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Blue Cross/Blue Shield alternate delivery system.

C R Goulet

    Health Matrix
    |December 6, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Blue Cross and Blue Shield have adapted to healthcare changes by developing managed care plans like Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). They focus on uniting provider, employer, and patient interests for quality, affordable care.

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    Area of Science:

    • Healthcare Management
    • Health Insurance Innovation

    Background:

    • The healthcare landscape has undergone significant transformation.
    • Changes in healthcare payment models necessitate adaptation by major insurers.

    Purpose of the Study:

    • To describe the role of Blue Cross and Blue Shield in adapting to healthcare changes.
    • To highlight their innovative approaches to healthcare delivery and payment.

    Main Methods:

    • Review of Blue Cross and Blue Shield's development of managed care strategies.
    • Analysis of their initiatives in Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs).

    Main Results:

    • Blue Cross and Blue Shield have introduced managed care benefits, including HMOs and PPOs.

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  • They have focused on providing quality care at reduced costs.
  • Efforts have been made to align the interests of physicians, institutions, and employers.

    • Conclusions:

    • Blue Cross and Blue Shield have actively participated in the evolution of healthcare payment and delivery.
    • Their managed care strategies aim to benefit patients/employees by integrating stakeholder interests.