0133050866_vc MIS13_CH14_Case1_BlueCross.pdfVIP

Management Information Systems 13e KENNETH C. LAUDON AND JANE P. LAUDON CHAPTER 13 MANAGING PROJECTS CASE 2 Blue Cross Blue Shield: Smarter Computing Project VIDEO CASE SUMMARY To balance customer needs, government mandates, and still provide quality affordable health insurance, Blue Cross and Blue Shield of North Carolina (BCBSNC)Systems wanted to centralize access to information from multiple systems and applications. With InfoSphere solutions from IBM, BCBSNC consolidated 14 of its member systems into a single information hub. This centralized repository provides reliable and efficient access to data at a lower cost. The key benefit to this single source of truth is a consistent experience across different channels for both members and providers. L=3:26. URL /watch?v=m1ucvl9ByDQlist=PLD34EB0AFDF970B0Dindex=2 CASE In the United States, Blue Cross Blue Shield Association (BCBSA) is synonymous with health insurance. Most people in the U.S. have little idea just who or what BCBSA is, or does, other than receiving payments from insured people, and paying out funds to cover doctor and hospital bills. BCBSA provides medical insurance in nearly every state. It covers 99 million people, the largest private health insurance group in the U.S. (outside of Medicare and Medicaid). BCBSA is not a single company, but instead is a federation of 38 separate health insurance organizations and companies in the United States. Some of these insurance organizations are nonprofit corporations, often operat- ing in a single state, while some of the large organizations are private (but not publicly traded firms), or private, publicly traded firms. The distinction is important: publicly