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BCBSNC Customer Service Weekend and Extended Hours

Customer service representatives are working extended hours over the three-day weekend to take calls and call back customers that need help. Our Enrollment Services Team also will be working throughout the weekend and on Monday to...
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Could This Pricing Tool For Consumers Disrupt Healthcare?

On the insurance side, payers have made in-network pricing available to members for years. As a member (with a login and password) you could see the actual price of most procedures using any web browser. But that was exclusive to members ‒ not the general public. Blue Cross Blue Shield of North Carolina is among the first (if not the first ‒ certainly as a major) to offer these closely guarded, negotiated rates to the general public.
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Health Insurers Are Trying New Payment Models, Study Shows

“This is the beginning of a journey,” said J. Bradley Wilson, the chief executive of Blue Cross and Blue Shield of North Carolina, which estimates that as much as 40 percent of its payments are now through one of the new arrangements. “The fee-for-service model is changing and is going to continue to change,” he said.
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Sick Drawn to New Coverage in Health-Law Plans

Subscription may be required. Still, some insurers say enrollees so far appear less healthy than they had projected. "It's even worse than what we thought," said Patrick Getzen, chief actuary for Blue Cross & Blue Shield of North Carolina. "We're seeing more chronic conditions than we would have expected," he said, and that will "put pressure on the 2015 rates." Among them are diabetes, depression, asthma, heart disease and cancer, he said.
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Hospitals Push Bundled Care as the Billing Plan of the Future

Subscription may be required. "You can get some really good knees and hips for $20,000 at some facilities, but some are charging $40,000," says Elaine Daniels, a contract consultant at Blue Cross Blue Shield of North Carolina. The insurer offers bundled hip and knee replacements for its members at five hospitals, at prices that are about 20% lower than the local average.

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Rahul Rajkumar, MD, on Advanced Primary Care

Rahul Rajkumar, MD, Chief Medical Officer at Blue Cross NC, discusses advanced primary care and why ...

$750,000 Blue Cross NC investment expands school-based virtual clinic in Cleveland County

The investment over three years will allow kids to have access to primary care onsite without ...