Healthcare Providers and Services
Company Overview of Blue Cross and Blue Shield of Florida, Inc.
Blue Cross and Blue Shield of Florida, Inc., doing business as Florida Blue, provides health care solutions. It offers health related products and services, including traditional health care insurance, preferred provider organization products, health maintenance organization products, commercial Medicare products, health savings and related accounts, multiple option products, limited benefit products, and ancillary products (life, disability, dental, workers’ compensation, long-term care, vision, and wellness programs). Blue Cross and Blue Shield of Florida, Inc. was formerly known as Florida Hospital Service Corporation and changed its name to Blue Cross and Blue Shield of Florida, Inc. in ...
4800 Deerwood Campus Parkway
Jacksonville, FL 32246
Founded in 1944
Key Executives for Blue Cross and Blue Shield of Florida, Inc.
Chairman and Chief Executive Officer
Chief Financial Officer and Senior Vice President
Chief Operating Officer and Executive Vice President
Chief Executive Officer of Blue Cross & Blue Shield of Minnesota and President of Blue Cross & Blue Shield of Minnesota
President of Comp Options and Segment Team Leader of Life & Specialty Ventures LLC
Compensation as of Fiscal Year 2013.
Blue Cross and Blue Shield of Florida, Inc. Key Developments
Florida Blue Announces Executive Appointments
Jan 28 14
Florida Blue announced the appointment of Dr. Jannifer Drake Harper, vice president of Medical Operations, to the position of chief medical officer. Additionally, the company named Andy Marino as vice president of Delivery System. Both appointments take effect immediately. Dr. Jonathan Gavras, who previously served as the chief medical officer for Florida Blue, is transitioning to a new executive leadership position within the organization. Harper will be responsible for the development of the overarching clinical strategy and will serve as Florida Blue's organizational clinical representative to many key external and internal stakeholders. Harper also will provide oversight to Florida Blue's clinical activities including all health care management, wellness programs, coverage policies, pharmacy and quality initiatives, and retail health initiatives. Prior to joining Florida Blue in 2010, Harper served as national medical director for Anthem/Wellpoint. While there, she focused on developing clinical strategies and solutions for large, national customers. She has also held leadership roles with Kaiser Permanente, as chief of medicine; CIGNA, as vice president and regional medical director; and vice president and associate chief medical officer for University Hospitals Case Medical Center of Cleveland where she was also clinical assistant professor of medicine at Case Western Reserve University School of Medicine. Marino will be responsible for the delivery system strategy, including provider contracting, value-based reimbursement, network operations, medical cost management, provider connectivity, contract analytics and provider profiling. Joining Florida Blue in 2010, Marino served the company as vice president of Network Development. In this role, he was responsible for managing all network management functions including provider contracting, physician profiling, value based payment models, and network operations.
U.S. Supreme Court Announces the Dismissal of an ERISA-Regulated Health Plan Against Blue Cross and Blue Shield of Florida, Inc
Jan 20 14
The U.S. Supreme Court declined to review a decision of the Eleventh U.S. Circuit Court of Appeals affirming the dismissal of an ERISA-regulated health plan participant's claim alleging an insurer failed to disclose information required under ERISA. After the insured underwent brain surgery performed by an out-of-network surgeon, Blue Cross and Blue Shield of Florida Inc. calculated the allowed amount it was required to pay under the insured's plan as $2,729, even though the actual charge for the surgery was $29,000. Blue Cross did not furnish documents-as requested by the insured-showing the calculations Blue Cross used to determine the allowed amount. The insured sued Blue Cross, alleging it violated ERISA's disclosure requirements by failing to provide the documentation. The district court dismissed the claim. The insured appealed. The Eleventh Circuit affirmed, holding the documents requested by the insured did not qualify as other instruments under which the plan is established or operated and, therefore, were not subject to disclosure under ERISA. Relying on precedent establishing that the ERISA provision at issue encompasses formal or legal documents, the Eleventh Circuit held the documents Blue Cross used to calculate and verify the allowed amount did not qualify and the insurer's failure to disclose them did not violate ERISA.
Florida Blue and Mayo Clinic Extend Knee Replacement Payment Agreement
Jan 10 14
Florida Blue and Mayo Clinic, have extended their bundled payment agreement to provide treatment of knee replacement surgery for Florida Blue's members. In addition, Mayo Clinic and Florida Blue are extending their overall network agreement to include thousands of Florida Blue's commercially insured members throughout the state, who are now able to access Mayo Clinic as an in-network provider.
Similar Private Companies By Industry
Recent Private Companies Transactions