Question 1

What is BCBS's Medlyze Transparency Rating?

Accepted Answer

BCBS averages 76.8/100 (grade B) across its 41 independently-scored legal entities, recalculated monthly from each entity's own CMS machine-readable files.

Question 2

Why does BCBS have multiple ratings?

Accepted Answer

BCBS operates as 41 separate legal entities (BCBS MI, BCBS MT, BCBS MN, Capital BC, Triple S, Premera, BCBS RI, BCBS AZ, BCBS FL, BCBS AR, Excellus BCBS, BCBS HI, BCBS TN, Capital Health Plan, BCBS LA, OCTAVE (AR), BlueAdvantage Administrators of Arkansas, Health Advantage (HII), Health Advantage (TPA), BCBS KS, BCBS Kansas City, BC ID, Independence BC, BCBS SC, BCBS MS, BCBS MA, Carefirst BCBS, BCBS VT, BCBS NC, BCBS TX, Highmark, Wellmark, BCBS OK, BCBS AL, BCBS NM, BCBS IL, BS CA, BCBS NJ (Horizon), Florida Healthcare Plans, Regence, Anthem (Elevance)), each filing its own price transparency data. Medlyze scores each independently and averages them for the BCBS brand-level rating shown here.

BCBS Transparency Rating

Entities in this Group

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