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Article #16: Blue Cross Blue Shield-connected To The Community

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Oldest Health Benefit Provider Committed Course materials, which are regularly
to Improving Health Care modified, provide students with
75 years ago Blue Cross Blue Shield information, principles and problems
(BCBS) was created to ensure healthcare designed to solidify basic knowledge and
for lumber and mining workers in the expand upon advanced concepts and
Pacific Northwest and hospital coverage practices as they relate to the
for teachers in Texas. Now providing care healthcare industry. Upon completing
benefits to more than 94 million coursework, along with earning Continuing
Americans, BCBS is the oldest and largest Education credits, students can be
health insurance companies in the United designated as a Professional, Academy of
States. Healthcare Management (PAHM) or Fellow,
With plans in all 50 states, plus Academy of Healthcare Management (FAHM).
Washington D.C. and Puerto Rico, the BCBS National Labor Office
Association serves as the trade BCBS created the NLO over forty years
organization for the 38 independently run ago, and they continue to fund it today.
local BCBS health benefit groups that The NLO is the arm for labor outreach,
serve 1 in 3 Americans. Using their clout which focuses on keeping union members
to create a national presence, BCBS abreast of health care developments,
offers numerous community programs that strengthening ties to organized labor and
are dedicated to education, research and providing quality programs and services
collaboration. Programs related to to the over 20 million union members and
research and professional development their families.
includes the Foundation on Health Care Primarily, NLO acts as a liaison between
and the Academy for Health Care BCBS and labor, providing educational
Management. Those associated with public materials, developing relationships
education consist of labor outreach between various organizations and
through the National Labor Organization offering important information. Pending
(NLO), an educational campaign, focusing legislation, new healthcare products,
on the issue of performance enhancing developing trends, managed care and
drugs, called Healthy Competition and the bargaining strategies are all addressed
PBS television series Second Opinion. by the NLO.
BCBS Foundation on Health Care Along with communicating with unions,
The BCBS Foundation on Health Care, the NLO facilitates the exchange of
which is a 501(c)(3) not-for-profit information and discussion of issues
group, coordinates health service between union officials and BCBS senior
research amongst numerous organizations officers. Together, they work to address
across the nation. The Foundation acts as concerns specific to each union,
a facilitator between government including developing a healthier working
agencies, colleges and universities and environment, defining value-related
health plans. It sponsors both the Health healthcare and supplying health plan
Services Research Advisory Council analysis, reporting and design.
(HSRAC), composed of nationally The NLO communicates with unions via
recognized health care experts, and the newsletters, the web and informational
Health Services Research Alliance (HSRA), meetings as well as through its central
whose participating institutions are office.
located in 25 states. Healthy Competition
The HSRAC helps to identify key areas of The Healthy Competition program was
and provide guidance in multi-plan health developed by BCBS in response to the
services research, offers input regarding increased use and popularity of
how changes in the accessibility and performance enhancing drugs by both
delivery of health care may impact professional and amateur athletes.
individuals, groups and communities and Healthy Competition encourages those
gives assistance relating to the funding involved in athletics to safeguard their
and development of potential studies. health and the integrity of their sport
Organizations within the HSRA work by competing drug free.
collaboratively through the BCBS The program offers information related
Foundation to provide key studies that to drug use, sports and good health. It
are population and evidence-based. The delineates profiles of the three types of
Foundation is dedicated to creating performance enhancing drugs-stimulants,
important partnerships between various blood doping substances and anabolic
institutions, expanding funding steroids. Healthy Competition supports
opportunities and strengthening its research and education and promotes
presence in the health insurance and public awareness through various
health care community. The group initiatives.
disseminates information relating to PBS Second Opinion
health care conferences, promotes data BCBS provides sponsorship for the
based studies relating to medical issues 2005-2006 season of Second Opinion, the
and works to improve the quality of PBS series that engages various medical
services and their delivery. professionals in discussion of actual
Academy for Healthcare Management medical cases. The program attempts to
The academy was formed when the BCBS broaden the public's understanding of
Association and the American Association medical issues, choices and procedures
of Health Plans and Health Insurance encountered in our complex and ever
Association of America (AAHP-HIAA) joined changing world.
forces to offer online educational BCBS is the major health benefit
opportunities for professionals provider in America. It has grown greatly
interested in broadening their knowledge since its initiation 75 years ago.
of the challenges, priorities and However, through a commitment to
procedures connected to managed care professional and public education and
operations. Participants are given the betterment, it continues to focus on
opportunity to utilize up-to-date serving individual groups, as it did when
management concepts in everyday, real it first started providing benefits to
world situations, learning via instant teachers, lumbermen and miners.
response and assessment.






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