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Blue Cross Blue Shield Association

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Blue Cross Blue Shield Association
NameBlue Cross Blue Shield Association
HeadquartersChicago, Illinois
Region servedUnited States
Key peopleKim Keck, Maureen Sullivan

Blue Cross Blue Shield Association is a national federation of 36 independent, community-based, and locally operated Blue Cross and Blue Shield companies. The association was formed in 1982 through the merger of the Blue Cross Association and the National Association of Blue Shield Plans. The organization is headquartered in Chicago, Illinois, and is led by Kim Keck and Maureen Sullivan. The association's member companies provide health insurance to over 100 million people in the United States, making it one of the largest health insurance providers in the country, alongside UnitedHealth Group, Anthem, Inc., and Aetna Inc..

History

The history of the Blue Cross Blue Shield Association dates back to 1929, when Baylor University Hospital in Dallas, Texas, began offering a prepaid hospital care plan to Dallas teachers, which later became known as Blue Cross. In 1939, the American Hospital Association endorsed the concept of Blue Cross, and by the 1950s, Blue Cross plans were operating in all 50 states. The National Association of Blue Shield Plans was formed in 1948, and in 1982, the Blue Cross Association and the National Association of Blue Shield Plans merged to form the Blue Cross Blue Shield Association. The association has since grown to include 36 independent member companies, including Anthem, Inc., Highmark Inc., and Horizon Blue Cross Blue Shield of New Jersey. The association has also partnered with other organizations, such as the American Medical Association, the American Hospital Association, and the National Committee for Quality Assurance, to improve the quality and affordability of health care in the United States.

Organization

The Blue Cross Blue Shield Association is a national federation of 36 independent, community-based, and locally operated Blue Cross and Blue Shield companies. The association is governed by a board of directors, which includes representatives from each of the 36 member companies, as well as Kim Keck and Maureen Sullivan. The association's headquarters is located in Chicago, Illinois, and it has regional offices in Washington, D.C., New York City, and Los Angeles. The association also has partnerships with other organizations, such as the National Institute of Health, the Centers for Disease Control and Prevention, and the Healthcare Financial Management Association, to improve the quality and affordability of health care in the United States. Additionally, the association works with state insurance departments, such as the California Department of Insurance and the New York State Department of Financial Services, to regulate and oversee the activities of its member companies.

Membership

The Blue Cross Blue Shield Association has 36 independent member companies, each of which is a separate and distinct entity. These companies are located in all 50 states, as well as in Washington, D.C., and Puerto Rico. The member companies provide health insurance to over 100 million people in the United States, making the association one of the largest health insurance providers in the country. The association's member companies include Anthem, Inc., Highmark Inc., Horizon Blue Cross Blue Shield of New Jersey, and Blue Cross and Blue Shield of North Carolina. The association also has partnerships with other organizations, such as the American Heart Association, the American Cancer Society, and the National Kidney Foundation, to improve the health and well-being of its members. Furthermore, the association works with hospitals and health systems, such as Mayo Clinic, Cleveland Clinic, and Johns Hopkins Hospital, to provide high-quality health care to its members.

Products_and_Services

The Blue Cross Blue Shield Association offers a wide range of health insurance products and services to its members, including individual and family plans, group plans, and Medicare and Medicaid plans. The association's member companies also offer a range of dental insurance and vision insurance products, as well as life insurance and disability insurance products. The association has also partnered with other organizations, such as Optum, UnitedHealth Group, and Aetna Inc., to offer a range of health and wellness programs and services to its members. Additionally, the association offers telehealth services, which allow members to access health care remotely, and pharmacy benefit management services, which help members manage their prescription medication costs. The association also works with pharmacies, such as CVS Pharmacy and Walgreens, to provide convenient and affordable access to prescription medication.

Controversies

The Blue Cross Blue Shield Association has been involved in several controversies over the years, including antitrust lawsuits and regulatory investigations. In 2010, the association was sued by the U.S. Department of Justice and several state attorneys general over allegations of antitrust violations. The association has also faced criticism over its reimbursement rates and its prior authorization policies, which some have argued are too restrictive and limit access to necessary health care services. The association has also been criticized for its executive compensation practices, which some have argued are excessive and unfair to policyholders. Furthermore, the association has faced challenges related to health care reform, including the Affordable Care Act, which has required the association to make significant changes to its health insurance products and services. The association has also worked with Congress, including the House Committee on Energy and Commerce and the Senate Committee on Health, Education, Labor and Pensions, to shape health care policy and advocate for the interests of its members.

International_Presence

The Blue Cross Blue Shield Association has a significant international presence, with Blue Cross and Blue Shield plans operating in over 200 countries and territories around the world. The association has partnerships with other organizations, such as the International Federation of Health Plans and the World Health Organization, to improve the quality and affordability of health care globally. The association's member companies also offer a range of international health insurance products and services, including expatriate health insurance and travel health insurance. Additionally, the association works with embassies and consulates, such as the U.S. Department of State and the British Embassy, to provide health insurance and health care services to diplomats and expatriates living and working abroad. The association also collaborates with global health organizations, such as the Bill and Melinda Gates Foundation and the World Bank, to address global health challenges and improve access to health care in developing countries. Category:Health insurance

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