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Journal Article
Between Public and Private: A Half Century of Blue Cross and Blue Shield in New York
Available to Purchase
J Health Polit Policy Law (1991) 16 (4): 643–650.
Published: 01 August 1991
...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...
Journal Article
New York's Blue Cross and Blue Shield, 1934–1990: The Complicated Politics of Nonprofit Regulation
Available to Purchase
J Health Polit Policy Law (1991) 16 (4): 761–792.
Published: 01 August 1991
... 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 Service of New...
View articletitled, New York's Blue Cross and Blue <span class="search-highlight">Shield</span>, 1934–1990: The Complicated Politics of Nonprofit Regulation
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Journal Article
Looking Backward: Empire Blue Cross and Blue Shield as an Object of Historical Analysis
Available to Purchase
J Health Polit Policy Law (1991) 16 (4): 793–805.
Published: 01 August 1991
... 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...
View articletitled, Looking Backward: Empire Blue Cross and Blue <span class="search-highlight">Shield</span> as an Object of Historical Analysis
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Journal Article
Capture and Culture: Organizational Identity in New York Blue Cross
Available to Purchase
J Health Polit Policy Law (1991) 16 (4): 651–670.
Published: 01 August 1991
...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...
Journal Article
Reversing Course on Obamacare: Why Not Another Medicare Catastrophic?
Available to Purchase
J Health Polit Policy Law (2018) 43 (4): 605–650.
Published: 01 August 2018
... of 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...
FIGURES
Journal Article
Learning to Love the State Action Doctrine
Available to Purchase
J Health Polit Policy Law (2006) 31 (3): 609–621.
Published: 01 June 2006
... 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 interpretive...
Journal Article
Competition among Health Insurers, Revisited
Available to Purchase
J Health Polit Policy Law (1988) 13 (2): 279–291.
Published: 01 April 1988
... 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...
Journal Article
The Effect of Physician-Controlled Health Insurance: U.s. V. Oregon State Medical Society
Available to Purchase
J Health Polit Policy Law (1977) 2 (1): 48–78.
Published: 01 February 1977
... 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...
Journal Article
Opportunities and Challenges for Payment Reform: Observations from Massachusetts
Available to Purchase
J Health Polit Policy Law (2016) 41 (4): 743–762.
Published: 01 August 2016
... 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...
Journal Article
FTC Sings the Blues
Available to Purchase
J Health Polit Policy Law (1980) 5 (1): 182–187.
Published: 01 February 1980
... and 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...
Journal Article
FTC Sings the Blues: A Note
Available to Purchase
J Health Polit Policy Law (1981) 6 (2): 350–352.
Published: 01 April 1981
... of 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...
Journal Article
FTC Sings the Blues: A Comment
Available to Purchase
J Health Polit Policy Law (1980) 5 (3): 568–572.
Published: 01 June 1980
...
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...
Journal Article
Communications
Available to Purchase
J Health Polit Policy Law (1982) 7 (2): 542–558.
Published: 01 April 1982
... 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 Journal of Health Politics, Policy and Law
Henry Leavitt argued that the FTC investigation is irrelevant...
Journal Article
Sharing Governmental Authority: Blue Cross and Hospital Planning in New York City
Available to Purchase
J Health Polit Policy Law (1991) 16 (4): 719–746.
Published: 01 August 1991
... and 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...
Journal Article
The Public Presentation of Blue Cross, 1935–1965
Available to Purchase
J Health Polit Policy Law (1991) 16 (4): 671–693.
Published: 01 August 1991
... ): 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...
Journal Article
Empire and the Business of Health Insurance
Available to Purchase
J Health Polit Policy Law (1991) 16 (4): 747–760.
Published: 01 August 1991
.... 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 Shield...
Journal Article
Employer-Based Health Insurance
Available to Purchase
J Health Polit Policy Law (1982) 7 (2): 366–379.
Published: 01 April 1982
... 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 providers still predominate on Blue Cross...
Journal Article
Health Insurance without Provider Influence: The Limits of Cost Containment
Available to Purchase
J Health Polit Policy Law (1988) 13 (2): 293–303.
Published: 01 April 1988
... 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 Cost...
Journal Article
The Emergence and Future of Ppos
Available to Purchase
J Health Polit Policy Law (1986) 11 (2): 305–322.
Published: 01 April 1986
... of Blue
Cross/Blue Shield Plans, commercial insurers, HMOs, employers, and com-
munity groups. l5 The PPO may be a division or subsidiary of the larger orga-
nization, or it may be a separate corporate entity, an association, or simply a
contractual arrangement between a purchaser and a provider...
Journal Article
Hospital Utilization Review: Past Experience, Future Directions
Available to Purchase
J Health Polit Policy Law (1988) 13 (4): 683–704.
Published: 01 August 1988
... Without Sacrificing Quality Care. Business Insurance 20 ( 7 ): 45 -46. Blue Cross and Blue Shield Association. 1987a . Utilization Review. Chicago: BCBSA. Unpublished paper. Blue Cross and Blue Shield Association. 1987b . Blue Cross and Blue Shield Association Annual Cost Containment Survey...
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