Company Overview of Blue Cross Blue Shield of Michigan, Inc.
Blue Cross Blue Shield of Michigan, Inc., a nonprofit company, designs, sells, and manages health benefit plans for individuals, families, and employers in the United States. Its plans include traditional plans, preferred provider organization plans, health maintenance organization plans, wellness-based plans, and plans with health spending accounts; dental, vision, and hearing plans; and claims processing services. The company also administers Medicare plans for customers; and benefit plans for federal employees and their dependents. In addition, it offers funds for research and community health programs to improve healthcare; long term care, hospital recovery, and personal accident insuran...
600 Lafayette East
Detroit, MI 48226
Founded in 1938
Key Executives for Blue Cross Blue Shield of Michigan, Inc.
Executive Vice President of Operations and Business Performance
President of West Michigan Operations
President of Blue Care Network
Compensation as of Fiscal Year 2013.
Blue Cross Blue Shield of Michigan, Inc. Key Developments
Blue Cross Blue Shield of Michigan Announces Two New Board Members
Jun 2 13
Blue Cross Blue Shield of Michigan announced that Gregory Sudderth was elected to his 12th year as chairman of the Blue Cross Blue Shield of Michigan board of directors. Two new board members, Laura Swartzmiller and Karla Swift, were appointed. Swartzmiller, director of health and welfare benefits for Ford, was appointed to a two-year term to represent large groups-management. Swift, president, Michigan AFL-CIO, was appointed to a two-year term to represent large groups-labor.
Blue Cross Blue Shield of Michigan and Trinity Health-Michigan Achieve New Approach to Reimbursement with Contract
Apr 29 13
Trinity Health-Michigan and Blue Cross Blue Shield of Michigan, Inc. are implementing reimbursement arrangement that moves hospitals away from traditional fee-for-service payments. The focus of the new reimbursement model is on better hospital-specific efficiency and better population health outcomes achieved by the hospitals working in close concert with affiliated physicians. The arrangement covers a three-year period and is an outgrowth of Trinity Health's agreement in 2012 to partner with Blue Cross Blue Shield of Michigan on a new value-based reimbursement model to pay for hospital services. To support the enhanced performance under the contract, BCBSM and Trinity Health are currently collaborating to create a shared performance management system and work processes that more fully integrate clinical best practices into all facets of care delivery. The reimbursement arrangement will be launched at Mercy Health Partners hospitals and Saint Mary's Health Care in west Michigan. Other Trinity Health hospitals will move under the new reimbursement arrangement in July. This will facilitate closer collaboration already under way between the hospital system and its physician partners to improve population health. The arrangement rewards the hospitals with a share of the savings achieved when hospitals and physicians successfully coordinate the delivery of care to enable efficient and effective treatments, eliminate redundancies and errors in care and prevent re-hospitalizations. The arrangement will provide hospitals funding for infrastructure improvements needed to better coordinate care between the hospitals and their physician partners. Since last year, Trinity Health has been working with their provider partners in the community to develop and implement an infrastructure plan that includes an all-patient registry system that allows caregivers on the hospital and physician side to have access to the patients' records. This promotes coordination of care, improves care quality, and also helps avoid misuse and overuse of tests and services. The next step in the process is to identify cost efficiencies at the hospital and in the population that is treated by the hospital and its physician partners. Trinity Health and its physicians have established milestones to ensure infrastructure work continues along with funding through 2015.
The Justice Department Moves to Dismiss its Lawsuit Against Blue Cross Blue Shield of Michigan, Inc
Mar 25 13
The Justice Department is moving to dismiss its lawsuit against Blue Cross Blue Shield of Michigan, Inc. now that a new state law prohibits the anti-competitive practice at issue in the case. In 2010, the Justice Department and Michigan sued to stop Michigan Blue Cross Blue Shield from entering business arrangements with health care providers which, essentially guaranteed that no competing health care plan could obtain a better rate. Michigan and Blue Cross joined the motion to dismiss. According to the lawsuit in federal court in Detroit, contract provisions called "most favored nation clauses" raised hospital prices charged to other insurers, prevented insurers from entering local markets and discouraged discounts.
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