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There are several different types of health care insurance plans available. Some of which include HMO (Health Maintenance Organizations), and PPO (P

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

referred Provider Organizations). Blue Cross Health Insurance, and Blue Shield are the traditional type health insurance offered by mutual and stoc

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

companies.

Commercial insurance companies generally provide broad healthcare coverage, and are not really cost effective, or extremely efficient wh

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

n delivering health care to patients.

However, Blue Cross Health Insurance differs in several ways when compared to other types of commercial insura

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

ce companies. One major difference is that many of their benefits are provided not on the basis of reimbursement, but rather on the basis of service

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

What does this mean? Rather then you paying the service provider and then being reimbursed by the company, Blue Cross Health Insurance pays the se

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

vice provider directly for your treatment and services.

Blue Cross also establishes and maintains contractual relationships with doctors and hospita

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

s. What this means is that in order for doctors and hospitals to participate with the Blue Cross Health Insurance plan, they must enter into a contra

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

t with the company. This contract defines the costs for the specific services provided to patients.

Blue Cross and Blue Shield are familiar names t

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

most people. However, most do not understand that they are two very different types of health insurance. For all covered hospital services, Blue C

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

oss Health Insurance is the plan to choose. For all covered physician services, it is Blue Shield. Blue Cross contracts with hospitals, Blue Shield

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

contracts with physicians.

Blue Cross Health Insurance and Blue Shield are pre-paid health insurance plans. How this works is that you are required

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

o pay a monthly premium to the insurance company in order to be covered for your medical services.

As a subscriber of Blue Cross Health Insurance, t

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

e hospital will be paid for each medical service claim provided. Generally, covered services would include pre-admission tests, chemotherapy, dialys

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

s, physical therapy, diagnostic tests, emergencies, injuries, and minor surgeries. Specialized coverage for subscribers may be provided for families

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

with dependent handicapped children. Additional coverage to include maternity benefits will also be available to subscribers.

Blue Cross may also o

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

fer supplemental coverage for catastrophic loss under the plan. Blue Shield, will handle coverage with your physicians. A Blue Shield participating

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

physician will be paid directly as contracted and agreed upon. The amount paid, is pre-determined and is generally set on a basis of UCR (Usual, Cus

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

omary, and Reasonable) rates as well as comparable rates being paid to physicians in the same area. Together, Blue Cross Health Insurance and Blue S

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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