Premera Blue Cross

It's no mistake that Premera sounds an awful lot like premier. Premera Blue Cross is a leading health care coverage provider to 1.8 million residents of Washington State, Oregon, and Alaska. A licensee of the Blue Cross and Blue Shield Association (BCBSA), Premera offers Blue-branded health care coverage including group and individual PPO, HMO, and consumer-directed plans, as well as Medicare supplemental, dental, vision, and prescription drug coverage. Its health care networks encompass some 27,000 health care providers and 100 hospitals. The not-for-profit Premera also operates several for-profit subsidiaries offering non-Blue health, life, and disability insurance in the Western US.

Geographic Reach

Premera Blue Cross is headquartered in Mountlake Terrace, Washington, with operations in Seattle and Spokane, and in Anchorage. It serves businesses and residents of Alaska and Washington State, excluding Clark County.

Operations

The company operates as Premera Blue Cross in Washington and as Premera Blue Cross Blue Shield in Alaska, representing a network of 27,000 healthcare professionals. Through its affiliation with the BCBSA, Premara is able to offer BlueCard coverage to members of its Blue-branded plans traveling in the US and abroad. In the non-Blue realm, Premera's LifeWise Health Plan units offer health plans in Oregon and Washington, and its LifeWise Assurance business provides life and disability coverage in eight states.

Other companies run by Premera include Calypso Healthcare Solutions, a provider of claims payment tools and services to health insurers, and Ucentris Insured Solutions, a life and health insurance distributor. The Vivacity subsidiary, which provides wellness services and products, was created in 2009 to serve employers looking to cut health care costs and increase productivity by encouraging a healthier workforce.

Sales and Marketing

Serving employers, producers, and providers, the company’s clients include Alaska Air, Microsoft, PACCAR, Starbucks, and Weyerhaeuser.

Financial Performance

The company’s operating revenues increased by 4% to $3.3 billion in 2012 thanks to higher premium revenues and administrative fees, and growth in self-funded customers (57% of its membership in 2012, compared to 55% in 2011).

Net income declined by 11% to $98 million in 2012 due to increase in benefits and administrative expenses partially offset by an increase in the gain on investment.

Strategy

Though its other operating subsidiaries have largely remained profitable, Premera has struggled with losing members in core markets because of increasing competition, as well as tough economic conditions and high unemployment rates. The company is working to reverse the trend by introducing new health plans.

In 2013 Premera announced plans to enter the Medicare Advantage market in 2014 (available in five counties across Washington).

In 2013, as part of its mission to provide innovative programs focused on wellness and prevention, Premera teamed up with Healthways to include the SilverSneakers Fitness Program in its Medicare Advantage plans.

On the technology front, in 2012 the company launched Premera Mobile, a suite of health plan information tools that Premera members can access directly from their mobile phones.

Company Background

It launched a plan for small employer groups in Alaska in 2010. In addition, Premera is increasing its focus on its LifeWise Plans, which allow it to offer more individual coverage options.

Founded in 1998 through the merger of Medical Service Corporation, a Blue plan covering eastern Washington founded in 1933, and Blue Cross of Washington and Alaska, which was founded in 1945. For several years (starting in 2002), Premera attempted to convert into a for-profit company; it finally abandoned the plan in 2007 after the state's insurance commissioner and Washington health care providers continued to oppose the move.

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Premera Blue Cross


7001 220th Sw
Bldg. 1
Mountlake Terrace, WA 98043
Phone: (425) 918-4000
Fax: (425) 918-4791
https://www.premera.com

STATS


  • Employer Type: Private Non Profit
  • CEO: Jeff Roe
  • SVP Operations: Kirsten Kemp
  • CEO: Jeff Roe

Major Office Locations

  • Mountlake Terrace, WA

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