Having an expensive Blue Cross plan in Pennsylvania, while living 2, 000 miles away, is not practical.

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Notably the new chair of AHIP as of July is from a tiny nonprofit Blue Cross plan in Tennessee, not exactly a captain of the industry.

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And in Michigan, the Blue Cross Blue Shield plan there is trying to convert to a mutual plan from nonprofit in what many observers see as a move that will not only allow them to more easily conduct business and grow through future acquisitions.

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