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Blue Cross Blue Shield Of Massachusetts
Blue Cross Blue Shield of Massachusetts (BCBSMA) is a state licensed nonprofit private health insurance company under the Blue Cross Blue Shield Association with headquarters in Boston. The Boston location located on 133 Federal Street is currently under study as a pending Boston Landmark by the Boston Landmarks Commission. History BCBSMA formed in 1988 after the merger of Blue Cross and Blue Shield of Massachusetts. In 1992 it offered an HMO plan along with the rise of managed care in the 1990s. BCBSMA has non-profit status as a health insurer and has 2.8million policyholders, the largest number of any insurer in Massachusetts, with most policyholders insured through employers. The number of policyholders dropped slightly between the first and second quarters of 2011, due to the economy and layoffs. The organization's compensation for its departing CEO, Cleve Killingsworth, totaled $8.6million in 2010. When this was reported in 2011, public anger and a four-month investig ...
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Boston
Boston (), officially the City of Boston, is the state capital and most populous city of the Commonwealth of Massachusetts, as well as the cultural and financial center of the New England region of the United States. It is the 24th- most populous city in the country. The city boundaries encompass an area of about and a population of 675,647 as of 2020. It is the seat of Suffolk County (although the county government was disbanded on July 1, 1999). The city is the economic and cultural anchor of a substantially larger metropolitan area known as Greater Boston, a metropolitan statistical area (MSA) home to a census-estimated 4.8 million people in 2016 and ranking as the tenth-largest MSA in the country. A broader combined statistical area (CSA), generally corresponding to the commuting area and including Providence, Rhode Island, is home to approximately 8.2 million people, making it the sixth most populous in the United States. Boston is one of the oldest ...
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Severance Pay
Severance may refer to: Arts and entertainment * ''Severance'' (film), a 2006 British horror film * ''Severance'' (novel), a 2018 novel by Ling Ma *''Severance'', a 2006 short-story collection by Robert Olen Butler * ''Severance'' (TV series), a 2022 Apple TV+ sci-fi series * ''Severance'' (album), by Daysend, 2003 *''Severances'', a 1989 album by Masami Akita, recording as SCUM * "Severance", a 1988 song by Dead Can Dance from '' The Serpent's Egg'' *'' Severance: Blade of Darkness'', a 2001 fantasy action video game Finance and law * Severance (land), the division of land that does not require a plan of subdivision *Severance, the ending of a joint tenancy other than by death *Severance package, pay and benefits when an employee leaves a firm *Severance tax, a tax on non-renewable natural resources Structures *Severance Hall, a concert hall in Cleveland, Ohio, US *Severance Hospital, in Seoul, Korea Places in the United States *Severance, Colorado * Severance, Idaho, now Car ...
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WBUR-FM
WBUR-FM (90.9 FM) is a public radio station located in Boston, Massachusetts, owned by Boston University. It is the largest of three NPR member stations in Boston, along with WGBH and WUMB-FM and produces several nationally distributed programs, including ''On Point'', '' Here and Now'' and ''Open Source.'' WBUR previously produced ''Car Talk'', '' Only a Game'', and '' The Connection'' (which was cancelled on August 5, 2005). ''RadioBoston'', launched in 2007, is its only purely local show. WBUR's positioning statement is "Boston's NPR News Station". WBUR also carries its programming on two other stations serving Cape Cod and the Islands: WBUH (89.1 FM) in Brewster, and WBUA (92.7 FM) in Tisbury. The latter station, located on Martha's Vineyard, uses the frequency formerly occupied by WMVY."WBUR Buys Mar ...
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Hubway
Bluebikes, originally Hubway, is a bicycle sharing system in the Boston metropolitan area. As of July 2021, the system had deployed 393 stations with a fleet of over 3,800 bikes in the 10 municipalities it served. Bluebikes is operated by Motivate and uses technology provided by 8D Technologies and PBSC Urban Solutions for equipment. The bike share program officially launched in Boston as Hubway. From 2012 to 2021, neighboring municipalities of Brookline, Cambridge, Somerville, Everett, Newton, Arlington, Chelsea, Watertown, and Salem joined the system. By 2020, total annual members neared 23,000, and as of 2021, 14 million total rides have been taken. In March 2018, the municipal owners announced a six-year marketing deal with Blue Cross Blue Shield of Massachusetts and relaunched under the name of Bluebikes. The name change took effect on May 9, 2018, with the release of the newly re-branded blue bicycles. Users can rent out a Bluebike with the Bluebikes app or directl ...
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Partners HealthCare
Mass General Brigham (MGB) is a Boston-based non-profit hospital and physician network that includes Brigham and Women's Hospital (BWH) and Massachusetts General Hospital (MGH), two of the nation's most prestigious teaching institutions. It was founded in 1994 with H. Richard Nesson, MD, former president of Brigham and Women's Hospital as CEO of Mass General Brigham and Samuel O. Thier, MD, formerly president of Massachusetts General Hospital as president. Another member of the MGB network, McLean Hospital is the top ranked psychiatric hospital in the United States and maintains the world's largest neuroscientific and psychiatric research program in a private hospital. According to ''The Boston Globe'', by 2008, Mass General Brigham became Massachusetts' "largest private employer and its biggest healthcare provider, treating more than a third of hospital patients in the Boston metropolitan area". History In 1994, Brigham and Women's Hospital and Massachusetts General Hospital were ...
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Health Care Reform In The United States
Healthcare reform in the United States has a long history. Reforms have often been proposed but have rarely been accomplished. In 2010, landmark reform was passed through two federal statutes enacted in 2010: the Patient Protection and Affordable Care Act (PPACA), signed March 23, 2010, and the Health Care and Education Reconciliation Act of 2010 (), which amended the PPACA and became law on March 30, 2010. Future reforms of the American health care system continue to be proposed, with notable proposals including a single-payer system and a reduction in fee-for-service medical care. The PPACA includes a new agency, the Center for Medicare and Medicaid Innovation (CMS Innovation Center), which is intended to research reform ideas through pilot projects. History of national reform efforts The following is a summary of reform achievements at the national level in the United States. For failed efforts, state-based efforts, native tribes services, and more details, see the histo ...
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Preferred Provider Organization
In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at reduced rates to the insurer's or administrator's clients. Overview A preferred provider organization is a subscription-based medical care arrangement. A membership allows a substantial discount below the regularly charged rates of the designated professionals partnered with the organization. Preferred provider organizations themselves earn money by charging an access fee to the insurance company for the use of their network, unlike the usual insurance with premiums and corresponding payments paid either in full or partially by the insurance provider to the medical doctor. They negotiate with providers to set fee schedules and handle disput ...
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Health Maintenance Organization
In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis. The Health Maintenance Organization Act of 1973 required employers with 25 or more employees to offer federally certified HMO options if the employer offers traditional healthcare options. Unlike traditional indemnity insurance, an HMO covers care rendered by those doctors and other professionals who have agreed by contract to treat patients in accordance with the HMO's guidelines and restrictions in exchange for a steady stream of customers. HMOs cover emergency care regardless of the health care provider's contracted status. Operation HMOs often require members to select a primary care phy ...
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Capitation (healthcare)
Capitation is a payment arrangement for health care service providers. It pays a set amount for each enrolled person assigned to them, per period of time, whether or not that person seeks care. The amount of remuneration is based on the average expected health care utilization of that patient, with payment for patients generally varying by age and health status. Types There are differing arrangements in different healthcare systems. Capitation in the USA Primary capitation is a relationship between a managed care organization and primary care physician, in which the physician is paid directly by the organization for those who have selected the physician as their provider. Secondary capitation is a relationship arranged by a managed care organization between a physician and a secondary or specialist provider, such as an X-ray facility or ancillary facility such as a durable medical equipment supplier whose secondary provider is also paid capitation based on that PCP's enrolled ...
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The New York Times
''The New York Times'' (''the Times'', ''NYT'', or the Gray Lady) is a daily newspaper based in New York City with a worldwide readership reported in 2020 to comprise a declining 840,000 paid print subscribers, and a growing 6 million paid digital subscribers. It also is a producer of popular podcasts such as '' The Daily''. Founded in 1851 by Henry Jarvis Raymond and George Jones, it was initially published by Raymond, Jones & Company. The ''Times'' has won 132 Pulitzer Prizes, the most of any newspaper, and has long been regarded as a national " newspaper of record". For print it is ranked 18th in the world by circulation and 3rd in the U.S. The paper is owned by the New York Times Company, which is publicly traded. It has been governed by the Sulzberger family since 1896, through a dual-class share structure after its shares became publicly traded. A. G. Sulzberger, the paper's publisher and the company's chairman, is the fifth generation of the family to head the pa ...
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Fee-for-service
Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately. In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. However evidence of the effectiveness of FFS in improving health care quality is mixed, without conclusive proof that these programs either succeed or fail. Similarly, when patients are shielded from paying (cost-sharing) by health insurance coverage, they are incentivized to welcome any medical service that might do some good. Fee-for-services raises costs, and discourages the efficiencies of integrated care. A variety of reform efforts have been attempted, recommended, or initiated to reduce its influence (such as moving towards bundled payments and capitation). In capitation, physicians are not incentivized to perform procedures, including necessary ones, because they are not paid anything extra for performing them. FFS is t ...
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Global Payment
Bundled payment is the reimbursement of health care providers (such as hospitals and physicians) "on the basis of expected costs for defined episodes of care." It has been described as "a middle ground" between fee-for-service reimbursement (in which providers are paid for each service rendered to a patient) and capitation (in which providers are paid a "lump sum" per patient regardless of how many services the patient receives), given that risk is shared between payer and provider. Bundled payments have been proposed in the health care reform debate in the United States as a strategy for reducing health care costs, especially during the Obama administration (2009–2016). Commercial payers have shown interest in bundled payments in order to reduce costs. In 2012, it was estimated that approximately one-third of the United States healthcare reimbursement used bundled methodology. Terminology Also known as episode-based payment, episode payment, episode-of-care payment, case rate, ...
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