Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The changing Blue Cross-provider relationship.

T J Onusko

    Healthspan
    |July 9, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Healthcare providers must understand evolving relationships with Blue Cross and Blue Shield (BCBS) plans. Market forces are altering these dynamics, leading to increased provider-payer conflict, as a case study demonstrates.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Competitive bidding: they're singing the blues in Cleveland.

    Healthcare financial management : journal of the Healthcare Financial Management Association·1986
    Same author

    "Osteopathic" is winning edge for Ohio contract bidders.

    Osteopathic hospital leadership·1985
    Same author

    Keeping up with CON laws.

    Contemporary longterm care·1984
    Same journal

    Red Cross has no governmental immunity to jury trials in AIDS lawsuits ... Marcella v. Brandywine Hospital.

    HealthSpan·1995
    Same journal

    Third circuit opens gateway for lawsuits by Bjork-Shiley heart valve patients ... Michael v. Shiley, Inc.

    HealthSpan·1995
    Same journal

    FDA delays, unaccountability, raise health care costs and imperil American consumers' lives.

    HealthSpan·1995
    Same journal

    IRS increases scrutiny of tax-exempt hospitals' physician recruitment strategies.

    HealthSpan·1995
    Same journal

    Will funneling seniors into managed care reduce costs?

    HealthSpan·1995
    Same journal

    Will national cuts in nurses endanger patient care and general litigation?

    HealthSpan·1995
    See all related articles

    Area of Science:

    • Healthcare Management
    • Health Insurance Economics
    • Provider-Payer Relations

    Background:

    • Blue Cross and Blue Shield (BCBS) plans historically hold a dominant share of the private health insurance market.
    • The relationship between BCBS plans and healthcare providers is undergoing significant transformation.
    • Understanding these shifts is crucial for healthcare providers navigating the current market.

    Purpose of the Study:

    • To analyze the evolution of BCBS plans' relationships with healthcare providers.
    • To identify and examine the market forces driving changes in these relationships.
    • To illustrate the impact of these changes on provider-payer dynamics through a case study.

    Main Methods:

    • Historical analysis of Blue Cross provider relationships.

    Related Experiment Videos

  • Examination of current healthcare marketplace forces.
  • Case study illustrating contemporary provider-BCBS interactions and conflicts.

    • Main Results:

    • Market forces are profoundly altering the traditional BCBS-provider relationship.
    • These changes can lead to significant tension and conflict between insurers and providers.
    • A case study highlights the escalating hostility in certain provider-BCBS interactions.

    Conclusions:

    • Healthcare providers need to adapt to the changing landscape of BCBS payer relationships.
    • The current trajectory suggests a potential increase in adversarial interactions.
    • Proactive understanding and strategic planning are essential for providers facing these market shifts.