Our Company
Blue Cross Blue Shield of Massachusetts (BCBSMA) is a community-focused, tax-paying, not-for-profit health
plan headquartered in Boston. We are committed to working with others in a spirit of shared responsibility
to make quality health care affordable. Consistent with our corporate promise to always put our
members first, we are rated among the nation’s best health plans for member satisfaction and quality.
By the Numbers
Where Premium Dollars Go
90¢
Manage approximately $13 billion
in annual healthcare spending
Serve 2.8 million members: 2 million in
Massachusetts and more than 800,000 out-of-state
• 45 cents is used for hospital services
• 30 cents is used for physician services
Medical Care for
• 15 cents is used for prescription drugs
Our Members
Process 47 million claims and handle more
than 3 million phone calls annually
Contribute $1.6 billion in annual economic impact
to Massachusetts economy
Employ a diverse and inclusive workforce
of 3,700 people
• Salaries and benefits
• IT investments
Our Customers Include
9 of 12 Fortune 500 companies headquartered in MA
Financial Information—2013
Dental: 809,172 members
Annual premium revenue
$6.3 billion
Claims paid
$5.7 billion
Net margin
1.1%
Percentage of premium
dollars spent on medical care
90%
Total taxes and assessments paid
Reserves: days of claims
Products & Networks
Medical
HMO/POS: 874,000 members
PPO/Indemnity: 1,669,000 members
Senior Products/Medicare: 290,000 members
75% of MA cities and towns
1
• Taxes and
Administrative
Costs
assessments
• Clinical programs
for our members
Product Lines as of January 2014
More than 31,500 businesses across MA
1
10¢
Examples of Administrative Costs:
$180 million
45-50
1. Insured business only
Additional Product Lines
Long- and Short-Term Disability Critical Illness
Term and Dependent Life
Accident
International Health Coverage
HMO Participating Provider Network
as of January 2014
Primary Care Providers
Specialists
Hospitals
Dentists
Ancillary and Behavioral Health Providers
Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association
6,260
15,426
77
5,186
10,297
Company Milestones
Locally based, community-minded health plan affiliated
with a national system of other Blues plans.
1937: Founded as the Associated Hospital Service
Corporation of Massachusetts
1941: Blue Shield of Massachusetts established
1988: The two separate Blue organizations merged to
become Blue Cross Blue Shield of Massachusetts
1992: Launched premier product, HMO Blue®
2001: Endowed the Blue Cross Blue Shield of
Massachusetts Foundation
2008: Indigo subsidiary launched, offering life and
disability products
2009: Introduced the Alternative Quality Contract
(AQC), an innovative provider payment model
that addresses cost and quality. As of January
2014, 84% of primary care providers, 89% of
specialists, and 85% of members participated
in the AQC
2012: Blue Cross Blue Shield of Massachusetts
marked its 75th year
Awards & Recognition
Quality & Customer Service
Quality Ranking (NCQA): We are among the
highest-rated private health plans in the nation and the
top-ranked Medicare Advantage PPO health plan in
America (2013)2
Medicare Star Ratings: HMO Blue and PPO Blue
PlusRx Medicare Advantage Plans earned 4.5 Stars
out of 5 Stars for Overall Plan Rating and 5 Stars for
Customer Service (2013)3
Community Leadership
Boston Business Journal:
Top Ten Charitable Contributor in Massachusetts (2013)
Environmental Impact
MassRides Excellence in Commuter Options (ECO):
Pinnacle Award (2013)
Top Employer
The Boston Globe:
25 Best Large Companies to Work For (2013)
Boston Business Journal:
Leaders in Diversity (2013)
Boston Business Journal:
Most Admired Health Care Companies (2013)
Community Commitment
2013 Contributions: $6 million in grants and
sponsorships provided to more than 535 nonprofit
organizations.
2013 Volunteerism: 92% of all associates
participated in the BlueCrew volunteer program,
resulting in 28,000 service hours which is valued
at more than $1.2 million.
Sustainability Commitment
Paper Reduction: Since 2010, we have reduced paper
use by approximately 20%.
Recycling: More than 2,130 tons of materials recycled
in 2013, saving approximately 6,500 trees.
Emissions Reduction: Since 2010, we have reduced overall
greenhouse gas emissions by approximately 7%.
Leadership
Andrew Dreyfus, President and Chief Executive Officer
Bruce Bullen, Chief Operating Officer
John A. Fallon, M.D., Senior Vice President, Chief Physician Executive
Sarah Iselin, Senior Vice President, Chief Strategy Officer
Stephanie Lovell, Senior Vice President, General Counsel
Allen Maltz, Executive Vice President, Chief Financial Officer
Jay McQuaide, Senior Vice President, Corporate Communications
Jason Robart, Senior Vice President of Organizational Effectiveness
and Chief Human Resources Officer
Contact
Blue Cross Blue Shield of Massachusetts
The Landmark Center
401 Park Drive
Boston, MA 02215-3226
Main Number: 1-617-246-5000 | 1-800-262-BLUE
Website: www.bluecrossma.com
Media: [email protected]
2. NCQA’s Health Insurance Plan Rankings 2013-2014—Private NCQA’s
Health Insurance Plan Rankings 2013-2014—Medicare
3. Rankings refer to Medicare HMO BlueSM ValueRx, Medicare HMO
BlueSM PlusRx, Medicare PPO BlueSM PlusRx, and Medicare
Advantage Plans
Updated: March 2014
® Registered Marks of the Blue Cross and Blue Shield Association. SM Service Marks of Blue Cross and Blue Shield
of Massachusetts HMO Blue, Inc. © 2014 Blue Cross and Blue Shield of Massachusetts, Inc., and Blue Cross and
Blue Shield of Massachusetts HMO Blue, Inc.
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