Onusko T J
Healthspan. 1987 Aug-Sep;4(8):14-7.
Several forces in the healthcare marketplace are causing profound changes in the historic relationship between Blue Cross and Blue Shield plans and healthcare providers. In light of the fact that the Blues still have the largest share of the private health insurance market, it is important for healthcare providers to understand the significance of these changes and where relationships with the Blues may be headed in the future. In this article, I will analyze the development of Blue Cross provider relationships, the forces currently at work in the marketplace and the changes they are causing. I will use a recent case study to illustrate how these changes are leading to outright hostility between the Blues and providers.
医疗保健市场中的几种力量正在深刻改变蓝十字蓝盾计划与医疗保健提供者之间的历史关系。鉴于蓝十字蓝盾计划在私人医疗保险市场仍占据最大份额,医疗保健提供者了解这些变化的重要性以及未来与蓝十字蓝盾计划的关系走向至关重要。在本文中,我将分析蓝十字蓝盾计划与提供者关系的发展、当前市场中起作用的力量以及它们正在引发的变化。我将通过一个近期的案例研究来说明这些变化是如何导致蓝十字蓝盾计划与提供者之间产生公然敌意的。