Case Analysis: Blue Care Network

Healthcare is often driven by consumers and insurance companies; there is strong pushes for insurance companies to start paying better through Patient Care Medical Homes (PCMH) or Accountable Care Organizations (ACO) rather than paying at a per-visit basis (Hamlin, 2015). With PCMH or ACOs payment is made on a continuum of care, encouraging the provider to be involved in all aspects affecting health of the patient (Derksen, & Whelan,

In an interview conducted with my mother in-law she informed me that their provider was Blue Cross Blue Shield as a dependant under my father in-law (E.R. Daniel, telephone interview, September 21, 2012). The payment method that was arranged is that every month a portion is taken out of my father in-laws paycheck in order to pay for their coverage. Their coverage only is valid in the state of Texas, so if they were to leave the state such as on vacation they would have to first pay the full cost then do a claim with their insurance to get reimbursed. My mother in-law was very happy with her coverage and feels because her husband is a physician's assistant; they have always had excellent care. The only complaint she had was since she moved to the United States from India, the cost of medical insurance has increased immensely!

Managers and leaders do not welcome crises because they don't realize that problems and crisis if handled with intelligence become an opportunity for the company. The purpose of writing this paper to discuss the case of "Johnson & Johnson" that became a hero in the eyes of public (Rehak, 2002) and gained their market share back with the help of their effective public relations plan. They accomplished this by making good relations with public and by proving how much they were concerned about the safety of their consumers.

The development of new technologies, the rapid increase in the number of Internet users signal to the insurance business about the opportunities for expanding the client audience and building a new channel - online sales. The Blue Cross and Blue Shield (BCBS) a national family of health benefits companies currently actively use digital marketing. It allows the most recognizable provider in the healthcare insurance industry to hold positions. This Association unities 39 independent Blue Cross and Blue Shield companies, which together cover more than half of all commercially insured persons in the United States.

As the Communications Coordinator for the Cobbs National Drug Manufacturer (CNDM) there is rising concern around recent events from the media exposure on the adverse effects one of our nationally advertised medications has had on the Chief-of-Police. According to Athena du Pre, PhD, “Lack of communication can lead to duplicated efforts, costly (and sometimes life-threatening) delays, frustration, and wasted time” (Du Pre, 2005, p. 289) and our goal is to maintain open communication. Today’s meeting will help identify several ways to deliver our message. Today’s meeting will help to brainstorm

After a brief review of this discussion lecture. I learned the BlueCross and BlueShield also offer Medicare benefits. BlueShield plans only covers physician’s charges and BlueCross only covers hospital charges. Although Medicare benefits are offered from BlueCross and BlueShield its only offered to people that are 65 years and old and to those who are under 65 years of age but suffers from disabilities like renal disease that requires long term care such as dialysis or a kidney transplant.

The case of Ledina Lushko, a patient enrolled in a Blue Cross and Blue Shield of Illinois individual plan, highlights many of the issues that have plagued the United States healthcare system for some time. As an insurance plan provider, BCBS of Illinois takes pride in the health outcomes of our members and has a responsibility to contribute positively to their care. The fractured, ineffective care Mrs. Lushko received is disappointing, however, this case provides strong support for a shift in focus towards managed care and specifically, the Accountable Care Organization structure. The following details several aspects of Mrs. Lushko’s experience and how her care could have been improved by enrollment in BCBS of

Anthem Blue Cross of California: Advantage HMO, Advantage PPO, Anthem Blue Cross, HMO, also sometimes known as California Care or Rural Cal Care (includes Cal PERS Traditional HMO), Anthem Blue Cross, HMO/POS (California Care Plus), Anthem Blue Cross, Individual HMO as known as California Care,Anthem Blue Cross Plus (POS), Anthem Blue Cross Small Group HMO as known as California Care (California Pacific Medical Center, 2015). More insurances are Behavioral Health Program, Blue Cross PPO, Prudent Buyer Plan, includes PERS Care and PERS Choice, Blue Cross Senior Advantage Care Plan, Blue Cross Senior Classic Plans; Classic A through L Blue Cross Senior Smart Choice, Preferred and Plus Plans, Blue Card Cal PERS EPO, Del Norte County, EPO Federal

Blue Cross and Blue Shield of Illinois (BCBS) is considered the largest and most experienced insurance company in Illinois. BCBS was founded in order to provide healthcare to teachers at a reasonable cost. It services over 7 million people. Its mission is “To promote the health and wellness of members and communities through accessible, cost-effective, quality health care” (Blue Cross Blue Shield, 2012). Blue Cross Blue Shield provides its customers with affordable health care. The parent company is Blue Cross Blue Shield Association its signature tag is “Creating Healthier Communities,” BCBS does not have any investors and the customers are considered the investors of the company and essentially who BCBS answers to. This is an important factor because they do not have to keep investors interest in the forefront of decision making, but rather they have the interest of their client in mind. (Blue Cross Blue Shield, 2012) In 2013 the Chicago based company reported profits of 684.3 million dollars. The company employees over 17,000 people. “Blue Shield of Illinois fell well below the $1 billion mark for the first time since 2009, in part because the insurance giant is setting aside money to offset expected losses from the troubled rollout of Obamacare” (Wang, 2014). Despite this setback it continues to expand over various parts of the United States. BCBS

Anthem Blue Cross and Blue Shield focus on helping members get healthy and stay healthy. They serve you in the best way they can, each year they look closely at the medical care and programs that is best for you. They measure their quality and safety. The process of figuring out how to improve your care is called Quality Improvement programs. Anthem cares about the member’s satisfaction with their medical care, delivery of care, their doctors, health plan and service they deliver. https:\www.anthem.com

Blue California was placed on the Ethisphere Institute Honoree List by advocating a system of healthcare that would reduce profit motives and improve healthcare services for patients and the community at large. This company has been around since the 1930s, which shows a long-term commitment to a government/corporate collaboration to provide affordable healthcare for all. For instance, in 2002, Blue California proposed statewide universal coverage for all Californians (“History”, 2018, para.12). More so, the company participated in providing coverage under the Patient Protection and Affordable Care Act at the federal level. Finally, Blue Shield CEO Paul Markovich opposed president

In North Carolina, Blue Cross Blue Shield gets hit with a $3.6 million fine. An additional

The company that I will be writing about is Primera Blue Cross. Primera Blue Cross is a big health insurance company that has revealed it has been the target of a massive cyberattack. Premera Blue Cross says hackers may have taken up to 11 million customer records. Those records include credit card numbers, Social Security numbers, even information about medical problems. It is said in a statement by Premera also says the attack itself started in May of last year. The company isight called "prennera.com," an address that may have been made to spoof Premera's official website.

The response to any emergency is considered to be very critical and therefore should be as efficient as possible. In the healthcare sector, responses to situations are counted by the seconds. From natural disasters to epidemics, the only chance left to respond to any of this occurrence could only be counted in seconds. That means life is either saved or lost in a matter of seconds. Putting in place certain responses to these unexpected occurrences, such as crises management communication plan, help save lives and arrest crises from aggravating. Failure to have crises management communication plan is considered by many commentators to be a crisis in itself. Accepted medical care is highly dependent on effective communication between healthcare providers and the patients; among healthcare providers and the outside world. The characteristics of crises make it necessary for prior planning and effective communication among stakeholders in the health sector (Klaene and Sanders, 2006; Ronen, 2006).

Over the past few decades, the significance, magnitude and consequence of risk management and communication have been brought before the world over and over again in a number of situations related to health, terrorist activities, natural disasters etc. When one turns the pages of history, it is rather obvious that lack of planning and absence of resources due to unpreparedness makes it difficult for the concerned authorities to manage an emergency or epidemic a problematic and traumatic task. The chaotic situations can turn out to be more nerve-racking and tense when preparations are not made before hand (U.S. Department of Health and Human Services 2002).