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T J Onusko

Publications and source records attributed to T J Onusko.

4 recordsLinked to original sources
PubMed1986

Competitive bidding: they're singing the blues in Cleveland.

When Blue Cross and Blue Shield of Northern Ohio announced a selective contracting program based on competitive bidding, the greater Cleveland hospitals were shocked. This process required competitive bidding for all lines of Blue Cross business including inpatient and outpatient hospital services. A lawsuit against Blue Cross was filed by Lakewood Hospital. The program was declared illegal, but an appeal is pending that could set precedent for other Blue Cross plans that may try other forms of competitive bidding in the future.

Blue Cross Blue Shield Insurance Plans↗
PubMedDate not supplied

The changing Blue Cross-provider relationship.

Several forces in the healthcare marketplace are causing profound changes in the historic relationship between Blue Cross and Blue Shield plans and healthcare providers. In light of the fact that the Blues still have the largest share of the private health insurance market, it is important for healthcare providers to understand the significance of these changes and where relationships with the Blues may be headed in the future. In this article, I will analyze the development of Blue Cross provider relationships, the forces currently at work in the marketplace and the changes they are causing. I will use a recent case study to illustrate how these changes are leading to outright hostility between the Blues and providers.

Blue Cross Blue Shield Insurance Plans↗