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  • January 30th 2015
    Tags: Healthcare Plan News Comments Off on HCI3 Relationships Strengthen U.S. Health Care Payment Reform Infrastructure and Process

    HCI3 Relationships Strengthen U.S. Health Care Payment Reform Infrastructure and Process

    To expedite payment reform across the U.S., the non-profit Health Care Incentives Improvement Institute (HCI3) has partnered with key stakeholders to support the transformation to a health care system based on quality and affordability. HCI3 partners include health plans, providers and purchasers who are actively working toward payment reform implementations, ...
    January 30th 2015
    Tags: Healthcare Plan News Comments Off on SameDay Funding Will Disrupt Traditional Healthcare Reimbursement Model

    SameDay Funding Will Disrupt Traditional Healthcare Reimbursement Model

    MTBC (NASDAQ: MTBC), a leading provider of fully-integrated, web-based healthcare IT and revenue cycle management solutions has commenced beta testing of MTBC SameDay Funding™ (MTBC SDF™), which will ensure that healthcare providers receive advanced insurance reimbursement as patient encounters are completed and claims submitted. MTBC SDF, which is now in beta ...
    January 30th 2015
    Tags: Healthcare Plan News Comments Off on Maternity Care Issue Between Highmark and UPMC Resolved

    Maternity Care Issue Between Highmark and UPMC Resolved

    Governor Tom Wolf has announced that Highmark will continue to cover pregnancy and related care at Magee-Womens Hospital of UPMC in 2015, despite it no longer being in their network of providers. Coverage for these services will be at in-network rates. "Any woman who became pregnant and sought treatment in ...
    January 30th 2015
    Tags: Healthcare Plan News Comments Off on AMCP Welcomes 21st Century Cures Provisions Addressing Drug Abuse, Fraud in Medicare Part D

    AMCP Welcomes 21st Century Cures Provisions Addressing Drug Abuse, Fraud in Medicare Part D

    The Academy of Managed Care Pharmacy (AMCP) applauds two crucial provisions in draft legislation issued this week by the House Energy and Commerce Committee that combat the abuse of controlled substances and payment fraud in the Medicare Part D prescription drug benefit program. AMCP Chief Executive Officer Edith A. Rosato, RPh, ...
    September 19th 2014
    Tags: Healthcare Plan News Comments Off on Centene’s Florida Subsidiary Awarded Commendable Accreditation Rating From NCQA

    Centene’s Florida Subsidiary Awarded Commendable Accreditation Rating From NCQA

    Centene Corporation (NYSE: CNC) today announced that its wholly-owned Florida subsidiary, Sunshine Health, was elevated to Commendable Accreditation by the National Committee for Quality Assurance (NCQA) for its Medical Managed Assistance and Child Welfare programs. NCQA evaluates how well a health plan manages all parts of its delivery system ...

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