans, Offer Insight Into Entity’s First Years
- Blues Build High-Performance Networks to Woo Large Accounts
- Insurer Eyes Similiar Commercial Network
- Michigan Blues Plan, Landmark Launch PT Utilization Program
- South Carolina Blues Plan Pioneers Medical Tourism Through Thai Hospital Affiliation
- Calif. Blue Shield Signs Mail-Order Drug Pact With Prime Therapeutics
- New Products for Commercial Markets in Brief
Product Development in Small-Group and Individual Account
- Premera Introduces Portfolio Aimed at Small Employers
- Blues Plans Stress Coverage Value to Attract Young, Healthy Uninsured
- Anthem Colorado Offers Same-Sex Domestic Coverage to Small Groups
- Blues Plans’ Offerings for 2008 Include Hybrid Plans, Low-Cost Indemnity Products
- BCBS of Arizona Introduces Plan for Small Employers
- Empire’s New Prism Health Plans Are Tailored to Small Employers
- Blues Build on Individual, Small-Group Lines In Effort to Retain, Add Members in 2008
Chapter 2: Blues Plans’ Product Development for Federally Funded Programs
- Part D Plans Report Meeting Sales Targets, Paced by Gap-Coverage Products, for 2007
- CareFirst Might Give Medicare Advantage Another Try in 2008
- Blues See MA Product Enrollment Gains Outpace Growth in Medicare PDP Products
- FEP Posts FEHBP 2007 Gains, Wins Most FEDVIP Enrollees
- Blues Plans Experience Medicare Part D Growth, Make Bids for ‘08
- Blues Plans Start Rolling Out MA Product Designs for 2008
- BCBS of Texas Offers Part D Plans in 2008
Chapter 3: Blues Plans’ State Reform Efforts
- Blues Support Universal-Coverage Moves in States, With Some Caveats
- State Reform Efforts Offer Blues Insurers Opportunities for Modest Coverage Expansion
- Braly Discusses WellPoint’s Stance on State-Sponsored Programs
- Calif. Seeks to Institute Outside Approval of Health Plan Underwriting Processes
- BC of Calif. Launches $2 Million Campaign Against Reform Proposals
- New State Statutes Offer Growth Opportunities for Blues Plans
- Mich. Legislation Would Create BCBSMI-Backed High-Risk Pool
Chapter 4: Blues Plans’ Development of Tools and Technologies
- Blues Plans Introduce More E-Prescribing Pilots, Initiatives
- More Plans Offer Real-Time Adjudication, Call Programs a ‘Win-Win’ for MDs, Members
- Excellus Tests IT Tool to View Information Across Databases
- HCSC Offers Payer-Based EHRs to Members, Doctors in Four States
- Kansas City Blues Plan Enrolls Most Individuals via New Online Tool
Chapter 5: Consumer-Directed Development
- Blues Bank Approved as Federal Savings Bank; ILC Is Still on Hold
- Blues Bank Could Hold $500 Million in HSA Deposits in Three Years
- Blue Healthcare Bank Prepares for 2008, Sees Market Consolidation
- Blues Plans Predict New HSA Rules Will Boost HDHP Sales in 2007
- Despite Administrative Burden, MCOs Offer Multiple HSA Choices
- Minnesota, Louisiana Blues Are Powerhouse Players in CDH Space
- Blues Offer Wellness Programs With Lower Premiums, Copayments
- Hawaii Blues Plan to Test CDH Waters With Its Own Employees
- ‘Hybrid’ Plans Merge Consumer-Directed, Traditional Plan Features
- Blues Plans Will Expand CDH Plans to New Markets, Boost Wellness Services in 2008
- BCBSA Pilots HSA-Based Option Through FEHBP
- Excellus Unveils HealthyBlue
Chapter 6: Blues Plans Specialty Products
- Excellus BCBS Raises Specialty Pharmacy Management Bar
- Blues Plans Divest Ancillary Membership to Blues-Owned Firms
- BCBS of Georgia Awarded Grant for Telemedicine Program
- Blues Plans Use Multiple Tools to Control Costs of Specialty Drugs
- Optimizing SP Programs Is Key to Clinical, Financial Success
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