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Related Experiment Videos

A blue streak for managed care.

L Kertesz

    Modern Healthcare
    |September 12, 1994
    PubMed
    Summary

    Blue Cross and Blue Shield organizations are leaders in managed care, with 7.6 million enrolled in their 76 Health Maintenance Organizations (HMOs). They are exploring public offerings and other strategies to expand their managed care services.

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    Area of Science:

    • Healthcare Management
    • Health Insurance Policy

    Background:

    • The Blue Cross and Blue Shield organizations are significant players in the U.S. healthcare system.
    • Managed care has become a dominant model in healthcare delivery and financing.

    Purpose of the Study:

    • To highlight the leading role of Blue Cross and Blue Shield in managed care.
    • To report on the current enrollment figures and future growth strategies of these organizations.

    Main Methods:

    • Analysis of enrollment data in Health Maintenance Organizations (HMOs).
    • Review of strategic options being considered by the organizations.

    Main Results:

    • Blue Cross and Blue Shield operate 76 HMOs nationwide.
    • Enrollment in these HMOs has reached 7.6 million individuals.
    • The organizations are actively considering strategies such as going public for further expansion.

    Conclusions:

    • Blue Cross and Blue Shield have established a strong presence in the managed care market.
    • Future growth and market penetration are key objectives for these health plans.

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