...Daniel M. Fox; David Rosner; Rosemary A. Stevens Copyright © 1991 by Duke University Press 1991 Introduction Between Public and Private: A Half Century of Blue Cross and Blue Shield in New York Daniel M. Fox, Milbank Memorial Fund David Rosner, City...

.... Empire Blue Cross and Blue Shield Archives. New York. Blue Cross (Associated Hospital Service). 1951 . Minutes of the meeting of the Board of Directors, 21 May, Empire Blue Cross and Blue Shield Archives, New York. Blue Cross (Associated Hospital Service). 1957 . Brief for Associated Hospital...

... Shield Plans. Homewood. IL: Richard D. Irwin. Fein , Rashi . 1986 . Medical Care, Medical Costs: The Search for a Health Insurance Policy. Cambridge, MA: Harvard University press. Freudenheim , Milt . 1990a . Health Insurers to Reduce Losses, Blacklist Dozens of Occupations. New York...

...Lawrence D. Brown This article explores the changing corporate culture of New York's Blue Cross and Blue Shield plan in its first fifty years. As the plan grew, corporate culture evolved over four sequential phases: the plan first had the character of an experiment, then that of a movement, a...

... commonplace. HMOs and especially PPOs are booming. Blue Shield and Blue Cross market share and market power are declining. We discuss why the insurance market has changed and conclude with thoughts on the future. Copyright © 1988 by Duke University Press 1988 References de Lissovoy , Gregory...

... Blue Shield plan as a model of insurer conduct and to a simultaneous boycott by physicians of the hospital associations as long as they persisted in questioning doctors' practices. Some modern parallels are noted, and the advantages of fostering privately sponsored cost-control efforts are suggested...

... coalition change could hardly have been more different for MCCA and ACA. However, they had some shared vulnerabilities stemming from program design. The ACA survived the political weakness inherent in its policy attributes due to its particular balance and timing of benefits and costs and by being shielded...

... to restrict competition in health care markets but that are clearly shielded by the state action doctrine. Relatively little attention is given to the interpretation of the doctrine itself. This article employs the twin themes of institutional choice and market failure to evaluate a number of...

... than in any other state. The reasons include a major effort by Blue Cross Blue Shield of Massachusetts to implement global payment, the presence of large integrated systems willing to take on financial risk, and a supportive state policy environment. By 2014, thirty-seven percent of Massachusetts's...

... directors of health insurers might reduce competition among physicians, the Federal Trade Commission staff investigated the impact that physician or medical society control might have on Blue Shield plans. As part of this effort, we examined the relationship between various measures of physician...

... childrens' brseakfast food producers, who peddle their sugar-coated wares with impropriety each Saturday morning on television. It was, perhaps, inevitable that the FTC would take on the nation's Blue Shield plans. Since the late 194Os, Blue Shield plans have been the...

... outline the nature of the Federal Trade Commission (FTC) attack on the nation’s Blue Shield plans and argue that the Commission has gone astray While Falkson and Leavitt make ain number of goodits investigation. 1 points and are fundamentally correct in their conclusion, they, too, have...

.... On “FTC Sings The Blues” and its respondents To the editor: In February 1976 the Federal Trade Commission announced an antitrust investigation of medical society control of the nation’s seventy local Blue Shield plans. In the Fall 1980 issue of this journal Joseph Falkson and 548...

... (premiums) for similar service benefit plans (the products) in the same, or similar, markets. We stated, quite clearly, that the real issue is Blue Shield “market share,” the potential in some markets for “monopoly pricing,” the need for FTC to study “the relative market shares held by commercial and...

... : 915 -20. Fitzpatrick , Thomas A. 1965 . Types of Health Risk Bearers: Blue Cross and Blue Shield Plans. In Group Insurance Handbook, ed. R. Eilers and R. M. Crowe. Homewood, IL: Richard D. Irwin. Frech III H. E. . 1988 . Monopoly in Health Insurance: The Economics of Kartell v. Blue...

... Interest Groups Barriers to Reform. Chicago: University of Chicago press. Blue Cross (Associated Hospital Service). 1936 . Board Minutes, 16 December. Empire Blue Cross and Blue Shield Archives, New York. Blue Cross (Associated Hospital Service). 1946 . Board Minutes, 13 November. Empire Blue Cross...

... primarily industrial and legal interests. l8 More than lo00 such companies sell health insurance, but 20 percent of the compa- nies account for 73 percent of the commercials’ premium v01ume Blue Cross and Blue Shield make up most of the remainder of the health insurance industry. Health care...

... ): 247 -48. American Hospital Association. 1943 . A Banner Year of Blue Cross, 1943–1944 . Annual Report for the Director of the Hospital Service Plan Commission, American Hospital Association. In United Medical Service History File, “Public Education,” Empire Blue Cross and Blue Shield Archives...

... medical care topics, he is currently completing a study on the competitive effects of HMOs on the hospital industry in Minneapolis/St. Paul. Donald R. Cohodes (Sc.D., Health Services Administration, Harvard) is the Executive Director, Policy for the Blue Cross and Blue Shield Association. He has...

... for new tests and procedures regardless of economic efficiency. Copyright © 1988 by Duke University Press 1988 References American Dental Association. 1980 . Dental Prepayment. Chicago: ADA. Blue Cross and Blue Shield Association. 1987 . Guidelines on Diagnostic Testing Will Lead to...