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W)17(ACKER)]TJ /F4 1 Tf 1 0 0 1 -1000 1792 Tm 1 g -0.113 Tc 0 Tw ( )Tj ET Q endstream endobj 12 0 obj << /SA false /OPM 1 /Type/ExtGState /OP false >> endobj 9 0 obj << /SA true /OPM 1 /Type/ExtGState /OP false >> endobj 13 0 obj << /SA false /OPM 1 /Type/ExtGState /OP true >> endobj 14 0 obj << /Length 8282 >> stream /GS0 gs 1 g 0 792 0 0 re f /GS2 gs q 1 w /CS0 CS 1 SCN 36 63 m 576 63 l S BT /F0 1 Tf 8 0 0 8 30.5527 21 Tm 0 0 0 1 k (2)Tj 14 0 0 14 36 708.4999 Tm /CS0 cs 1 scn -0.022 Tc 0.028 Tw [(FORMALIZA)74(TION OF COMMUNITY)]TJ 0 -1 TD -0.0223 Tc 0.0278 Tw (BENEFIT PROGRAMS)Tj ET BT /F1 1 Tf 10 0 0 10 36 658.0359 Tm 0 0 0 1 k -0.017 Tc 0.028 Tw (The Alliance members surveyed generally have formal)Tj 0 -1.4 TD [(gover)-18(nance mechanisms and policies for pr)18(oviding community)]TJ T* [(benefit in or)18(der to insur)17(e that scar)18(ce r)18(esour)17(ces ar)18(e dir)18(ected at)]TJ 0 -1.40001 TD [(ar)18(eas of high priority need and ar)17(e coor)18(dinated with the)]TJ 0 -1.4 TD [(pr)17(ograms of other community-based organizations. 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The success of these pr)18(ograms r)17(eflects the str)18(ong)]TJ T* [(community service cultur)18(es that per)-1(meate these health plans.)]TJ ET BT /F9 1 Tf 10 0 0 10 36 523.0359 Tm -0.011 Tc [(BlueCr)18(oss BlueShield of Florida\325)74(s (BCBSF))]TJ ET BT /F1 1 Tf 10 0 0 10 225.6546 523.0359 Tm -0.0113 Tc (community)Tj -18.96546 -1.4 TD -0.011 Tc [(benefit pr)18(ogram is guided by an aspiration, that \322BCBSF\325)110(s)]TJ T* [(history as a not-for)55(-pr)17(ofit mutual company leads our publics)]TJ -0.0112 Tc 0.0278 Tw (to hold us to a higher standar)' 12.48302 0 TD (d than other ar)Tj 6.34295 0 TD (ea companies,\323)Tj -18.82597 -1.40001 TD -0.011 Tc 0.028 Tw [(and is gover)-18(ned by a formal Corporate Charitable)]TJ 0 -1.4 TD [(Contributions Policy that pr)18(ovides guidelines for budgeting,)]TJ T* (planning and participating in community benefit activities.)Tj -0.0112 Tc 0.0278 Tw (The policy is significant in that it distinguishes charitable)' (contributions in two general categories:)' 0.9 -2.3 TD -0.011 Tc 0.028 Tw [8(Social Impact\321Pr)18(ograms and organizations that positively)]TJ 0.775 -1.4 TD -0.0112 Tc 0.0278 Tw (impact quality of life)Tj -0.775 -1.4 TD -0.0113 Tc Tj 0.775 0 TD -0.0112 Tc (Business and Public Relations\321Pr)Tj 13.8772 0 TD (ograms and)Tj -13.8772 -1.40001 TD -0.0114 Tc (or)Tj 0.86645 0 TD -0.0112 Tc (ganizations that have public r)Tj 12.31368 0 TD (elations value, enhance)Tj -13.18013 -1.40001 TD -0.011 Tc 0.028 Tw [(business r)18(elationships and have high community visibility)]TJ -1.675 -2.3 TD [(The policy dir)18(ects that community benefit spending decisions)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (take into account the incidence and severity of a pr)Tj 21.48355 0.00001 TD (oblem and)Tj -21.48355 -1.40001 TD -0.011 Tc 0.028 Tw [(the potential for BCBSF\325)111(s involvement to favorably leverage a)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (solution to the pr)Tj 7.2542 0.00001 TD (oblem. The policy includes for)Tj 12.4985 0.00001 TD (mal definitions)Tj -19.7527 -1.40001 TD (and guidelines for planning and budgeting community)Tj 0 -1.4 TD -0.011 Tc 0.028 Tw [(benefit expenditur)18(es, including the types and magnitude of)]TJ T* [(support that may be pr)18(ovided. )]TJ 0 -2.3 TD (The BCBSF policy also encourages and supports employee)Tj 0 -1.40001 TD -0.0112 Tc 0.0278 Tw (involvement in community activities that satisfy its community)Tj 0 -1.4 TD (benefit goals. In fact, BCBSF expects its senior managers to)Tj (assume a leadership r)' 8.99821 0.00001 TD (ole in the communities they ser)Tj 13.12479 0.00001 TD -0.0113 Tc (ve.)Tj -22.123 -1.40002 TD -0.011 Tc 0.028 Tw [(Employee volunteerism is encouraged thr)18(ough a formal)]TJ 0 -1.4 TD -0.0114 Tc (pr)Tj 0.84863 0.00001 TD -0.0112 Tc 0.0278 Tw (ogram, Blue Community Champions, which, in 2002,)Tj -0.8486 -1.4 TD -0.011 Tc 0.028 Tw [(r)18(esulted in employees volunteering mor)18(e than 30,000 hours)]TJ T* (in community service to 150 agencies statewide.)Tj ET BT /F9 1 Tf 10 0 0 10 315 711.4999 Tm -0.0113 Tc 0.0278 Tw (Blue Cr)Tj 3.26519 0.00001 TD (oss and Blue Shield of Massachusetts (BCBSMA))Tj ET BT /F1 1 Tf 10 0 0 10 315 697.4999 Tm -0.011 Tc 0.028 Tw [(is dedicated to going beyond its membership to impr)18(ove the)]TJ 0 -1.4 TD [(health and quality of life for people acr)18(oss the)]TJ T* (Commonwealth. BCBSMA maintains a formal community)Tj -0.0112 Tc 0.0278 Tw (benefit pr)' 4.06462 0.00001 TD -0.011 Tc 0.028 Tw [(ogram which is gover)-18(ned by a Corporate Policy)]TJ -4.06462 -1.4 TD -0.0112 Tc 0.0278 Tw (Committee composed of members of senior management,)Tj T* -0.011 Tc 0.028 Tw [(with the support of a Senior V)-6(ice Pr)18(esident of Community)]TJ T* [(Relations and inter)-18(nal and exter)-18(nal community benefit)]TJ T* [(advisory councils. The community benefit pr)18(ogram is for)-1(mally)]TJ T* [(dir)18(ected at impr)17(oving the health of the people in the)]TJ T* (communities it serves. )Tj 0 -2.3 TD -0.017 Tc (BCBSMA also supports employee involvement in community)Tj 0 -1.40001 TD [(benefit activities thr)18(ough Blue Cr)17(ew)55(, the employee volunteer)]TJ 0 -1.4 TD [(pr)17(ogram, which encourages Plan employees to contribute up)]TJ T* [(to eight hours in paid time of)18(f for community benefit activities.)]TJ 0 -1.40001 TD [(Mor)18(e than 2,000 associates pr)17(ovided over 12,000 hours of)]TJ 0 -1.4 TD (service to the community in 2004.)Tj ET BT /F9 1 Tf 10 0 0 10 315 455.5 Tm -0.0113 Tc 0.0278 Tw (Excellus BlueCr)Tj 6.89822 0 TD (oss BlueShield)Tj ET BT /F1 1 Tf 10 0 0 10 449.9139 455.5 Tm -0.0112 Tc (, including Univera Healthcar)Tj 12.01943 0 TD 0 Tc (e)Tj -25.51082 -1.4 TD -0.0113 Tc (in Buf)Tj 2.44354 0 TD -0.0112 Tc (falo, sponsors a compr)Tj 9.48734 0 TD (ehensive community benefit)Tj -11.93088 -1.40001 TD -0.0114 Tc (pr)Tj 0.84863 0 TD -0.011 Tc 0.028 Tw [(ogram, r)18(eflecting a coor)17(dinated focus in key ar)18(eas acr)18(oss its)]TJ -0.84863 -1.4 TD [(various communities as well as various pr)18(ograms to addr)17(ess)]TJ T* [(unique local needs. A specific goal of the health plan\325)111(s)]TJ -0.0113 Tc 0.0278 Tw (community benefit ef)' 8.97885 0 TD -0.0114 Tc (for)Tj 1.1881 0 TD -0.011 Tc 0.028 Tw [(ts is to \322\311r)18(einfor)17(ce the value of)]TJ -10.16695 -1.40001 TD [(nonpr)18(ofit health car)17(e\321with our members, families, friends)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (and neighbors as the beneficiaries.\323)Tj 0 -2.3 TD (Excellus BCBS also has a corporate-wide policy that enables its)Tj 0 -1.4 TD (full-time employees to devote a company-paid eight hours)Tj (per year for volunteer work.)' 0 -2.3 TD -0.017 Tc 0.028 Tw [(Based in W)18(or)17(cester)92(, MA, the )]TJ ET BT /F9 1 Tf 10 0 0 10 435.4332 283.4999 Tm -0.0168 Tc 0.0278 Tw (Fallon Community Health)Tj -12.04332 -1.4 TD -0.017 Tc 0.028 Tw [(Plan\325)74(s (FCHP))]TJ ET BT /F1 1 Tf 10 0 0 10 375.8016 269.5 Tm [(community benefit pr)18(ograms ar)17(e gover)-18(ned )]TJ -6.08016 -1.4 TD (by a formal Community Benefits Policy Statement which)Tj 0 -1.40001 TD [(emphasizes working cooperatively with health car)18(e and)]TJ 0 -1.4 TD [(community service organizations to cr)17(eate innovative health)]TJ -0.0169 Tc (car)' 1.20876 0.00001 TD -0.0168 Tc 0.0278 Tw (e solutions, to seek healthy outcomes and to impr)Tj 20.66369 0.00001 TD (ove)Tj -21.87245 -1.40002 TD -0.017 Tc 0.028 Tw [(access to health car)18(e ser)-1(vices. Overall dir)18(ection for the)]TJ 0 -1.4 TD -0.0168 Tc 0.0278 Tw (Community Benefits Pr)Tj 9.46293 0.00001 TD (ogram is pr)Tj 4.68683 0.00001 TD (ovided by a Community)Tj -14.14976 -1.40001 TD (Benefits Committee composed of individuals that r)Tj 20.93892 0.00001 TD -0.017 Tc 0 Tw [(epr)18(esent)]TJ -20.93892 -1.40001 TD 0.028 Tw [(key FCHP and community leadership. Consistent with FCHP\325)110(s)]TJ 0 -1.4 TD (commitment to work collaboratively with others, it formally)Tj T* [(r)18(eviews community needs assessments conducted by other)]TJ T* [(organizations in the for)-1(mulation of its pr)18(ogram. This)]TJ T* [(assessment r)18(esults in the development of a for)-1(mal Community)]TJ -0.0168 Tc 0.0278 Tw (Benefits Plan. FCHP\325)' 8.16638 0.00001 TD (s community benefit pr)Tj 9.58464 0.00001 TD (ograms ar)Tj 4.13673 0.00001 TD 0 Tc (e)Tj ET 0 0 0 0 k 36 27.945 540 30.591 re f 36 63.004 m 576 63.004 l S /GS0 gs Q endstream endobj 15 0 obj << /Length 9996 >> stream /GS0 gs 1 g 0 792 0 0 re f /GS2 gs q BT /F1 1 Tf 3.25 0 0 3.25 36.9936 90.9422 Tm 0 0 0 1 k (2)Tj 6.5 0 0 6.5 40.6186 88.661 Tm -0.017 Tc 0.028 Tw [(Advancing the public accountability of nonpr)18(ofit health car)17(e organizations: guidelines on gover)-18(nance practices, May)92(, 2005)]TJ 3.25 0 0 3.25 36.9936 82.4422 Tm 0 Tc (3)Tj 6.5 0 0 6.5 40.6186 80.161 Tm -0.0168 Tc 0.0278 Tw (Some nonpr)Tj 5.0661 0 TD (ofit health plans may choose to describe their par)Tj 20.44069 0.00001 TD (ticipation in safety net health insurance pr)Tj 17.30012 0.00001 TD -0.017 Tc 0.028 Tw (oducts under the category of specific community investments. )Tj 3.25 0 0 3.25 36.9936 73.9422 Tm 0 Tc (4)Tj 6.5 0 0 6.5 40.6186 71.661 Tm -0.017 Tc [(In a national study)92(, also commissioned by the Alliance, Susan Barrish compar)17(ed nonpr)18(ofit Blues plan and for)55(-pr)17(ofit health plan performance. She concluded that, compar)18(ed with investor)54(-owned)]TJ 0 -1.3077 TD [(insur)18(ers, the nonpr)17(ofit Blues plans devoted a significantly higher per)18(centage of the customers\325 pr)18(emium dollar to pay healthcar)17(e claims and a lower per)18(centage on administrative expenses, and wer)18(e)]TJ (mor)' 1.6536 0 TD -0.0168 Tc 0.0278 Tw (e financially stable despite a lower average net operating mar)Tj 25.37774 0.00001 TD (gin. \322Nonpr)Tj 4.93931 0.00001 TD (ofit Health Insur)Tj 6.58628 0.00001 TD (ers: The Financial Stor)Tj 8.97543 0.00001 TD -0.0169 Tc (y W)Tj 1.60642 0.00001 TD -0.0168 Tc (all Str)Tj 2.28043 0.00001 TD -0.017 Tc 0.028 Tw [(eet Doesn\325)18(t T)110(ell,\323 Susan Barrish, Alliance for Advancing Nonpr)18(ofit Health)]TJ -51.4192 -1.3078 TD [(Car)18(e, December 2003)]TJ 3.25 0 0 3.25 36.9936 39.9422 Tm 0 Tc (5)Tj 6.5 0 0 6.5 40.6186 37.661 Tm -0.017 Tc [(Costs, Commitment and Locality: A Comparison of For)55(-pr)17(ofit and Not-for)55(-Pr)18(ofit Health Plans,\323 T)91(r)18(eo Solutions, Alliance for Advancing Nonpr)18(ofit Health Car)18(e, May/June, 2004)]TJ ET 1 w /CS0 CS 1 SCN 36 99 m 576 99 l S BT /F0 1 Tf 8 0 0 8 31.5527 21 Tm 0 Tc (3)Tj ET BT /F1 1 Tf 10 0 0 10 37 711.4999 Tm -0.0168 Tc 0.0278 Tw (complemented by its suppor)Tj 11.75963 0.00001 TD -0.017 Tc 0.028 Tw [(t of r)18(elated employee volunteer)]TJ -11.75963 -1.4 TD 0 Tw [(ef)18(for)-1(ts.)]TJ 0 -2.3 TD -0.0112 Tc 0.0278 Tw (Based in Oakland, Califor)Tj 10.60122 0.00001 TD -0.011 Tc 0.028 Tw [(nia, and with a pr)18(esence in several)]TJ -10.60122 -1.40001 TD [(large markets nationally)92(, )]TJ ET BT /F9 1 Tf 10 0 0 10 141.219 660.4999 Tm [(Kaiser Permanente\325)74(s)]TJ ET BT /F1 1 Tf 10 0 0 10 237.1598 660.4999 Tm -0.0113 Tc (community)Tj -20.01598 -1.4 TD -0.011 Tc [(benefit pr)18(ogram is focused on impr)17(oving the health of the)]TJ T* [(many communities it serves. W)-24(ith the guidance of a)]TJ T* [(Community Benefit Gover)-18(nance Council, its br)18(oad scope )]TJ T* [(of ef)18(for)-1(t is supported by several hundr)18(ed million dollars )]TJ T* [(in services and funding each year)92(. )]TJ ET BT /F0 1 Tf 14 0 0 14 37 553.4999 Tm /CS0 cs 1 scn -0.022 Tc [(BASIC CA)74(TEGORIES OF COMMUNITY)]TJ 0 -1 TD -0.0223 Tc (BENEFIT)Tj ET BT /F1 1 Tf 10 0 0 10 37 503.036 Tm 0 0 0 1 k -0.011 Tc [(The Alliance for Advancing Nonpr)18(ofit Health Car)17(e has)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (developed guidelines)Tj 5 0 0 5 124.5111 494.5671 Tm 0 Tc (2)Tj 10 0 0 10 130.1802 489.036 Tm -0.011 Tc 0.028 Tw [(for nonpr)18(ofit health plans that include)]TJ -9.31802 -1.4 TD -0.0112 Tc 0.0278 Tw (a description of the range of community benefits that a)Tj T* -0.011 Tc 0.028 Tw [(health plan might conceivably pr)18(ovide. T)99(wo basic categories)]TJ -0.0113 Tc 0.0278 Tw (of community benefit ar)' 10.1398 0 TD (e pr)Tj 1.63202 0 TD -0.0112 Tc (esented:)Tj -10.87182 -2.30001 TD -0.011 Tc 0.028 Tw [8(Pr)18(oviding br)17(oad benefit to the community thr)18(ough)]TJ 0.775 -1.4 TD [(demonstrated excellence in its r)18(egular business operations)]TJ -0.775 -1.4 TD -0.0113 Tc 0.0278 Tw Tj 0.775 0 TD -0.0114 Tc (Pr)Tj 0.79272 0 TD -0.0112 Tc (oviding specific community investments that ar)Tj 19.60314 0 TD 0 Tc (e)Tj -20.39586 -1.40001 TD -0.0112 Tc (generally aimed at impr)Tj 9.86246 0 TD (oving access to benefits and car)Tj 13.319 0 TD 0 Tc (e)Tj -23.18146 -1.40001 TD -0.011 Tc 0.028 Tw [(for at-risk population segments, impr)18(oving the health)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (status and quality of life for the br)Tj 14.31779 0 TD (oader community)Tj -14.31779 -1.4 TD -0.011 Tc 0.028 Tw [(and/or r)18(educing the cost and/or impr)17(oving the quality )]TJ T* [(of car)18(e of the health car)17(e delivery system)]TJ -1.675 -2.3 TD -0.0113 Tc 0.0278 Tw (Community benefit that stems fr)Tj 13.68856 0 TD -0.0112 Tc (om demonstrated excellence)Tj -13.68856 -1.4 TD -0.011 Tc 0.028 Tw [(in r)18(egular business operations generally is r)17(eflected in the)]TJ 0 -1.40001 TD [(nonpr)18(ofit health plan\325)110(s performance on a number of business)]TJ 0 -1.4 TD [(measur)18(es compar)17(ed to that of other health plans. Examples)]TJ T* [(of such business measur)18(es ar)17(e:)]TJ 0.9 -2.3 TD [8(Higher portion of the pr)18(emium dollar devoted to patient)]TJ 0.775 -1.4 TD [(car)18(e and less to administration)]TJ -0.775 -1.4 TD -0.0113 Tc 0.0278 Tw Tj 0.775 0.00001 TD (Lower pr)Tj 3.69793 0.00001 TD (emiums)Tj -4.47293 -1.40002 TD -0.011 Tc 0.028 Tw [8(Higher customer satisfaction rates)]TJ 0 -1.4 TD -0.0113 Tc 0.0278 Tw Tj 0.775 0.00001 TD -0.011 Tc 0.028 Tw [(Better quality outcomes and/or gr)18(eater ef)17(ficiency in the)]TJ 0 -1.4 TD [(delivery system achieved thr)18(ough the health plan\325)110(s)]TJ T* [(particular business r)18(elationships with health car)17(e pr)18(oviders)]TJ 26.125 57.1464 TD -0.0113 Tc 0.0278 Tw Tj 0.775 0.00001 TD -0.011 Tc 0.028 Tw [(Mor)18(e accessible benefits, i.e., fewer pr)17(e-existing condition)]TJ 0 -1.4 TD (clauses, waiting periods and/or other underwriting-based)Tj T* 0 Tw [(r)18(estrictions)]TJ 0.125 -1.4 TD 0.028 Tw [8(Gr)18(eater participation in gover)-18(nment and other safety )]TJ 0.775 -1.4 TD -0.0113 Tc 0.0278 Tw (net pr)Tj 2.49847 0.00001 TD (ograms)Tj 5 0 0 5 387.7306 661.0312 Tm 0 Tc (3)Tj 10 0 0 10 315 632.5 Tm -0.011 Tc 0.028 Tw (The absence of detailed performance data for other health)Tj 0 -1.4 TD [(plans in the same geographic ar)18(eas as the nonpr)17(ofit health)]TJ T* [(plans described in this r)18(eport did not per)-1(mit a comparison of)]TJ T* [(performance against such measur)17(es. Even the r)18(esear)18(ch)]TJ 0 -1.40001 TD [(literatur)18(e is generally lacking in empirically sound geographic)]TJ 0 -1.4 TD -0.0112 Tc (comparisons.)Tj 5 0 0 5 369.7726 568.0311 Tm 0 Tc (4)Tj 10 0 0 10 315 539.5 Tm -0.011 Tc [(The Alliance pr)18(eviously commissioned one geographic study)91(,)]TJ 0 -1.4 TD [(in New Y)92(ork.)]TJ 5 0 0 5 368.861 531.0312 Tm 0 Tc (5)Tj 10 0 0 10 374.53 525.4999 Tm -0.011 Tc [(Ther)18(e, nonpr)17(ofit health plans ar)18(e the)]TJ -5.953 -1.4 TD [(pr)17(edominant insur)18(ers thr)18(oughout most of what is r)18(efer)-1(r)19(ed to)]TJ T* [(as \322upstate\323 New Y)92(ork and for)55(-pr)17(ofit health plans dominate)]TJ T* [(the New Y)92(ork City metr)17(opolitan ar)18(ea and the surr)18(ounding)]TJ T* [(\322downstate\323 counties. The study)92(, based on 2001 and 2002)]TJ -0.0112 Tc 0.0278 Tw (data, showed that nonpr)' 10.42227 0 TD (ofit health plans \(in )Tj ET BT /F9 1 Tf 10 0 0 10 502.8847 455.5 Tm -0.0113 Tc (bold)Tj ET BT /F1 1 Tf 10 0 0 10 523.5438 455.5 Tm 0 Tc (\))Tj -20.85439 -1.4 TD -0.0113 Tc (outper)Tj 2.76658 0 TD -0.0114 Tc (for)Tj 1.1881 0 TD -0.011 Tc 0.028 Tw [(med for)55(-pr)17(ofit health plans in: )]TJ -3.05468 -2.30001 TD [8(Per)18(centage of pr)18(emiums devoted to pr)17(ofits \()]TJ ET BT /F9 1 Tf 10 0 0 10 516.4004 418.5 Tm -0.0112 Tc (2.3%)Tj ET BT /F1 1 Tf 10 0 0 10 331.75 404.5 Tm 0.0278 Tw (versus 8.1%\))Tj -0.775 -1.4 TD -0.011 Tc 0.028 Tw [8(Per)18(centage of pr)18(emiums devoted to administrative)]TJ 0.775 -1.4 TD -0.0112 Tc 0.0278 Tw (expenses \()Tj ET BT /F9 1 Tf 10 0 0 10 374.8083 376.5 Tm (10%)Tj ET BT /F1 1 Tf 10 0 0 10 398.5382 376.5 Tm (versus 11.5%\))Tj -7.45382 -1.4 TD -0.011 Tc 0.028 Tw [8(Per)18(centage of pr)18(emiums used to pay medical expenses)]TJ 0.775 -1.4 TD 0 Tc (\()Tj ET BT /F9 1 Tf 10 0 0 10 334.4172 348.5 Tm -0.0112 Tc (87.7%)Tj ET BT /F1 1 Tf 10 0 0 10 366.2622 348.5 Tm 0.0278 Tw (versus 80.4%\))Tj -4.22622 -1.4 TD -0.0113 Tc Tj 0.775 0 TD 0 Tc (A)Tj 0.63806 0 TD -0.0112 Tc (verage pr)Tj 3.90898 0 TD -0.0113 Tc (emium rates \()Tj ET BT /F9 1 Tf 10 0 0 10 434.6446 334.5 Tm -0.0112 Tc ($184)Tj ET BT /F1 1 Tf 10 0 0 10 459.3815 334.5 Tm (versus $221\))Tj -14.43815 -2.3 TD -0.011 Tc 0.028 Tw [(Mor)18(eover)91(, the statewide nonpr)18(ofit plans studied supported)]TJ 0 -1.4 TD [(88% of the total enr)18(ollment in state-sponsor)17(ed safety net)]TJ T* [(pr)17(ograms for underserved populations, compar)18(ed to 12% for)]TJ T* [(the for)55(-pr)17(ofit plans.)]TJ 0 -2.3 TD (Lacking comparative performance data on the other health)Tj 0 -1.4 TD [(plans in the geographic ar)18(eas served by the health plans)]TJ T* [(described her)18(e, the next section pr)17(ovides a brief summary of)]TJ -0.0112 Tc 0.0278 Tw (the considerable br)' 7.99264 0.00001 TD (eadth and depth of specific community)Tj -7.99264 -1.40001 TD -0.011 Tc 0.028 Tw [(investments that these plans have been pr)18(oviding to: )]TJ 0.9 -2.3 TD -0.0113 Tc 0.0278 Tw (1. )Tj 1.1 0.00001 TD (impr)Tj 1.88109 0.00001 TD -0.011 Tc 0.028 Tw [(ove access to benefits and/or car)18(e for at-risk or)]TJ -1.88109 -1.40001 TD -0.0112 Tc (underser)Tj 3.63328 0.00001 TD 0.0278 Tw (ved populations;)Tj -4.73328 -1.40001 TD -0.0113 Tc (2. )Tj 1.1 -0.00001 TD -0.011 Tc 0.028 Tw [(impr)18(ove the health status and quality of life for the)]TJ 0 -1.39999 TD [(br)17(oader community; and/or)]TJ /F5 1 Tf 1 0 0 1 -1000 1792 Tm 1 g 0 Tc 0 Tw ( )Tj ET Q endstream endobj 16 0 obj << /Length 8451 >> stream /GS0 gs 1 g 0 792 0 0 re f /GS2 gs q BT /F1 1 Tf 10 0 0 10 45 712.5 Tm 0 0 0 1 k -0.011 Tc 0.028 Tw [(3. )6(r)18(educe the cost and/or impr)18(ove the quality of car)17(e of the)]TJ 1.1 -1.4 TD [(health car)18(e delivery system )]TJ -2 -2.3 TD [(The last section pr)18(ovides mor)17(e specific examples of these)]TJ 0 -1.4 TD [(plans\325 community investments in these thr)18(ee categories. )]TJ ET BT /F0 1 Tf 14 0 0 14 36 629.5 Tm /CS0 cs 1 scn 0 Tc [(SUMMAR)18(Y OF THE BREADTH AND)]TJ 0 -1.28572 TD -0.0001 Tc 0.0278 Tw (DEPTH OF THESE PLANS\325 SPECIFIC)Tj 0 -1.28571 TD (COMMUNITY INVESTMENTS)Tj ET BT /F1 1 Tf 10 0 0 10 36 557.0359 Tm 0 0 0 1 k -0.0279 Tc (In 2002 and 2003, )Tj ET BT /F9 1 Tf 10 0 0 10 114.3701 557.0359 Tm -0.028 Tc 0.028 Tw [(BlueCr)18(oss BlueShield of Florida)]TJ ET BT /F1 1 Tf 10 0 0 10 254.7261 557.0359 Tm -0.0279 Tc (invested)Tj -21.87261 -1.4 TD 0.0278 Tw ($45 million in 286 educational and charitable community)Tj T* -0.028 Tc 0.028 Tw [(organizations and pr)17(ograms with emphasis on the uninsur)18(ed)]TJ T* [(and underinsur)18(ed, higher education, volunteerism and quality )]TJ T* [(of life. Thr)18(ough its af)17(filiated foundation whose endowment has)]TJ 0 -1.40001 TD -0.0281 Tc (gr)Tj 0.81527 0 TD -0.028 Tc [(own to $25 million, it has awar)18(ded 75 grants in suppor)-1(t of a)]TJ -0.81527 -1.40001 TD -0.0279 Tc 0.0278 Tw (diverse set of activities including educating older adults about)Tj 0 -1.4 TD -0.0281 Tc (pr)Tj 0.81527 0 TD -0.0279 Tc (escription dr)Tj 4.94289 0 TD (ugs, training physicians on women\325)Tj 14.11162 0 TD (s hear)Tj 2.41647 0 TD (t disease)Tj -22.28625 -1.40001 TD (symptoms, and impr)Tj 8.258 0 TD (oving the lives of Hispanics with diabetes.)Tj -8.258 -2.3 TD -0.0224 Tc (During 2003, )Tj ET BT /F9 1 Tf 10 0 0 10 93.1309 422.036 Tm (Blue Cr)Tj 3.18734 0 TD -0.022 Tc 0.028 Tw [(oss and Blue Shield of Massachusett\325)74(s)]TJ ET BT /F1 1 Tf 10 0 0 10 36 408.036 Tm [(Community Benefit Plan expenditur)18(es totaled nearly $14 million)]TJ 0 -1.4 TD -0.0223 Tc 0.0278 Tw (which included a $12.9 million contribution to the BCBSMA)Tj T* -0.022 Tc 0.028 Tw (Foundation. Activities supported by the Foundation in 2003)Tj -0.0223 Tc (included:)' 0.9 -2.3 TD -0.022 Tc [11($600,000 in one-year grants to 20 healthcar)18(e organizations)]TJ 0.75 -1.4 TD [(to pr)18(omote culturally competent car)17(e)]TJ -0.75 -1.4 TD -0.0224 Tc 0.0278 Tw Tj 0.75 0 TD -0.022 Tc 0.028 Tw [(A commitment of $1.87 million in thr)18(ee-year grants to 15)]TJ 0 -1.4 TD -0.0224 Tc 0.0278 Tw (community collaborations to expand access to childr)Tj 21.288 0 TD -0.022 Tc 0 Tw [(en\325)111(s)]TJ -21.288 -1.4 TD 0.028 Tw (mental health services)Tj -0.75 -1.4 TD [11($1.6 million in one-year grants to 50 organizations acr)18(oss)]TJ 0.75 -1.4 TD -0.0224 Tc 0.0278 Tw (Massachusetts to impr)Tj 9.12434 0.00001 TD (ove coor)Tj 3.49812 0.00001 TD (dination of car)Tj 5.92546 0.00001 TD (e, connect)Tj -18.54792 -1.40002 TD -0.022 Tc 0.028 Tw [(consumers to physicians and support health car)18(e advocacy)]TJ ET BT /F9 1 Tf 10 0 0 10 36 222.036 Tm -0.0224 Tc 0.0278 Tw (Excellus BCBS)Tj ET BT /F1 1 Tf 10 0 0 10 100.1034 222.036 Tm (sponsors a br)Tj 5.41621 0.00001 TD (oad range of community benefit)Tj -11.82655 -1.4 TD -0.022 Tc 0.028 Tw [(investments that ar)18(e dir)17(ected at: )]TJ 0.9 -2.30001 TD [11(Impr)18(oving access to coverage and decr)17(easing the number )]TJ 0.75 -1.4 TD [(of uninsur)18(ed)]TJ -0.75 -1.4 TD -0.0224 Tc 0.0278 Tw Tj 0.75 0.00001 TD (Insuring a futur)Tj 6.23697 0.00001 TD -0.0223 Tc (e health car)Tj 4.76974 0.00001 TD -0.0224 Tc (e workfor)Tj 3.97564 0.00001 TD (ce, par)Tj 2.76035 0.00001 TD (ticularly in ar)Tj 5.14543 0.00001 TD -0.0223 Tc (eas)Tj -22.88813 -1.40004 TD -0.022 Tc 0.028 Tw (of expected shortage)Tj -0.75 -1.4 TD [11(Impr)18(oving ser)-1(vices to meet the special needs of the)]TJ 0.75 -1.4 TD -0.0223 Tc 0.0278 Tw (seriously ill, especially childr)Tj 11.07188 0.00001 TD -0.0224 Tc (en and the ter)Tj 5.82752 0.00001 TD -0.0223 Tc (minally ill)Tj -17.6494 -1.4 TD -0.022 Tc 0.028 Tw [11(Sponsoring pr)18(ograms that addr)17(ess the risks associated with)]TJ 0.75 -1.4 TD -0.0226 Tc (pr)Tj 0.8264 0 TD -0.022 Tc [(e-term labor)91(, smoking, eating disor)18(ders, as well as the)]TJ -0.8264 -1.4 TD [(c)1(r)18(eation of healthy communities)]TJ ET BT /F9 1 Tf 10 0 0 10 315 712.5 Tm [(Fallon Community Health Plan\325)74(s)]TJ ET BT /F1 1 Tf 10 0 0 10 460.6989 712.5 Tm -0.0224 Tc 0.0278 Tw (Community Benefits)Tj -14.56989 -1.4 TD -0.022 Tc 0.028 Tw [(Pr)18(ogram commits to: )]TJ 0.9 -2.3 TD [11(Develop and implement pr)18(ograms to impr)17(ove the health)]TJ 0.75 -1.4 TD [(status of the economically disadvantaged, elders, pr)18(egnant)]TJ T* [(and par)18(enting teens and the youth within its service ar)17(ea.)]TJ T* [(Childr)18(en in the first thr)17(ee years of life and at-risk)]TJ T* [(adolescents will be r)18(eceiving priority attention.)]TJ -0.75 -1.4 TD [11(Continue FCHP\325)111(s r)17(ole as a health educator by pr)18(oviding)]TJ 0.75 -1.40001 TD [(school-based pr)18(ogramming, hosting health fairs and)]TJ 0 -1.4 TD [(confer)18(ences, and pr)17(oviding general information to the)]TJ -0.0223 Tc (public)' -0.75 -1.4 TD -0.022 Tc [11(W)18(ork collaboratively with other health car)18(e pr)18(oviders to)]TJ 0.75 -1.4 TD [(develop and implement pr)18(ograms targeting specific)]TJ T* (populations as determined by the community)Tj -0.75 -1.40001 TD [11(Develop, support and implement health initiatives that ar)18(e)]TJ 0.75 -1.4 TD (identified by local businesses, social service organizations)Tj -0.0224 Tc 0.0278 Tw (and other r)' 4.57078 0 TD -0.0223 Tc (elated agencies)Tj -5.32078 -1.4 TD -0.022 Tc 0.028 Tw [11(Continue to find ways to deliver high quality)92(, low cost)]TJ 0.75 -1.4 TD [(health car)18(e coverage)]TJ -1.65 -2.3 TD -0.0223 Tc 0.0278 Tw (FCHP made available over $1,126,000 to various pr)Tj 20.97622 0 TD -0.0224 Tc (ograms in)Tj -20.97622 -1.4 TD -0.0223 Tc (2003. This was accomplished thr)Tj 13.3487 0 TD -0.0224 Tc (ough the distribution of over)Tj -13.3487 -1.4 TD -0.0223 Tc ($199,000 in grants, and other charitable donations, and the)Tj T* -0.022 Tc 0.028 Tw [(r)18(emaining $927,000 in pr)18(ograms that involved dir)18(ect expenses)]TJ T* [(and staf)18(f time. )]TJ 0 -2.3 TD -0.0224 Tc (Thr)Tj 1.30415 0 TD -0.022 Tc [(ough the many r)18(egions and markets it serves, )]TJ ET BT /F9 1 Tf 10 0 0 10 516.7296 349.5 Tm -0.0224 Tc (Kaiser)Tj -20.17296 -1.4 TD -0.022 Tc 0 Tw [(Permanente\325)74(s)]TJ ET BT /F1 1 Tf 10 0 0 10 378.3227 335.5 Tm -0.0224 Tc 0.0278 Tw (community benefit investments of several)Tj -6.33227 -1.4 TD -0.022 Tc 0.028 Tw [(hundr)18(ed million dollars ar)17(e focused on:)]TJ 0.9 -2.3 TD [11(Expanding and fortifying safety net partnerships with)]TJ 0.75 -1.4 TD (community clinics, health departments and public hospitals)Tj -0.75 -1.4 TD -0.0224 Tc 0.0278 Tw Tj 0.75 0.00001 TD (Addr)Tj 2.00482 0.00001 TD -0.022 Tc 0.028 Tw [(essing the delivery of car)18(e to low-income families)]TJ -2.00482 -1.40002 TD [(t)1(h)1(r)19(ough its dues subsidy pr)17(ograms, charity car)18(e, and)]TJ 0 -1.4 TD [(participation in gover)-18(nment pr)18(ograms)]TJ -0.75 -1.4 TD [11(W)-24(ith community partners, actively supporting community)]TJ 0.75 -1.4 TD -0.0223 Tc 0.0278 Tw (health initiatives linked to specific community goals)Tj -0.75 -1.4 TD -0.022 Tc 0.028 Tw [11(B)1(r)18(oadly disseminating critical health knowledge by sharing)]TJ 0.75 -1.4 TD -0.0224 Tc 0.0278 Tw (its r)Tj 1.453 0.00001 TD -0.0223 Tc (esear)Tj 2.0927 0.00001 TD (ch outcomes and its evidence-based appr)Tj 16.86391 0.00001 TD -0.0224 Tc (oach to)Tj -20.40961 -1.40002 TD -0.022 Tc 0.028 Tw [(medicine and of)18(fering health education thr)17(ough live theatr)18(e)]TJ 0 -1.4 TD -0.0224 Tc 0.0278 Tw (and other pr)Tj 5.10446 0.00001 TD (ograms)Tj -5.85446 -1.4 TD Tj 0.75 0.00001 TD -0.022 Tc 0.028 Tw [(Fostering clinical education by maintaining r)18(esidency)]TJ 0 -1.40001 TD -0.0226 Tc (pr)Tj 0.82639 -0.00001 TD -0.022 Tc [(ograms and forging work for)18(ce development)]TJ -0.82639 -1.39999 TD [(partnerships with organized labor)91(, colleges, universities )]TJ 0 -1.4 TD -0.0223 Tc 0.0278 Tw (and high schools)Tj ET 1 w /CS0 CS 1 SCN 36 63 m 576 63 l S BT /F0 1 Tf 8 0 0 8 31.5527 21 Tm 0 Tc (4)Tj ET Q endstream endobj 17 0 obj << /Length 8932 >> stream /GS0 gs 1 g 0 792 0 0 re f /GS2 gs q 1 w /CS0 CS 1 SCN 36 63 m 576 63 l S BT /F0 1 Tf 8 0 0 8 31.5527 21 Tm 0 0 0 1 k (5)Tj ET BT /F9 1 Tf 10 0 0 10 37.6803 712.5 Tm -0.022 Tc 0.028 Tw [(Blue Cr)18(oss Blue Shield of Alabama)]TJ ET BT /F1 1 Tf 10 0 0 10 194.933 712.5 Tm -0.0224 Tc 0.0278 Tw (has committed to a)Tj -15.72527 -1.4 TD -0.022 Tc 0.028 Tw [(b)1(r)18(oad range of community investments, but with some)]TJ T* [(particular immediate ar)18(eas of emphasis, including access to)]TJ -0.0224 Tc (car)' 1.19209 0.00001 TD -0.022 Tc [(e for at-risk or underserved childr)18(en, health pr)17(omotion and)]TJ -1.19209 -1.4 TD [(disease/illness pr)18(evention for the community in general and)]TJ -0.0223 Tc 0.0278 Tw (seniors in par)' 5.41083 0.00001 TD -0.022 Tc 0.028 Tw [(ticular)92(, and youth development.)]TJ ET BT /F0 1 Tf 14 0 0 14 37.6803 601.4999 Tm /CS0 cs 1 scn -0.0001 Tc 0.0278 Tw (MORE SPECIFIC EXAMPLES OF THESE)Tj 0 -1.28571 TD (PLANS\325 COMMUNITY INVESTMENTS)Tj ET BT /F9 1 Tf 10 0 0 10 37.6803 547.0359 Tm -0.011 Tc 0.028 Tw [(Impr)18(oving Access to Benefits and/or Car)17(e for At-Risk or)]TJ 0 -1.4 TD (Underserved Populations)Tj 0 -2.3 TD 0 0 0 1 k [(BlueCr)18(oss BlueShield of Alabama)]TJ ET BT /F1 1 Tf 10 0 0 10 192.8239 510.036 Tm 0 0 0 1 k (sponsors an important)Tj -15.51436 -1.4 TD [(initiative aimed at impr)18(oving access to health services for)]TJ T* [(childr)18(en. It is called \322The Caring Pr)17(ogram for Childr)18(en,\323 and)]TJ -0.0112 Tc 0.0278 Tw (is focused on making health car)' 13.33133 0 TD (e ser)Tj 1.97174 0 TD (vices accessible to)Tj -15.30307 -1.40001 TD -0.0113 Tc (childr)Tj 2.24779 0 TD -0.0112 Tc (en whose par)Tj 5.68321 0 TD (ents cannot af)Tj 5.99254 0 TD -0.0114 Tc (for)Tj 1.17028 0 TD -0.0112 Tc (d health insurance and)Tj -15.09382 -1.40001 TD -0.011 Tc 0.028 Tw [(for whom a public pr)18(ogram is not available. The pr)17(ogram is)]TJ 0 -1.4 TD [(sponsor)18(ed by the Plan-cr)17(eated Alabama Child Caring)]TJ T* [(Foundation (ACCF) thr)18(ough which 100% of available funds)]TJ T* [(ar)18(e devoted to pr)17(oviding health services to these childr)18(en. The)]TJ -0.0112 Tc 0.0278 Tw (Plan donates the administration of the Foundation and)' (matches community donations on a dollar for dollar basis.)' 0 -2.3 TD -0.011 Tc 0.028 Tw [(The Foundation enr)18(olled its first child in Mar)17(ch, 1988 and,)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (since that date, has suppor)Tj 11.31113 0 TD (ted 46,000 childr)Tj 7.18284 0 TD (en. Ser)Tj 2.89434 0 TD (vices)Tj -21.38831 -1.40001 TD -0.0114 Tc (pr)Tj 0.84863 0 TD -0.011 Tc 0.028 Tw [(ovided thr)18(ough the Foundation include: periodic well child)]TJ -0.84863 -1.40001 TD [(checkups, MD visits, r)18(outine immunizations, emergency car)17(e,)]TJ 0 -1.4 TD [(hospital outpatient car)18(e, outpatient surger)-1(y)93(, laborator)-1(y)92(, X-ray)]TJ -0.0112 Tc 0.0278 Tw (and pathology ser)' 7.53391 0.00001 TD (vices and vision ser)Tj 7.91508 0.00001 TD (vices. Most PPO)Tj -15.44899 -1.40002 TD -0.011 Tc 0.028 Tw [(pr)17(oviders associated with the pr)18(ogram waive co-pays for)]TJ 0 -1.4 TD -0.0113 Tc (cover)Tj 2.20299 0.00001 TD -0.0112 Tc 0.0278 Tw (ed childr)Tj 3.57597 0.00001 TD -0.011 Tc 0.028 Tw [(en. Fr)18(om 1988-2003, the Foundation pr)17(ovided)]TJ -5.77896 -1.40001 TD -0.0113 Tc (dir)Tj 1.05944 0.00001 TD -0.011 Tc [(ect support to services for childr)17(en of over $10,000,000.)]TJ -1.05944 -2.30001 TD [(The Foundation also sponsors a pr)18(ogram in Blount County)91(,)]TJ 0 -1.4 TD [(Alabama, in cooperation with the Blount County Boar)18(d of)]TJ -0.0112 Tc 0.0278 Tw (Education, which is called \322Karing for Kids, Inc.\323 In its first)' T* -0.011 Tc 0.028 Tw [(year)92(, the pr)17(ogram conducted physical assessments that)]TJ T* [(determined that: 10.5% of childr)18(en wer)17(e uninsur)18(ed, 13.4 %)]TJ -0.0112 Tc 0.0278 Tw (needed glasses, and 11% needed dental car)' 18.58492 0.00001 TD (e. As a r)Tj 3.46553 0.00001 TD (esult, all)Tj -22.05045 -1.40002 TD -0.011 Tc 0.028 Tw [(of the uninsur)18(ed childr)17(en wer)18(e enr)18(olled in the Foundation\325)111(s)]TJ -0.0112 Tc 0.0278 Tw (medical coverage. The pr)' 10.46341 0.00001 TD -0.011 Tc 0.028 Tw [(ogram r)18(eflected str)17(ong local)]TJ -10.4634 -1.4 TD [(coor)18(dination involving the support of Alabama Power)]TJ T* [(Foundation, the Blount County Health Car)18(e Authority and the)]TJ T* [(W)37(allace State College Nursing Pr)18(ogram.)]TJ ET BT /F9 1 Tf 10 0 0 10 315.8401 712.5 Tm [(BCBS of Florida\325)74(s)]TJ ET BT /F1 1 Tf 10 0 0 10 395.5892 712.5 Tm [(pr)17(ograms to impr)18(ove access to car)18(e ar)18(e)]TJ -7.97491 -1.4 TD [(largely implemented thr)18(ough its philanthr)17(opic af)18(filiate, )]TJ ET BT /F9 1 Tf 10 0 0 10 545.5829 698.5 Tm -0.0113 Tc (The)Tj -22.97428 -1.4 TD -0.0112 Tc 0.0278 Tw (Blue Foundation for a Healthy Florida)Tj ET BT /F1 1 Tf 10 0 0 10 489.7807 684.4999 Tm -0.011 Tc 0.028 Tw [(, which was cr)18(eated)]TJ -17.39406 -1.4 TD -0.0112 Tc 0.0278 Tw (in 2001. The Foundation\325)Tj 10.48636 0.00001 TD (s mission is to enhance access to)Tj -10.48636 -1.4 TD -0.011 Tc 0.028 Tw [(quality health-r)18(elated services for r)17(esidents with a particular)]TJ -0.0112 Tc 0.0278 Tw (focus on the uninsur)' 8.62187 0.00001 TD -0.011 Tc 0.028 Tw (ed and underserved. )Tj -8.62187 -2.3 TD -0.0112 Tc 0.0278 Tw (In 2004, the Foundation identified as a key priority)Tj 0 -1.4 TD -0.011 Tc 0.028 Tw [(maximizing its impact in the ar)18(ea of community-based health)]TJ 0 -1.40001 TD [(clinics and outr)18(each services, with the goal of impr)17(oving)]TJ 0 -1.4 TD [(access to needed services for underserved and uninsur)18(ed)]TJ T* [(r)18(esidents of Florida.)]TJ 0 -2.30001 TD (BCBSF also supports Hispanic Health Initiatives (HHI), a grass-)Tj 0 -1.4 TD [(r)18(oots organization that pr)18(ovides health and pr)17(evention)]TJ T* [(education and r)18(eferrals to fr)17(ee and low-cost clinics in central)]TJ T* [(Florida, including pr)18(oviding principal underwriting support for)]TJ T* [(HHI\325)111(s Los Amigos/Buddies Pr)17(ogram which is focused on T)111(ype)]TJ -0.0112 Tc 0.0278 Tw (2 diabetes education.)' ET BT /F9 1 Tf 10 0 0 10 315.8401 447.5 Tm -0.011 Tc 0.028 Tw [(Blue Cr)18(oss and Blue Shield of Massachusetts)]TJ ET BT /F1 1 Tf 10 0 0 10 523.2256 447.5 Tm [(has a str)18(ong)]TJ -20.73855 -1.4 TD [(historical commitment to impr)18(oving access to needed health)]TJ -0.0113 Tc (car)' 1.22546 0 TD -0.0112 Tc 0.0278 Tw (e benefits and ser)Tj 7.43852 0 TD (vices. In 1995, the Plan developed the)Tj -8.66398 -1.40001 TD (Blue Health Plan for Kids which pr)Tj 14.27037 0 TD -0.011 Tc 0.028 Tw [(ovides an af)18(for)17(dable choice)]TJ -14.27037 -1.4 TD -0.0113 Tc 0.0278 Tw (for those par)Tj 5.39257 0 TD (ents that ar)Tj 4.79186 0 TD -0.0112 Tc (e caught between Medicaid)Tj -10.18443 -1.40001 TD -0.011 Tc 0.028 Tw [(ineligibility and unaf)18(for)17(dable family health coverage to)]TJ 0 -1.4 TD [(pr)17(ovide health car)18(e coverage for their childr)18(en.)]TJ 0 -2.3 TD -0.0113 Tc 0.0278 Tw (Building on its commitment to impr)Tj 14.90665 0 TD -0.011 Tc 0.028 Tw [(ove access to car)18(e, in)]TJ -14.90665 -1.4 TD [(2000, BCBSMA cr)18(eated the )]TJ ET BT /F9 1 Tf 10 0 0 10 434.0101 326.5 Tm [(Blue Cr)18(oss Blue Shield of)]TJ -11.817 -1.4 TD -0.0112 Tc 0.0278 Tw (Massachusetts Foundation)Tj ET BT /F1 1 Tf 10 0 0 10 441.3548 312.5 Tm (to which BCBSMA has)Tj -12.55147 -1.4 TD -0.011 Tc 0.028 Tw [(contributed $73 million since its cr)18(eation in 2001. The)]TJ T* [(Foundation is the largest single benefactor of BCBSMA)86111(s)]TJ -0.0113 Tc 0.0278 Tw (community benefit pr)' 9.03476 0.00001 TD -0.0112 Tc (ogram. The mission of the Foundation )Tj -9.03476 -1.40001 TD -0.011 Tc 0.028 Tw [(is to expand access to health car)18(e services, par)-1(ticularly for )]TJ 0 -1.4 TD [(the most disadvantaged people in the community)92(.)]TJ 0 -2.3 TD [(In November)92(, 2004, the Foundation hosted a health car)17(e)]TJ 0 -1.40001 TD [(summit to addr)18(ess the gr)17(owing pr)18(oblem of the uninsur)18(ed in)]TJ 0 -1.4 TD [(Massachusetts. The summit was a part of the Foundation\325)111(s)]TJ -0.0112 Tc 0.0278 Tw (\322Roadmap to Coverage\323 initiative, which seeks to infor)' 23.20361 0.00001 TD -0.0113 Tc (m the)Tj -23.20361 -1.40001 TD -0.011 Tc 0.028 Tw [(public debate and generate a practical r)18(oadmap to pr)17(ovide)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (coverage for the uninsur)Tj 10.24198 0.00001 TD (ed in Massachusetts.)Tj -10.24198 -2.3 TD (Since its inception in 2001 thr)Tj 12.49809 0.00001 TD (ough 2003, the Foundation has)Tj -12.49809 -1.40001 TD (awar)Tj 2.04833 -0.00001 TD (ded 223 grants totaling $7.6 million to 138)Tj -2.04833 -1.39999 TD -0.011 Tc 0.028 Tw [(organizations in support of philanthr)17(opic and policy initiatives)]TJ 0 -1.4 TD [(to expand access to health car)18(e.)]TJ /F4 1 Tf 1 0 0 1 -1000 1792 Tm 1 g 0 Tc 0 Tw ( )Tj ET Q endstream endobj 18 0 obj << /Length 8700 >> stream /GS0 gs 1 g 0 792 0 0 re f /GS2 gs q BT /F0 1 Tf 8 0 0 8 31.5527 21 Tm 0 0 0 1 k (6)Tj ET 0 0 0 0 k 36 79.6079 540 640.392 re f BT /F1 1 Tf 10 0 0 10 37 711.4999 Tm 0 0 0 1 k -0.0113 Tc (Thr)Tj 1.33751 0.00001 TD -0.011 Tc 0.028 Tw (ough grants and other support, BCBSMA supports the)Tj -1.33751 -1.4 TD -0.0112 Tc 0.0278 Tw (Massachusetts League of Community Health Centers and its)Tj T* -0.011 Tc 0.028 Tw [(50 member Centers who play a critical r)18(ole in ensuring access)]TJ T* [(to quality car)18(e to the neighborhoods acr)17(oss the)]TJ -0.0112 Tc (Commonwealth.)' 0 -2.3 TD -0.011 Tc [(BCBSMA also partners with Health Car)18(e for All, a leader in)]TJ 0 -1.4 TD [(health car)18(e r)17(eform and impr)18(oved access, to ensur)18(e that)]TJ T* [(adequate and af)18(for)17(dable health car)18(e is accessible to everyone,)]TJ T* [(r)18(egar)18(dless of income or social and economic status. The)]TJ 0 -1.40001 TD -0.0112 Tc 0.0278 Tw (collaboration has focused on a variety of issues including)Tj 0 -1.4 TD -0.011 Tc 0.028 Tw [(expanding access for uninsur)18(ed childr)17(en and sustaining)]TJ T* [(MassHealth, the state\325)111(s Medicaid pr)17(ogram.)]TJ 0 -2.30001 TD [(In the Rochester)92(, New Y)91(ork ar)18(ea, )]TJ ET BT /F9 1 Tf 10 0 0 10 176.3089 525.4999 Tm -0.0113 Tc 0.0278 Tw (Excellus BCBS)Tj ET BT /F1 1 Tf 10 0 0 10 241.9691 525.4999 Tm -0.0112 Tc (has)Tj -20.49691 -1.4 TD -0.011 Tc 0.028 Tw [(sponsor)18(ed two pr)17(ograms dir)18(ected at impr)18(oving access to)]TJ T* [(coverage. As part of a partnership with the Iber)17(o-American)]TJ T* (Action League, Excellus BCBS joined other key organizations)Tj T* [(to pr)18(ovide a $500,000 collaborative grant in support of The)]TJ -0.0112 Tc 0.0278 Tw (Hispanic Uninsur)' 6.94375 0 TD (ed Pr)Tj 2.12091 0 TD (oject. The pr)Tj 5.22582 0 TD (oject is focused on)Tj -14.29048 -1.40001 TD -0.0113 Tc (enr)Tj 1.33751 0 TD -0.0112 Tc (olling eligible people in gover)Tj 12.28476 0 TD -0.011 Tc 0.028 Tw [(nment-sponsor)18(ed health)]TJ -13.62227 -1.40001 TD -0.0114 Tc (pr)Tj 0.84863 0 TD -0.011 Tc [(ograms. Nearly 1,100 people have been enr)18(olled since the)]TJ -0.84863 -1.4 TD [(pr)17(ogram\325)111(s inception in 2002, and the goal for 2004 is to)]TJ T* [(enr)18(oll an additional 1,200 people. Excellus BCBS also supports)]TJ -0.0112 Tc 0.0278 Tw (the Reweaving the Safety Net pr)' 13.55228 0 TD (oject, aimed at ensuring that)Tj -13.55228 -1.4 TD -0.011 Tc 0.028 Tw [(coor)18(dinated, culturally sensitive, high quality public health)]TJ T* [(and human services ar)18(e available in some of the poor)17(est)]TJ -0.0112 Tc 0.0278 Tw (sections of Rochester)' 8.72897 0 TD 0 Tc (.)Tj -8.72897 -2.3 TD -0.0112 Tc (In its Utica r)Tj 4.96319 0 TD (egion, Excellus BCBS suppor)Tj 11.78481 0 TD -0.011 Tc 0.028 Tw [(ts the Adir)18(ondack)]TJ -16.748 -1.40001 TD -0.0112 Tc 0.0278 Tw (Medical Center)Tj 6.31607 0 TD -0.011 Tc 0.028 Tw [(-Uninsur)18(ed Pr)17(oject, in a partnership which)]TJ -6.31607 -1.4 TD [(includes Adir)18(ondack Medical Center)91(, Excellus BCBS, and the)]TJ T* [(New Y)92(ork State Department of Insurance, community)]TJ T* (organizations and municipalities. Its task is to identify)Tj 0 -1.40001 TD [(uninsur)18(ed families and individuals and their needs in the tri-)]TJ 0 -1.4 TD [(lakes ar)18(ea of the \322North Countr)-1(y\323 and determine their needs.)]TJ -0.0114 Tc (Pr)' 0.79272 0.00001 TD -0.0112 Tc 0.0278 Tw (oject goals include ensuring that all childr)Tj 17.32429 0.00001 TD (en in the r)Tj 4.33197 0.00001 TD (egion)Tj -22.44898 -1.40002 TD -0.011 Tc 0.028 Tw [(have access to health insurance and r)18(educing the number of)]TJ 0 -1.4 TD -0.0112 Tc (uninsur)Tj 3.07163 0.00001 TD 0.0278 Tw (ed by 25 per)Tj 5.32185 0.00001 TD -0.0113 Tc (cent.)Tj -8.39348 -2.30001 TD -0.0112 Tc (Excellus BCBS also has committed substantial r)Tj 19.46784 0.00001 TD -0.011 Tc 0.028 Tw [(esour)18(ces to)]TJ -19.46784 -1.40001 TD [(pr)17(ograms for specific at-risk individuals. Thr)18(ough its)]TJ 0 -1.4 TD [(partnership with the Mar)18(ch of Dimes, it has pr)17(ovided)]TJ T* [($200,000 to impr)18(ove pr)17(ematurity risk detection, to help fund)]TJ T* [(r)18(esear)18(ch to identify causes of pr)18(e-ter)-1(m labor and pr)18(ematurity)92(,)]TJ T* [(and to test pr)18(omising tr)17(eatments.)]TJ 27.8 61 TD -0.0112 Tc 0.0278 Tw (In its Souther)Tj 5.52818 0.00001 TD -0.011 Tc 0.028 Tw [(n T)-24(ier r)18(egion (Binghamton and Elmira), Excellus)]TJ -5.52818 -1.4 TD [(BCBS helps to support the Healthy W)18(omen\325)110(s Partnership)]TJ T* [(Pr)18(ogram in its ef)17(forts to pr)18(ovide services for uninsur)17(ed and)]TJ T* [(underinsur)18(ed women. In 2003, nearly 1,300 adult females)]TJ 0 Tc (r)' 0.30383 0.00001 TD -0.011 Tc (eceived services.)Tj -0.30383 -2.3 TD [(In W)18(or)17(cester)92(, Massachusetts, )]TJ ET BT /F9 1 Tf 10 0 0 10 437.9725 632.5 Tm -0.0112 Tc 0.0278 Tw (The Fallon Community)Tj -12.29725 -1.4 TD (Health Plan (FCHP))Tj ET BT /F1 1 Tf 10 0 0 10 403.7175 618.4999 Tm -0.011 Tc 0.028 Tw [(is a leader in r)18(educing cultural, linguistic)]TJ -8.87175 -1.4 TD [(and physical barriers to health car)18(e lar)-1(gely thr)18(ough its service)]TJ -0.0112 Tc 0.0278 Tw (to 8,000 MassHealth (Medicaid) members. This activity)' T* -0.011 Tc 0.028 Tw (includes publishing member information in four languages.)Tj T* [(Also, FCHP\325)111(s pr)17(ovider dir)18(ectory contains information r)17(egar)18(ding)]TJ T* [(languages spoken by network pr)18(oviders, as well as the)]TJ 0 -1.40001 TD [(availability of interpr)18(eter services and handicapped)]TJ 0 -1.4 TD [(accessibility)92(. Of)17(fering enr)18(ollment to all population segments)]TJ T* [(including large and small employers, individuals, Medicar)18(e)]TJ 0 -1.40001 TD -0.0112 Tc 0.0278 Tw (beneficiaries and MassHealth members, FCHP is the oldest)Tj 0 -1.4 TD -0.011 Tc 0.028 Tw [(Medicar)18(e HMO in the USA and has participated in the)]TJ -0.0112 Tc 0.0278 Tw (Medicaid pr)' 4.94267 0 TD (ogram since 1980.)Tj -4.94267 -2.3 TD (FCHP\325)Tj 2.38927 0 TD (s Elder Ser)Tj 4.32128 0 TD -0.011 Tc 0.028 Tw [(vice Plan (ESP), which pr)18(ovides acute and)]TJ -6.71055 -1.40001 TD -0.0112 Tc 0.0278 Tw (ongoing ser)Tj 4.96244 0 TD -0.011 Tc 0.028 Tw [(vices for Medicar)18(e-eligible individuals that ar)17(e)]TJ -4.96244 -1.4 TD [(eligible for nursing home car)18(e but pr)17(efer to r)18(emain in their)]TJ T* [(homes, is the first HMO-sponsor)18(ed elder car)17(e pr)18(ogram in the)]TJ -0.0113 Tc (countr)' 2.71043 0 TD -0.0112 Tc 0.0278 Tw (y and the only pr)Tj 7.12635 0 TD (ogram of its kind in central)Tj -9.83678 -1.40001 TD (Massachusetts.)Tj ET BT /F9 1 Tf 10 0 0 10 315 348.5 Tm -0.011 Tc 0.028 Tw (Kaiser Permanente)Tj ET BT /F1 1 Tf 10 0 0 10 404.686 348.5 Tm -0.0112 Tc 0.0278 Tw (sponsors a diverse set of community)Tj -8.9686 -1.4 TD (benefit initiatives aimed at impr)Tj 13.16585 0 TD (oving access to health car)Tj 10.74655 0 TD 0 Tc (e)Tj -23.91241 -1.40001 TD -0.0112 Tc (benefits and ser)Tj 6.65513 0 TD (vices. W)Tj 3.46087 0 TD -0.011 Tc 0.028 Tw [(ith r)18(espect to str)17(engthening the)]TJ -10.116 -1.40001 TD -0.0112 Tc (healthcar)Tj 3.82529 0 TD -0.011 Tc (e safety net, Kaiser Permanente has helped to)Tj -3.82529 -1.4 TD [(expand access to primary and pr)18(eventive ser)-1(vices for low)]TJ T* [(income, uninsur)18(ed people by working closely with community)]TJ T* [(health centers to impr)18(ove the quality and cost-ef)17(fectiveness of)]TJ 0 -1.40001 TD [(car)18(e, to build ef)17(fective clinic management infrastructur)18(e, and)]TJ 0 -1.4 TD [(to collaborate on pr)18(ojects that r)17(educe health disparities and)]TJ -0.0114 Tc (pr)' 0.84863 0.00001 TD -0.0112 Tc 0.0278 Tw (omote community-based systems of disease pr)Tj 19.52808 0.00001 TD (evention and)Tj -20.37671 -1.40002 TD (management.)Tj 0 -2.3 TD -0.0224 Tc (An impor)Tj 3.84993 0.00001 TD (tant ar)Tj 2.68637 0.00001 TD -0.022 Tc 0.028 Tw [(ea of focus for Kaiser Permanente is childr)18(en\325)110(s)]TJ -6.5363 -1.40001 TD -0.0223 Tc 0.0278 Tw (asthma\321especially for childr)Tj 11.63327 0.00001 TD -0.022 Tc 0.028 Tw [(en fr)18(om low-income communities.)]TJ -11.63327 -1.40001 TD -0.011 Tc (In 1997, Kaiser Permanente helped found the YES WE CAN)Tj 0 -1.4 TD [(Urban Asthma Partnership. Thr)18(ough this ef)17(fort, a pr)18(evention-)]TJ T* [(oriented, culturally sensitive model of asthma car)18(e for low-)]TJ T* [(income childr)18(en has been developed and tested at thr)17(ee)]TJ T* [(demonstration sites. The pr)18(ogram has achieved significant)]TJ 0 Tc (r)' 0.30383 0.00001 TD -0.0112 Tc 0.0278 Tw (esults as measur)Tj 6.80332 0.00001 TD (ed by the following:)Tj ET 1 w /CS0 CS 1 SCN 36 63 m 576 63 l S /GS0 gs Q endstream endobj 19 0 obj << /Length 7474 >> stream /GS0 gs 1 g 0 792 0 0 re f /GS2 gs q 1 w /CS0 CS 1 SCN 36 63 m 576 63 l S BT /F0 1 Tf 8 0 0 8 31.5527 21 Tm 0 0 0 1 k (7)Tj ET 0 0 0 0 k 37.5 74.549 538.5 644.163 re f BT /F1 1 Tf 10 0 0 10 47.5 710.2123 Tm 0 0 0 1 k -0.011 Tc 0.028 Tw [8(Use of written asthma plans to follow latest guidelines)]TJ 1.8 -1.4 TD -0.0113 Tc 0.0278 Tw (o Befor)Tj 3.04327 0.00001 TD -0.0111 Tc (e\3210%)Tj -3.04327 -1.4 TD -0.0112 Tc (o After\321100%)Tj -1.8 -1.4 TD -0.0113 Tc Tj 0.775 0.00001 TD -0.011 Tc 0.028 Tw [(Use of pr)18(eventive medications)]TJ 1.025 -1.40001 TD [(o Befor)18(e\32140%)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (o After\32183%)Tj -1.8 -1.4 TD -0.011 Tc 0.028 Tw [8(Use of mattr)18(ess covers)]TJ 1.8 -1.4 TD [(o Befor)18(e\3216%)]TJ -0.0112 Tc 0.0278 Tw (o After\32194%)' -1.8 -1.4 TD -0.011 Tc 0.028 Tw [8(Emergency Department use)]TJ 1.8 -1.4 TD [(o Befor)18(e\32163%)]TJ -0.0112 Tc 0.0278 Tw (o After\32132%)' -1.8 -1.4 TD -0.011 Tc 0.02 Tw [(\245 Hospitalization )-8(rates)]TJ 1.8 -1.4 TD 0.028 Tw [(o Befor)18(e\32121%)]TJ -0.0112 Tc 0.0278 Tw (o After\3214%)' -2.7 -2.3 TD -0.011 Tc 0.028 Tw [(One important pr)18(oduct of this ef)17(fort is a \322tool kit\323 which)]TJ 0 -1.4 TD [(of)17(fers step-by-step instruction for a primary car)18(e clinic or)]TJ T* [(Medicaid managed car)18(e plan to r)17(eplicate the asthma)]TJ T* [(pr)17(ogram. Several additional community-based primary car)18(e)]TJ T* [(clinics ar)18(e now of)17(fering the pr)18(ogram.)]TJ 0 -2.3 TD -0.0112 Tc 0.0278 Tw (Kaiser Per)Tj 4.08171 0 TD (manente also pr)Tj 6.7595 0 TD -0.011 Tc 0.028 Tw [(ovides dues subsidy pr)18(ograms to)]TJ -10.84121 -1.40001 TD -0.0112 Tc 0.0278 Tw (people ineligible for any other kind of assistance. Subsidized)Tj 0 -1.4 TD -0.011 Tc 0.028 Tw [(Kaiser Permanente coverage has been pr)18(ovided to workers)]TJ 0 Tc (r)' 0.30383 0 TD -0.0112 Tc 0.0278 Tw (etraining for new pr)Tj 8.39775 0 TD (ofessions, women in transition fr)Tj 13.66951 0 TD -0.0114 Tc (om)Tj -22.37109 -1.40001 TD -0.0113 Tc (welfar)Tj 2.58079 0 TD -0.0112 Tc (e to work, childr)Tj 6.87542 0 TD (en whose family income or)Tj -9.45621 -1.40001 TD -0.011 Tc 0.028 Tw [(immigration status makes them ineligible for state pr)18(ograms,)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (and poor men ineligible for any public pr)Tj 17.10953 0 TD (ogram. Kaiser)Tj -17.10953 -1.4 TD -0.011 Tc 0.028 Tw [(Permanente also participates in the Medicaid pr)18(ogram in the)]TJ -0.0113 Tc 0.0278 Tw (majority of its r)' 6.31707 0.00001 TD -0.0112 Tc (egions.)Tj -6.31707 -2.30001 TD -0.011 Tc 0.028 Tw [(As a further component of its ef)18(for)-1(ts to car)18(e for low-income)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (families and extend access to benefit coverage, Kaiser)Tj T* -0.011 Tc 0.028 Tw [(Permanente has cr)18(eated the Kaiser Permanente Child Health)]TJ T* [(Plan (KPCHP). Thr)18(ough the pr)17(ogram, childr)18(en in families with)]TJ -0.0112 Tc 0.0278 Tw (income up to 300 per)' 9.14965 0.00001 TD (cent of the federal pover)Tj 10.38633 0.00001 TD (ty level who)Tj -19.53598 -1.40002 TD -0.011 Tc 0.028 Tw [(don\325)18(t have access to employer)55(-subsidized coverage or qualify)]TJ 0 -1.4 TD [(for state pr)18(ograms ar)17(e enr)18(olled. By the end of 2003, over)]TJ T* [(10,000 Califor)-18(nia childr)18(en wer)17(e enr)18(olled.)]TJ ET BT /F9 1 Tf 10 0 0 10 315.75 710.2123 Tm /CS0 cs 1 scn [(Impr)18(oving the Health Status and Quality of Life of the)]TJ 0 -1.4 TD -0.0114 Tc (Br)Tj 0.95971 0.00001 TD -0.0112 Tc 0.0278 Tw (oader Community)Tj -0.95971 -2.3 TD 0 0 0 1 k -0.011 Tc 0.028 Tw [(BlueCr)18(oss BlueShield of Alabama\325)74(s)]TJ ET BT /F1 1 Tf 10 0 0 10 477.1484 673.2123 Tm 0 0 0 1 k -0.0113 Tc 0.0278 Tw (community benefit)Tj -16.13984 -1.4 TD -0.011 Tc 0.028 Tw [(pr)17(ograms and services also include:)]TJ 0.9 -2.3 TD [8(Sponsoring Alabama\325)111(s version of the national pr)18(ogram to)]TJ 0.775 -1.4 TD [(build and str)18(engthen the character and competence of)]TJ -0.0113 Tc (youth)' -0.775 -1.4 TD -0.011 Tc [8(Advocating anti-smoking policies and smoking cessation)]TJ 0.775 -1.4 TD 0 Tw [(pr)17(ograms)]TJ -0.775 -1.4 TD 0.028 Tw [8(Sponsoring a Car Seat Scr)18(eening Pr)18(ogram which)]TJ 0.775 -1.4 TD -0.0112 Tc 0.0278 Tw (emphasizes child passenger safety)Tj -0.775 -1.4 TD -0.0113 Tc Tj 0.775 0.00001 TD -0.011 Tc 0.028 Tw [(Pr)18(oviding focused educational support for mathematics,)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (science and technology)Tj -0.775 -1.4 TD -0.011 Tc 0.028 Tw [8(Sponsoring an Emergency Patient Information (EPI))]TJ 0.775 -1.4 TD (system which enables users to list emergency contact and)Tj -0.0112 Tc 0.0278 Tw (medical infor)' 5.4368 0 TD (mation online and to make this infor)Tj 15.37656 0 TD -0.0113 Tc (mation)Tj -20.81336 -1.40001 TD -0.011 Tc 0.028 Tw [(available to r)18(escuers)]TJ -0.775 -1.4 TD [8(Sponsoring health fairs, life skills workshops for school)]TJ 0.775 -1.4 TD [(aged childr)18(en, and a School T)110(ouring Pr)18(ogram which)]TJ T* (brings live musical and dramatic performances to schools)Tj -0.0112 Tc 0.0278 Tw (with limited or no access to ar)' 12.65233 0 TD (ts education)Tj -13.42733 -1.4 TD -0.011 Tc 0.028 Tw [8(Conducting a Senior Health and W)18(ellness Pr)18(ogram in)]TJ 0.775 -1.4 TD [(which Plan staf)18(f visit nursing homes, assisted living)]TJ -0.0112 Tc 0.0278 Tw (facilities and other sites and pr)' 12.75174 0 TD (ovide infor)Tj 4.46024 0 TD (mation on)Tj -17.21198 -1.40001 TD (nutrition, fitness and disease pr)Tj 13.05891 0 TD (evention and)Tj -13.05891 -1.4 TD (management)Tj ET BT /F9 1 Tf 10 0 0 10 315.75 319.2123 Tm -0.011 Tc 0.028 Tw [(BlueCr)18(oss BlueShield of Florida\325)74(s)]TJ ET BT /F1 1 Tf 10 0 0 10 467.6977 319.2123 Tm -0.0112 Tc 0.0278 Tw (\322Blue Community)Tj -15.19477 -1.4 TD -0.011 Tc 0.028 Tw [(Champions\323 pr)18(ogram, which supports employees in)]TJ -0.0112 Tc 0.0278 Tw (volunteer ef)' 4.98624 0.00001 TD -0.011 Tc 0.028 Tw [(forts thr)17(oughout the state, has ef)18(fectively)]TJ -4.98624 -1.40001 TD [(involved several employees in BCBSF\325)111(s formal sponsorship of)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (the Par)Tj 2.94927 0.00001 TD (tnership to Advance School Success \(P)Tj 15.87502 0.00001 TD (ASS\), thr)Tj 3.63188 0.00001 TD (ough)Tj -22.45617 -1.40002 TD -0.011 Tc 0.028 Tw [(which funding and a mentorship ar)18(e pr)17(ovided to a specific)]TJ 0 -1.4 TD [(elementary school. As a r)18(esult of the combined corporate)]TJ -0.0112 Tc 0.0278 Tw (sponsorship and the Blue Community Champions pr)' 21.90643 0.00001 TD -0.0113 Tc (ogram,)Tj -21.90643 -1.40001 TD -0.011 Tc 0.028 Tw [(fifteen BCBSF employees ar)18(e pr)17(ovided mentoring services to)]TJ 0 -1.4 TD (14 at-risk fourth and fifth graders.)Tj 0 -2.3 TD (BCBSF also serves as primary underwriter for the traveling eye)Tj 0 -1.40001 TD [(lab of Jeppesen V)-6(isionQuest (JVQ), a non-pr)18(ofit organization)]TJ 0 -1.4 TD [(that pr)18(ovides fr)17(ee compr)18(ehensive vision exams and new eye)]TJ -0.0112 Tc 0.0278 Tw (glasses to 15,000 at-risk childr)' 12.68111 0.00001 TD (en.)Tj ET BT /F9 1 Tf 10 0 0 10 315.75 105.2122 Tm -0.011 Tc 0.028 Tw [(Blue Cr)18(oss and Blue Shield of Massachusetts)]TJ ET BT /F1 1 Tf 10 0 0 10 523.1355 105.2122 Tm -0.0112 Tc (has)Tj -20.73855 -1.4 TD 0.0278 Tw (identified impr)Tj 6.06351 0.00001 TD (oving childr)Tj 4.82022 0.00001 TD (en\325)Tj 1.18957 0.00001 TD (s health and education as a key)Tj ET Q endstream endobj 20 0 obj << /Length 8790 >> stream /GS0 gs 1 g 0 792 0 0 re f /GS2 gs q 1 w /CS0 CS 1 SCN 36 63 m 576 63 l S BT /F0 1 Tf 8 0 0 8 31.5527 21 Tm 0 0 0 1 k (8)Tj ET BT /F1 1 Tf 10 0 0 10 36 712.5 Tm -0.011 Tc 0.028 Tw [(ar)18(ea of activity)91(. Its Jump Up and Go! pr)18(ogram is a signatur)18(e)]TJ 0 -1.4 TD [(ef)18(for)-1(t that encourages behavior for lifelong health among)]TJ T* [(today\325)111(s youth. It pr)17(omotes youth physical activity and healthy)]TJ -0.0112 Tc 0.0278 Tw (eating and is the primar)' 10.00975 0.00001 TD -0.011 Tc 0.028 Tw [(y focus for the childr)18(en\325)110(s health)]TJ -10.00975 -1.4 TD [(initiative. Launched in 1998, the pr)18(ogram has invested nearly)]TJ -0.0168 Tc 0.0278 Tw ($2 million in 169 grants to incr)' 12.78126 0.00001 TD (ease the capacity of community)Tj -12.78126 -1.4 TD -0.017 Tc 0.028 Tw [(organizations to pr)17(ovide youth physical activities. J)-6(u)-6(m)-6(p)-6( )-6(U)-6(p)-6( )-6(a)-6(n)-6(d)]TJ T* -0.011 Tc [(Go! W)18(on AHIP\325)110(s highest community leadership awar)18(d )]TJ -0.0112 Tc 0.0278 Tw (in 2004.)' 0 -2.3 TD -0.011 Tc 0.028 Tw [(Along with the Jump Up and Go! Pr)18(ogram for young people,)]TJ 0 -1.4 TD [(BCBSMA has been pr)18(omoting physical activity r)17(egar)18(dless of)]TJ 0 -1.40001 TD [(age as an excellent method for pr)18(eventing disease and staying)]TJ 0 -1.4 TD [(healthy)92(. In 2003, the company inaugurated the Go W)36(alking)]TJ T* [(pr)17(ogram thr)18(ough a debut event which included health)]TJ 0 -1.40001 TD 0 Tw [(scr)18(eenings.)]TJ 0 -2.3 TD -0.017 Tc 0.028 Tw [(Another BCBSMA pr)18(ogram, conducted in collaboration with)]TJ 0 -1.4 TD -0.0168 Tc 0.0278 Tw (the Boston Private Industr)Tj 10.59264 0 TD (y Council, is aimed at helping to)Tj -10.59264 -1.4 TD -0.017 Tc 0.028 Tw [(build tomorr)18(ow\325)110(s diverse and skilled workfor)18(ce. It entails a)]TJ T* [(compr)18(ehensive par)-1(tnership with Madison Park T)111(echnical)]TJ 0 Tc (V)' 0.53923 0 TD -0.0168 Tc 0.0278 Tw (ocational and Brighton High School. The par)Tj 18.34025 0 TD (tnership of)Tj 4.43712 0 TD -0.0169 Tc (fers)Tj -23.3166 -1.40001 TD -0.0168 Tc (students a link between classr)Tj 12.31397 0 TD -0.017 Tc 0.028 Tw [(oom lear)-18(ning and the workplace)]TJ -12.31397 -1.4 TD -0.0168 Tc 0.0278 Tw (and pr)Tj 2.68822 0 TD (ovides job shadowing, an intense mentoring pr)Tj 19.45558 0 TD (ogram)Tj -22.1438 -1.40001 TD -0.017 Tc 0.028 Tw [(called \322Blue Scholars,\323 bilingual mentoring, inter)-18(nships,)]TJ 0 -1.4 TD -0.0168 Tc 0.0278 Tw (scholarships and conflict mediation training. In 2002, BCBSMA)Tj (expanded its education focus to include the town of Quincy)' T* -0.017 Tc 0.028 Tw [(and, in collaboration with the Big Br)18(others Big Sisters)]TJ T* [(organization, cr)17(eated the Quincy School Partnership.)]TJ 0 -2.3 TD -0.0113 Tc (Addr)Tj 2.0493 0.00001 TD -0.0112 Tc 0.0278 Tw (essing the special needs of seriously ill individuals is a)Tj -2.0493 -1.40001 TD -0.0113 Tc (high priority for )Tj ET BT /F9 1 Tf 10 0 0 10 104.2573 293.5 Tm (Excellus BCBS)Tj ET BT /F1 1 Tf 10 0 0 10 166.9725 293.5 Tm -0.011 Tc 0.028 Tw [(. The health plan pr)18(ovides a)]TJ -13.09725 -1.4 TD -0.0114 Tc (pr)Tj 0.84863 0.00001 TD -0.0112 Tc 0.0278 Tw (ogram for its members called CompassionNet, expanding)Tj -0.84863 -1.40001 TD -0.011 Tc 0.028 Tw [(the scope of car)18(e for emotional and social support for ver)-1(y)]TJ 0 -1.4 TD [(sick childr)18(en and their families. Also, in the Utica r)17(egion, as)]TJ T* (part of a partnership with other organizations, Excellus BCBS)Tj T* [(supports the Palliative Car)18(e Center)91(. Its goal is to coor)18(dinate)]TJ T* [(end-of-life services for r)18(esidents of Herkimer and easter)-18(n)]TJ -0.0112 Tc 0.0278 Tw (Oneida County)' 6.23636 0.00001 TD 0 Tc (.)Tj -6.23636 -2.30001 TD -0.011 Tc 0.028 Tw [(In the Souther)-18(n T)-24(ier (Binghamton and Elmira), the 2Smart)]TJ 0 -1.4 TD -0.0113 Tc (2Star)Tj 2.16588 0.00001 TD -0.0114 Tc 0.0278 Tw (t pr)Tj 1.46478 0.00001 TD -0.011 Tc 0.028 Tw [(ogram aims to af)18(fect students\325 attitudes about)]TJ -3.63066 -1.40001 TD -0.0112 Tc 0.0278 Tw (smoking and to r)Tj 7.16582 0.00001 TD -0.011 Tc 0.028 Tw [(educe smoking pr)18(evalence.)]TJ -7.16582 -2.30001 TD -0.0112 Tc 0.0278 Tw (In the Utica and Central New Y)Tj 13.01842 -0.00001 TD -0.011 Tc 0.028 Tw [(ork r)18(egions, Excellus BCBS,)]TJ -13.0184 -1.4 TD [(along with other partners, is addr)18(essing eating disor)17(ders by)]TJ T* [(raising awar)18(eness, identifying gaps in services and pr)17(oviding)]TJ 27.9 61.9 TD [(support to suf)18(fer)17(ers and their families. In Utica, the pr)18(ogram )]TJ 0 -1.4 TD -0.017 Tc [(i)-6(s)-6( )-6(known as Adolescents with Eating Disor)17(ders, and in Central)]TJ T* [(New Y)92(ork, as Ophelia\325)110(s Place. A first-ever NYS Eating Disor)18(ders)]TJ -0.0168 Tc (Confer)' 2.82646 0.00001 TD -0.017 Tc (ence is planned for February 2005 in Syracuse.)Tj -2.82646 -2.3 TD -0.011 Tc [(In addition, in the Rochester ar)18(ea, Excellus BCBS sponsor)17(ed)]TJ 0 -1.4 TD [(the BuddyCheck 8 pr)18(ogram to help raise awar)17(eness about)]TJ T* -0.017 Tc [(br)17(east cancer)92(. Thr)18(ough the pr)17(ogram, the health plan)]TJ T* [(distributed over 48,000 br)18(east cancer infor)-1(mation kits. )]TJ 0 -1.40001 TD [(At the end of the five-year pr)18(ogram, over 130,000 women)]TJ 0 -1.4 TD [(had contacted the BuddyCheck Hotline to r)18(equest kits.)]TJ 0 -2.3 TD [(Thr)18(oughout the r)17(egions that it serves, Excellus BCBS also)]TJ 0 -1.4 TD -0.0168 Tc 0.0278 Tw (launched an initiative designed to help get Upstate New)Tj T* -0.017 Tc 0.028 Tw [(Y)92(orkers mor)17(e physically active and eating healthier)92(. Called Step)]TJ T* [(Up, the pr)18(ogram addr)17(esses the gr)18(owing pr)18(oblem of obesity)]TJ T* [(and associated health car)18(e costs. Along with its par)-1(tners, the)]TJ T* [(Plan pr)18(omotes the adoption of small changes in behavior to)]TJ -0.0168 Tc 0.0278 Tw (bring about big r)' 7.00493 0 TD -0.017 Tc 0.028 Tw [(esults. Participants can track their pr)17(ogr)18(ess )]TJ -7.00493 -1.4 TD [(at a Plan W)18(eb site.)]TJ 0 -2.3 TD -0.011 Tc [(In Gowanda, NY)123(, )]TJ ET BT /F9 1 Tf 10 0 0 10 388.9507 433.5 Tm [(Univera Healthcar)18(e)]TJ ET BT /F1 1 Tf 10 0 0 10 480.0051 433.5 Tm (is supporting the)Tj -16.50051 -1.4 TD -0.0114 Tc (ef)Tj 0.79272 0 TD (for)Tj 1.1881 0 TD -0.0112 Tc 0.0278 Tw (ts of the Healthy Community Alliance, a NY)Tj 18.16922 0 TD (-based)Tj -20.15004 -1.40001 TD -0.0113 Tc (nonpr)Tj 2.48302 0 TD -0.011 Tc 0.028 Tw (ofit organization that is working to convert that)Tj -2.48302 -1.4 TD -0.0113 Tc (community\325)Tj 4.83151 0 TD -0.0112 Tc 0.0278 Tw (s vacated Center Str)Tj 8.39604 0 TD (eet Elementar)Tj 5.77005 0 TD (y School into)Tj -18.9976 -1.40001 TD -0.011 Tc 0.028 Tw [(Academy Place, a multi-use community and health center)92(. )]TJ 0 -1.4 TD [(The goal of Academy Place is to impr)18(ove access to health )]TJ -0.0112 Tc 0.0278 Tw (and human ser)' 6.30077 0 TD -0.011 Tc 0.028 Tw [(vices in an underserved rural ar)17(ea located 20)]TJ -6.30077 -1.40001 TD [(miles south of Buf)18(falo. Univera Healthcar)17(e pr)18(ovided $250,000)]TJ 0 -1.4 TD [(in seed money for the pr)18(oject.)]TJ 0 -2.3 TD [(Univera Healthcar)18(e also sponsors a pr)17(ogram called \3222Smart)]TJ 0 -1.4 TD [(2Start\323 which was cr)18(eated to teach childr)17(en in grades thr)18(ee)]TJ -0.0114 Tc (thr)' 1.17028 0.00001 TD -0.0112 Tc 0.0278 Tw (ough five that ther)Tj 7.85295 0.00001 TD -0.011 Tc 0.028 Tw [(e ar)18(e consequences to the decisions that)]TJ -9.02323 -1.40002 TD [(they make. The pr)18(ogram focuses on tools and techniques the)]TJ 0 -1.4 TD [(childr)18(en can use to r)17(esist peer pr)18(essur)18(e to try alcohol,)]TJ T* (tobacco, other drugs and even gambling.)Tj 0 -2.3 TD [(Univera Healthcar)18(e was a key organization in the planning)]TJ 0 -1.4 TD [(and implementation of a pr)18(ogram called \322T)110(arget the Heart,\323)]TJ -0.0112 Tc 0.0278 Tw (a ten-year pr)' 5.33568 0.00001 TD -0.0113 Tc (ogram cr)Tj 3.75286 0.00001 TD -0.0112 Tc (eated in 2003 to stimulate per)Tj 12.74918 0.00001 TD (manent)Tj -21.83772 -1.40002 TD -0.011 Tc 0.028 Tw [(envir)18(onmental change to r)17(educe the number of str)18(okes and)]TJ 0 -1.4 TD -0.0112 Tc (hear)Tj 1.84423 0.00001 TD 0.0278 Tw (t attacks, especially among women. In addition, the Plan)Tj -1.84423 -1.4 TD (is also a major sponsor of the Susan G. Komen Br)Tj 20.78209 0.00001 TD (east Cancer)Tj -20.78209 -1.40001 TD (Foundation Race for the Cur)Tj 11.90415 -0.00001 TD (e of which 75% of the net Race)Tj -11.90415 -1.39999 TD -0.011 Tc 0.028 Tw [(pr)17(oceeds ar)18(e distributed to local pr)18(ojects aimed at br)18(east)]TJ 0 -1.4 TD [(health education and r)18(esear)17(ch.)]TJ /F4 1 Tf 1 0 0 1 -1000 1792 Tm 1 g 0 Tc 0 Tw ( )Tj ET Q endstream endobj 21 0 obj << /Length 8776 >> stream /GS0 gs 1 g 0 792 0 0 re f /GS2 gs q 1 w /CS0 CS 1 SCN 36 63 m 576 63 l S BT /F0 1 Tf 8 0 0 8 31.5527 21 Tm 0 0 0 1 k (9)Tj ET BT /F9 1 Tf 10 0 0 10 36 712.5 Tm -0.011 Tc 0.028 Tw (Kaiser Permanente)Tj ET BT /F1 1 Tf 10 0 0 10 125.686 712.5 Tm -0.0112 Tc 0.0278 Tw (sponsors a number of community health)Tj -8.9686 -1.4 TD -0.011 Tc 0.028 Tw [(initiatives that r)18(eflect long-term par)-1(tnerships with public)]TJ T* (health agencies and community organizations and that focus)Tj -0.0112 Tc 0.0278 Tw (on envir)' 3.36516 0.00001 TD (onmental and social conditions that will have a)Tj -3.36516 -1.4 TD -0.011 Tc 0.028 Tw [(significant ef)18(fect on the health of a community)91(. These)]TJ -0.0112 Tc 0.0278 Tw (initiatives include: playing a leadership r)' 16.52905 0.00001 TD -0.011 Tc 0.028 Tw [(ole in the cr)18(eation of)]TJ -16.52905 -1.4 TD [(the Solano Coalition for Better Health focused on r)18(educing)]TJ -0.0112 Tc 0.0278 Tw (racial and ethnic health disparities; helping to launch a health)' T* -0.011 Tc 0.028 Tw [(partnership in Clark County)92(, W)36(ashington that uses a)]TJ T* [(community r)18(eport car)17(d to track community health; and)]TJ T* [(helping to found the Community Health Impr)18(ovement)]TJ T* [(Partners in San Diego, a collaboration of pr)18(oviders and public)]TJ T* [(and non-pr)18(ofit agencies that sponsor a training and r)17(esour)18(ce)]TJ -0.0112 Tc 0.0278 Tw (center for community health workers and other activities.)' 0 -2.3 TD -0.011 Tc 0.028 Tw [(W)-24(ithin the Clark County health partnership, as a r)18(esult of the)]TJ 0 -1.4 TD (community health assessment, key stakeholders formulated)Tj -0.0112 Tc 0.0278 Tw (community health goals (Community Choices 2010) that)' T* -0.011 Tc 0.028 Tw [(focus on envir)18(onmental health, population health, and)]TJ T* [(individual health. The ef)18(for)-1(ts have r)18(esulted in sharp r)18(eductions)]TJ -0.0112 Tc 0.0278 Tw (in the number of adult and teen smokers.)' 0 -2.3 TD (A unique and innovative Kaiser Per)Tj 14.5939 0 TD (manente community)Tj -14.5939 -1.4 TD (benefit pr)Tj 4.06462 0 TD (ogram is its Educational Theatr)Tj 12.8575 0 TD (e Pr)Tj 1.57612 0 TD (ogram (ETP))Tj -18.49824 -1.40001 TD -0.011 Tc 0.028 Tw [(which uses live theatr)18(e to pr)17(ovide health information to)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (young people between the ages of 5 and 18 on such subjects)Tj (as substance abuse, self-esteem, AIDS and HIV)' 19.37055 0 TD -0.011 Tc 0.028 Tw [(, alter)-18(natives to)]TJ -19.37055 -1.4 TD [(violence, and grief coping skills. The pr)18(ogram is usually)]TJ T* [(pr)17(ovided in schools and 11 million people have attended since)]TJ -0.0112 Tc 0.0278 Tw (its inception nearly 20 years ago.)' ET BT /F9 1 Tf 10 0 0 10 36 293.5 Tm /CS0 cs 1 scn -0.011 Tc 0.028 Tw [(Reducing the Cost and/or Impr)18(oving the Quality of Car)17(e)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (of the Health Car)Tj 7.93255 0.00001 TD (e Deliver)Tj 4.09575 0.00001 TD (y System)Tj ET BT /F1 1 Tf 10 0 0 10 36 256.4999 Tm 0 0 0 1 k -0.011 Tc 0.028 Tw [(These plans ar)18(e also incr)17(easingly involved in ef)18(forts aimed at)]TJ 0 -1.4 TD [(dir)18(ectly supporting impr)17(ovements in the quality and cost)]TJ T* [(ef)18(fectiveness of the health car)17(e system. These ef)18(forts range)]TJ T* [(f)1(r)18(om training health manpower to conducting r)18(esear)18(ch for)]TJ T* [(impr)18(oving health car)17(e services delivery)92(. Several examples ar)18(e)]TJ -0.0112 Tc 0.0278 Tw (described below)' 6.75076 0.00001 TD 0 Tc (.)Tj -6.75076 -2.30001 TD -0.011 Tc 0.028 Tw [(In Central New Y)92(ork, )]TJ ET BT /F9 1 Tf 10 0 0 10 126.0768 163.5 Tm -0.0113 Tc 0.0278 Tw (Excellus BCBS)Tj ET BT /F1 1 Tf 10 0 0 10 191.7371 163.5 Tm -0.011 Tc 0.028 Tw [(supports the V)-6(irtual)]TJ -15.57371 -1.4 TD -0.0112 Tc 0.0278 Tw (College and Car)Tj 6.76097 0.00001 TD (eer Center whose goal is to develop an)Tj -6.76097 -1.4 TD (adequate supply of well-trained health car)Tj 17.65198 0.00001 TD (e workers for the)Tj -17.65198 -1.40001 TD -0.0113 Tc (futur)Tj 2.03673 -0.00001 TD -0.011 Tc 0.028 Tw [(e. Excellus BCBS has partner)18(ed with several other)]TJ -2.0367 -1.4 TD [(organizations in Central New Y)91(ork on the four)55(-year plan to)]TJ T* [(attract students to local health car)18(e car)17(eers. Recently)92(, mor)18(e)]TJ 27.9 61.9 TD [(than 1,000 students wer)18(e assessed for their skills in various)]TJ 0 -1.4 TD -0.0112 Tc 0.0278 Tw (subjects. Based on these assessments, grade level and content)Tj T* -0.011 Tc 0.028 Tw [(standar)18(ds wer)17(e established, and training for teachers and)]TJ -0.0112 Tc 0.0278 Tw (guidance counselors is ongoing. Students can par)' 20.7464 0.00001 TD (ticipate in)Tj -20.7464 -1.4 TD -0.011 Tc 0.028 Tw [(job shadowing and inter)-18(nship pr)18(ograms to expose them to)]TJ -0.0112 Tc 0.0278 Tw (health car)' 4.11979 0.00001 TD -0.011 Tc 0.028 Tw [(e car)18(eers. Excellus BCBS has committed $182,000)]TJ -4.11979 -1.4 TD [(to the pr)18(ogram thus far)91(.)]TJ 0 -2.3 TD [(In the Oswego County ar)18(ea, as with many rural ar)17(eas, ther)18(e is)]TJ 0 -1.40001 TD (a shortage of well-trained RNs. 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