September 23, 2014 3:46 AM ET

Healthcare Providers and Services

Company Overview of Blue Cross and Blue Shield of Florida, Inc.

Company Overview

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

United States

Founded in 1944

Phone:

904-791-6111

Fax:

904-905-6638

Key Executives for Blue Cross and Blue Shield of Florida, Inc.

Chairman and Chief Executive Officer
Age: 54
Chief Financial Officer and Senior Vice President
Age: 44
Chief Operating Officer and Executive Vice President
President of Comp Options and Segment Team Leader of Life & Specialty Ventures LLC
Market President of Central Florida Region and Vice President of Cultural Competence & Diversity Systems
Compensation as of Fiscal Year 2014.

Blue Cross and Blue Shield of Florida, Inc. Key Developments

Florida Blue and Baptist Health Care Corporation Form Accountable Care Arrangement

Florida Blue and Baptist Health Care Corporation announce the execution of an accountable care agreement that aims to improve the quality and efficiency of patient care in northwest Florida. Through this arrangement, the organizations plan to improve the patient experience by enhancing the coordination of care between BHC and Florida Blue. Built around the Baptist Medical Group (BMG) network of physicians, the BHC accountable care organization will provide coordinated care to patients with the goal of eliminating unnecessary spending and improving their patients' health status by seamlessly sharing information and meeting quality targets. Launching on Oct. 1, 2014, the accountable care program will utilize a value-based compensation model that rewards quality and efficiency and serve as another example of Florida Blue's payment innovation efforts being deployed across the state.

Florida Blue Announces Executive Appointments

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

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.

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