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In 1999, Anthem acquired Blue Cross and Blue Shield of New Hampshire and Blue Cross and Blue Shield of Colorado and Nevada. The acquisitions made since 1996 added 850,000 policy holders. Among its customer base were 2.4 million PPO and 964,000 HMO enrollees. [20] In 2000, Anthem acquired Blue Cross Blue Shield of Maine. [21]
After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual. [5]
Founded in 1948, [26] Arkansas Blue Cross Blue Shield (ABCBS) [27] is an independent licensee of the Blue Cross Blue Shield Association, and the largest healthcare provider in the state. [28] It donated $1.98 million to The Walton College of Business toward founding its Robert L. Shoptaw Master of Healthcare Business Analytics Program. [ 29 ]
It is the most popular Wisconsin-based Medicare supplement plan in the state, with more than 42,000 members, based on enrollment data submitted to the National Association of Insurance Commissioners, 2015. In 1966, the year Medicare was established, WPS was named the Medicare administrator for the state of Wisconsin.
Advocate Aurora Health (AAH) is a non-profit, faith-based health care system with dual headquarters located in Milwaukee, Wisconsin, and Downers Grove, Illinois.As of 2021, the AAH system has 26 hospitals and more than 500 sites of care, with 75,000 employees, including 10,000 employed physicians. [2]
The Anthem medical data breach was a medical data breach of information held by Elevance Health, known at that time as Anthem Inc. On February 4, 2015, Anthem, Inc. disclosed that criminal hackers had broken into its servers and had potentially stolen over 37.5 million records that contain personally identifiable information from its servers. [ 1 ]
Anthem announced plans to withdraw from Ohio [73] and later Wisconsin [74] and Indiana, [75] describing the market as "volatile" and referring to the difficulty in pricing its plans "due to the shrinking individual market as well as continual changes in federal operations, rules and guidance."
The funds come from the Michigan Health Endowment Fund created in 2013 and requires Blue Cross Blue Shield of Michigan to contribute "up to $1.56 billion over 18 years to a health endowment fund that benefits Michigan residents". [9] In 2023, Blue Cross Blue Shield of Vermont merged into Blue Cross Blue Shield of Michigan. [10]