Maximum Coverage

Maxine Glass, manager of Regence BlueCross in Oregon, says that cost effectiveness is, by far, the leading factor in the popularity of in-plants among BCBS network companies.

"We do a cost justification every year," she says. "Most of the time, we can show the company that they're saving between 30 and 60 percent over what they would be spending had they chosen to send the work to a commercial printer."