Search for: "HMO BLUE OF MASSACHUSETTS" Results 1 - 11 of 11
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23 Apr 2010, 7:53 am
Even though we have been focusing on the battle of rates in Massachusetts, there is a similar war going on on Maine between the DOI and Anthem Blue Cross.While many know Maine for their lobsters, that tiny state is also the home of high health insurance rates. [read post]
27 Jun 2011, 11:30 pm by David Harlow
  (Consider the Massachusetts Blue Cross Blue Shield ACQ (alternative quality contract) experience.) [read post]
16 Feb 2011, 9:25 am by David Harlow
To hear Andrew Dreyfus, CEO of Blue Cross Blue Shield of Massachusetts, tell the story, the Blues wanted to address both quality and cost, and therefore (after looking in vain for a model elsewhere that could be transplanted to Massachusetts) developed the Alternative Quality Contract, or AQC, which features a global payment model hybridized with substantial performance incentives, plus design features intended to lower the cost of care over time. [read post]
12 Oct 2012, 8:41 pm
  The major health insurance carriers for Massachusetts include both non-profit (Blue Cross-Blue Shield, Tufts, Harvard Pilgrim) and commercial carriers (Aetna, United Health Care). [read post]
1 Apr 2010, 3:17 pm
It happened in northern states when the DOI imposed suppressive underwriting rules combined with rate restrictions on health insurance.Murphy's decision covered all 19 of the plan increases proposed by Blue Cross Blue Shield of Massachusetts, 63 of the 64 plan increases proposed by the Blue Cross HMO, all 47 proposed by Fallon Community Health Plan and all 36 proposed by Tufts Health Plan. [read post]
9 Apr 2009, 1:28 pm
More difficult to see a doc.Can't figure out why no one saw that coming.Blue Cross and Blue Shield of Massachusetts, the state's largest insurer, recently devised an innovative model that pays doctors a flat fee per patient, with adjustments for age, gender and health status, and then adds bonus payments for high standards of care.Novel. [read post]
8 Apr 2011, 1:03 pm by David Harlow
  One model I am familiar with -- here in the People's Republic of Massachusetts -- is the AQC, or Alternative Quality Contract offered by Blue Cross Blue Shield of Massachusetts to providers enrolled in its HMO Blue product. [read post]
22 Jul 2009, 10:37 am
By way of background, as The Legal notes, The underlying suit was brought by a class of doctors and alleged RICO claims against Capital Blue Cross, Highmark Inc. and their jointly formed HMO, Keystone Health Plan Central. [read post]
5 Dec 2011, 4:17 am by David Harlow
  I’d like to get your thoughts on the Pioneer ACO structure and how that relates to your present activities, or activities over the past year or so under the alternative quality contract with Blue Cross Blue Shield of Massachusetts. [read post]