Word: blueshield
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Dates: during 1990-1999
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...plans have developed integrated, coordinated care systems that ensure continuity and seamlessness for patients. These systems allow physicians to study the health of their patient population over time so that they can work together to improve the quality of care they provide. PATRICK G. HAYS President and CEO BlueCross BlueShield Association Chicago...
...successes has been in mainstreaming Medicaid patients, who no longer see doctors at so-called Medicaid mills. This too was accomplished cunningly. The architects of TennCare created a controversial rule called the "cram down." A doctor who opts out of TennCare is not permitted to participate in BlueCross and BlueShield's commercial network, thereby losing a huge amount of potential business from approximately 1.2 million non-Medicaid people, including state and municipal employees and teachers. Initially, almost one-third of the doctors in the BlueCross and BlueShield network refused to join TennCare, but most have since signed...
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