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CareFirst’s proposed conversion and acquisition by WellPoint
has prompted many questions. But the one heard most often is: What
does it mean for me? Whether you are a member, a business customer,
an associate, a health care professional, or a resident of one of
the communities we serve, there are distinct benefits to CareFirst’s
conversion and acquisition.
Initially, there will be little change. Our members will continue
to receive the best possible health care provided by the more than
24,000 primary care physicians who now participate in the CareFirst
networks — 80 percent of all medical professionals who practice
in our service area. CareFirst members will continue to have local
health care decisions made by their local “Blues” plan.
Over time, we will be better able to address those issues that
our customers have indicated are most important to them —
prompt and efficient handling of phone calls; questions addressed
more efficiently; extended hours of service to fit their schedules,
and electronic enrollment, physician selection and claims status
checks.
All of these improvements are possible – but they require
investment. As a not-for-profit, CareFirst has limited resources
to invest in such service improvements. But, as part of WellPoint,
we will have greater resources available to upgrade our technology
and service because the costs related to such investment will be
spread over a larger membership.
CareFirst will also be better able to develop and offer new products
that meet the specific needs of individuals, families and small
groups with a choice of deductibles, co-pays and plans. WellPoint
excels in developing such innovative products. For example, WellPoint’s
EmployeeElect product offers small groups (five employees or less)
nine different standardized options from which to choose. For the
individual policy holder who buys his/her own coverage, the FamilyElect
product allows each member of a covered family to pick whatever
product best meets his/her particular needs.
Perhaps most importantly, CareFirst will be better positioned to
limit future increases in premiums. As health care costs continue
to rise, no insurer alone can control premium increases. But, the
economies of scale and operating efficiencies that can be realized
by joining with WellPoint should help us manage future premium increases.

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