North Carolina

From 2006 to September 2011, BlueCross BlueShield of North Carolina’s cumulative net income increased 552%.

With more than half of the health insurance market in North Carolina, BlueCross has significant power over the state, yet a more competitive market can drive down costs and increase quality. BlueCross has been under scrutiny from North Carolina lawmakers for “significant over payments from members' medical claims” and the use of its “political muscle to boost its income” (News Observer & News & Record).


News
News

How Much is Your Health Insurance Going Up?

The Foundry by Kelsey Harris

October 11, 2013 ....read more....

BCBSNC Responds to WMH's New Website

Goldsboro Daily News by Carol Bowden

October 11, 2013 ....read more....

WMH vs BCBSNC

Goldsboro Daily News by Carol Bowden

October 10, 2013 ....read more....

Obamacare premiums shock consumers

GOPUSA by Charlotte Observer

October 7, 2013 ....read more....

Blue Cross Blue Shield of North Carolina Update

Goldsboro Daily News by Carole Bowden

October 7, 2013 ....read more....

NC State parents say they weren't notified about mandatory insurance deadline

WRAL.com by Amanda Lamb

October 7, 2013 ....read more....

Blue Cross: Rebounding from near disaster

InsuranceNewsNet.com by Taft Wireback

October 6, 2013 ....read more....

Blue Cross does value transparency

News & Record by Jack Kenley

October 2, 2013 ....read more....

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Net Income (in millions)

BlueCross BlueShield of North Carolina’s cumulative net income has increased 552% over the last six years. 2011 profit was on track to be nearly double what was reported in 2006.

Source: Weiss Ratings. (Spring & Summer 2012, Summer & Fall 2010). Guide to Health Insurers: A quarterly Compilation of Health Insurance Company Ratings and Analyses. Amenia, NY: Grey House Publishing.

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Surplus (in millions)

BlueCross BlueShield of North Carolina’s surplus has increased 58% in the last four years, an increase of more than $450 million.

Source: NAIC Reports. (As of September 30, 2011 & Year Ended December 31, 2009). BlueCross BlueShield of North Carolina Annual & Quarterly Statements.

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Historical Member Enrollment v. Net Income v. Surplus

Over the past five years, while BlueCross BlueShield of North Carolina’s enrollment levels remained flat, their net income and surplus experienced steady growth during the same time period. This means BlueCross generated more profit from the same number of members.

Source: Weiss Ratings. (Spring & Summer 2012, Summer & Fall 2010). Guide to Health Insurers: A quarterly Compilation of Health Insurance Company Ratings and Analyses. Amenia, NY: Grey House Publishing.

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Historical MLR

From 2008 to 2010, BlueCross’s Medical Loss Ratio (percent of the premium dollar used to pay for care) has shown signs of improvement. BlueCross BlueShield of N.C. is operating right at the statutory requirement for MLR.

Source: Weiss Ratings. (Spring & Summer 2012, Summer & Fall 2010). Guide to Health Insurers: A quarterly Compilation of Health Insurance Company Ratings and Analyses. Amenia, NY: Grey House Publishing.

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Health Insurance Market Share in North Carolina

Competition among health plans creates a more stable market and helps to drive improved quality and lower health care costs. With more than half of North Carolina’a health insurance market share, BlueCross BlueShield has significant control over the market, making it difficult for other plans to compete.

Source: American Medical Association. (2010 & 2011 Update). Competition in health insurance: A comprehensive study of U.S. Markets.

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