- Industry: Health care
- Number of terms: 4240
- Number of blossaries: 0
- Company Profile:
The Blue Cross Blue Shield Association (BCBSA) is a federation of 39 separate health insurance organizations and companies in the United States. Combined, they directly or indirectly provide health insurance to over 100 million Americans.
The license issued by a state to an HMO or insurance company which allows it to conduct business in that state.
Industry:Health care
The MCO committee that sets the organization's broad investment policies and is responsible for reviewing and approving financial and accounting activities.
Industry:Health care
The manager responsible for an organization's overall operation, general administration, and public affairs.
Industry:Health care
A community-based program, involving both Medicare and Medicaid, that provides integrated healthcare and long-term care to elderly persons who require a nursing-facility level of care.
Industry:Health care
The manager who is responsible for accounting activities such as budget planning, accounting, and internal audits, and financial operations such as membership billing and underwriting. Also known as a chief financial officer.
Industry:Health care
An ethical principle which, when applied to managed care, states that managed care organizations and their providers have a duty to present information honestly and are obligated to honor commitments.24
Industry:Health care
The process of managing an MCO's financial resources, including management decisions concerning accounting and financial reporting, forecasting, and budgeting.
Industry:Health care
The manager responsible for the plan's computer hardware and software systems, its telephone and electronic communication systems, and its electronic commerce capabilities.
Industry:Health care
