title: Building a foundation for universal access.
abstract: Specific strategies outlined by the Blue Cross and Blue Shield Association call for a restructuring of health care financing that builds on a competitive, employer-based health insurance system. Universal access can be achieved through better management of the cost of care and more affordable health care premiums. Restructuring of the financing system must restore its capacity to manage risk and establish accountability for managing cost. Business practices and public policies that have encouraged market fragmentation should be reformed and incentives to create affordable insurance options for all buyers be established.
authors.affiliation: Blue Cross and Blue Shield Association, Chicago, IL 60611.
authors.forename: B R
authors.initials: BR
authors.lastname: Tresnowski
mesh_terms: D054598:Blue Cross Blue Shield Insurance Plans / Q000191:economics* / Q000458:organization & administration / Q000592:standards; D003363:Cost Control; D004465:Economic Competition; D005376:Financial Management / Q000379:methods* / Q000592:standards; D006297:Health Services Accessibility / Q000191:economics* / Q000592:standards; D006801:Humans; D009934:Organization and Administration / Q000191:economics; D009937:Organizational Objectives; D014481:United States