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BlueCross BlueShield of South Carolina (BlueCross) is an independent licensee of the Blue Cross and Blue Shield Association. [1] BlueCross serves 21.5 million people through private business and government contracts. [2] BlueCross has several subsidiaries, two of which are affiliates licensed with the Blue Cross and Blue Shield Association.
In 1982, Blue Shield merged with The Blue Cross Association to form the Blue Cross and Blue Shield Association (BCBS). [11] Prior to 1986, organizations administering BCBS were tax exempt under 501(c)(4) as social welfare plans. The Tax Reform Act of 1986 revoked the exemption, however, because the plans sold commercial-type insurance.
CMS sets fee schedules for medical services through Prospective Payment Systems (PPS) for inpatient care, outpatient care, and other services. [34] As the largest single purchaser of medical services in the U.S., Medicare's fixed pricing schedules have a significant impact on the market.
The first 60 days would be paid by Medicare in full, except one copay (also and more commonly referred to as a "deductible") at the beginning of the 60 days of $1632 as of 2024. [35] Days 61–90 require a co-payment of $408 per day as of 2024. [35] The beneficiary is also allocated "lifetime reserve days" that can be used after 90 days.
🗓️ 2024 FOMC meeting schedule. The 2024 meeting schedule for the FOMC began on January 30, 2024, concluding the year with its final rate-setting session in December: January 30–January 31, 2024
The Blue Cross Blue Shield Association (BCBSA) is a federation of 38 separate health insurance organizations and companies in the United States. Combined, they directly or indirectly provide health insurance to over 100 million Americans. [110]
The federal marketplace website was scheduled for maintenance on the weekend. [22] [23] CGI Group came under media scrutiny as a developer behind several marketplace websites, [24] after numerous issues [25] surfaced with the federal health insurance marketplace, HealthCare.gov.
Resource-based relative value scale (RBRVS) is a schema used to determine how much money medical providers should be paid. It is partially used by Medicare in the United States and by nearly all health maintenance organizations (HMOs).