Archive for December 13th, 2015

McAllen ISD Enters Into Direct Contracts in Addition To BCBS Network

Sunday, December 13th, 2015

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By Bill Rusteberg

The McAllen Independent School District’s (MISD) self-funded health plan is administered by Blue Cross & Blue Shield (BCBS). BCBS traditionally utilizes their own proprietary managed care network and typically requires their network access exclusively as part of their bundled ASO services.

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The Future of PPOs and Provider Contracting

Sunday, December 13th, 2015
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Every day we receive email blasts and newsletters with headlines discussing revenue based contracting, High Value and Narrow Networks and the future of PPOs. There are those that suggest that the PPO is a dying entity, to be replaced with a referenced based solution for paying Providers, while others see the value in a PPO network offering, but struggle with how to improve the impact on the Health Plan’s medical spend.

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