Mark Farrah Associates Analyzed Administrative Fees from Self-insured Businesses for Blue Cross Blue Shield Plans

In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com assessed administrative fees revenues from self-insured accounts for Blue Cross and Blue Shield (BCBS) plans and their affiliates.

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Business Wire, Inc.Business Wire, Inc.
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Wednesday, August 3, 2022
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Professional Services, Health, Data Analytics, Insurance, Health Insurance, Human Resources, General Health, Expatriate Health Coverage Clarification Act of 2014, BCBS, National Association of Insurance Commissioners, California Insurance Commissioner, HCSC, Health Care Service Corporation, Blue Cross Blue Shield Association, ASO, LinkedIn, National Association, L.A. Care Health Plan, Blue Shield, NAIC, Blue Cross, MI, Anthem (company), MFA, Health insurance, Highmark
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UNITED STATES, NORTH AMERICA, PENNSYLVANIA
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Summary
Key Points: 
  • In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com assessed administrative fees revenues from self-insured accounts for Blue Cross and Blue Shield (BCBS) plans and their affiliates.
  • MFAs Blues analysis found:
    Blues organizations received fees from uninsured plans that provide coverage for 61.6 million people in 2021.
  • Elevance Health, the new name of Anthem Inc.; Health Care Service Corporation (HCSC); Highmark; and Blue Cross Blue Shield of Michigan (BCBS of MI) all collected over $1 billion in reimbursements by uninsured plans in 2021.
  • Committed to simplifying analysis of health insurance business, our products include: Health Coverage Portal , Medicare Business Online , Medicare Benefits Analyzer , County Health Coverage , Health Plans USA and 5500 Employer Health Plus .


In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com assessed administrative fees revenues from self-insured accounts for Blue Cross and Blue Shield (BCBS) plans and their affiliates. Based on statutory filings from the National Association of Insurance Commissioners (NAIC), BCBS entities reported receiving $18.7 billion in reimbursements in 2021 from uninsured, also referred to as Administrative Services Only (ASO), plans, an 18% hike from the $15.8 billion reported in 2017. MFA’s Blues analysis found:

  • Blues organizations received fees from uninsured plans that provide coverage for 61.6 million people in 2021.
  • An estimated 123.3 million people received health coverage from an employer or other sponsor that self-insures most medical expenses, during the same time frame.
  • Elevance Health, the new name of Anthem Inc.; Health Care Service Corporation (HCSC); Highmark; and Blue Cross Blue Shield of Michigan (BCBS of MI) all collected over $1 billion in reimbursements by uninsured plans in 2021.

To read the full FREE text of “Blue Cross Blue Shield (BCBS) Uninsured (ASO) Fees Analysis", visit the Analysis Briefs library on Mark Farrah Associates' website www.markfarrah.com. You can also follow us on LinkedIn.

About Mark Farrah Associates (MFA)

MFA is a leading data aggregator and publisher providing health plan market data and analysis tools for the healthcare industry. Committed to simplifying analysis of health insurance business, our products include: Health Coverage Portal™, Medicare Business Online™, Medicare Benefits Analyzer™, County Health Coverage™, Health Plans USA™ and 5500 Employer Health Plus. Follow us on LinkedIn!

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