Behind BSCA's 2% Solution
Blue Shield isn't exactly a media darling, but even California news outlets seemed content to spread the upbeat news that a major insurer was capping its income and—get this—was taking this bold step voluntarily. Throw in the refund to policyholders and Blue Shield garners some high fives.
Usually when an insurer makes this type of gesture there's a regulator standing behind the curtain pushing the health plan spokesperson into the media spotlight.
That was pretty much the case in September 2010 when Blue Cross Blue Shield of North Carolina announced that it would make $156 million in refunds to its individual policyholders. In that case state regulators discovered that the Blues plan was collecting reserves to pay for future claims that could extend beyond 2014.
In Colorado, Anthem Blue Cross and Blue Shield agreed in September 2010 to provide a premium credit totaling $20 million to about 90,000 individuals. The refund was linked to a Colorado Department of Insurance review of consumer complaints following rate increases by the insurer.
But in the case of Blue Shield of California, no one had to push company CEO Bob Bodaken out into the public eye. He embraced it. There was a press conference where two-heavy hitters, Bodaken and Paul Markovich, Blue Shield's COO, fielded a wide range of questions. And then there was Bodaken's speech at the Commonwealth Club in San Francisco.
- Providers' Push to Consolidate Roils Payers
- As Retail Clinics Surge, Quality Metrics MIA
- Former NQF Co-Chair Linked to Conflicts of Interest in Journal Probe
- RN Named Chief Patient Experience Officer
- No Employee Satisfaction, No Patient-Centered Culture
- Medicare Cost, Quality Data Tools Weak, Says GAO
- In PCMH, the 'P' is Not for 'Physician'
- How Simple Data Analytics is Driving Physician Incentives
- Population Health Pays Off for NY Collaborative
- AMA Pushes Lame Duck Congress for SGR Repeal