Centene Corporation (NYSE: CNC) has appointed former Missouri Attorney General Chris Koster to Senior Vice President, Corporate Services effective today. Mr. Koster will report directly to Chairman, President and CEO Michael F. Neidorff, and will … [Continue reading]
Talix and Geisinger Health Plan to Present on Data Analytics for Risk Adjustment
Talix, Inc., a premier provider of risk analytics solutions for value-based care, today announced that Shahyan Currimbhoy, senior vice president of product management and engineering at Talix, and Karena Weikel, ASA, FAHM, CSFS, vice president of … [Continue reading]
National Alliance Releases Health Policy Recommendations
Don't repeal the Affordable Care Act (ACA) without specifying what will replace it. This is among the policy recommendations issued by the National Alliance of Healthcare Purchaser Coalitions (National Alliance), a nonprofit, membership association … [Continue reading]
Actuaries Examine Implications of ACA Reform and Replacement Proposals
In three new issue briefs, the American Academy of Actuaries examines a number of key public policy considerations that policymakers should weigh when evaluating specific proposals for reforming or replacing the Affordable Care Act. Developed by the … [Continue reading]
Nursing Organizations Urge President Trump, Congress to Make High-Quality, Affordable Health Care Access a Top Reform Priority
America's leading nursing organizations and the over 3.5 million nurses they represent, today called on the Trump Administration and Congress to prioritize patient health and the patient-provider relationship in any health reform proposals. … [Continue reading]
Consumer Watchdog Says Anthem Consumers in California Discover Health Plans No Longer Provide Out-of-Network Coverage
Consumers are just beginning to discover that Anthem eliminated coverage for out-of-network doctors now that the Affordable Care Act "Open Enrollment Period" to secure health coverage for 2017 ended on January 31. … [Continue reading]
Aflac Choice Hospital Insurance Policy Offers First-to-Market Initial Assistance Benefit Option
Aflac, the leader in voluntary insurance sales at the worksite in the United States, is making it even easier for customers to access much-needed financial support while they are in the hospital. … [Continue reading]
Best and Worst States for Group Health Insurance
Employer-sponsored health insurance is greatly affected by geographic region, industry, and employer size. While some cost trends have been fairly consistent since the Patient Protection and Affordable Care Act (ACA) was put in place, United Benefit … [Continue reading]
Secretary of Health Urges U.S. Legislators to Consider How Repealing ACA Could Eliminate Critical Health Funding for the Commonwealth
Secretary of Health Dr. Karen Murphy is urging the commonwealth's U.S. Congressional delegation to consider the effect that repealing the Affordable Care Act (ACA) could have on all Pennsylvanians, especially children and seniors in need. … [Continue reading]
Blue Cross Blue Shield of Massachusetts Partners With Ameresco and BlueWave
Energy credits generated from local solar projects owned by Ameresco and co-developed with BlueWave in Hopedale and Mendon, MA will reduce BCBSMA's electricity costs, enable clean, local community solar power, and help reduce air pollution in … [Continue reading]
Discern Health Affiliates with Dr. Mai Pham as Senior Advisor
Discern Health has announced their affiliation with Mai Pham, MD, MPH as a Senior Advisor. Mai most recently served as Chief Innovation Officer at the Centers for Medicare & Medicaid Innovation (CMMI). Among other achievements at CMMI, Mai … [Continue reading]
International Medical Group Appoints Chief Revenue Officer
International Medical Group® (IMG®), a leader in global benefits and assistance services, has named Craig Peters as chief revenue officer (CRO). … [Continue reading]
N.J. Hospitals Sustained $1.5 Billion in ACA Funding Cuts
Hospitals and health systems in New Jersey have already absorbed nearly $1.5 billion in funding cuts since the Affordable Care Act was enacted in 2010, with the promise of expanded healthcare coverage to mitigate these losses. As the 115th Congress … [Continue reading]
2017 Greets PBMs With New CMS Report
The President and CEO of the Senior Care Pharmacy Coalition (SCPC) today predicted the increasingly apparent role of Pharmacy Benefit Managers (PBMs) as unaccountable middlemen in the national drug pricing chain will result in a higher level of … [Continue reading]
Kaiser Permanente Earns Top Marks for Providing High-Quality Care
The Permanente Medical Groups serving Kaiser Permanente members and patients across California received 5-star ratings for overall performance — the highest recognition possible by the California Office of the Patient Advocate — in the second annual … [Continue reading]
Insurance Commissioner Reminds Pennsylvanians of Upcoming Open Enrollment Deadline
Insurance Commissioner Teresa Miller today reminded Pennsylvania consumers that the open enrollment period for 2017 health insurance coverage available through the federal marketplace at www.Healthcare.gov closes at 11:59 p.m. on January 31. More … [Continue reading]
Living Beyond Breast Cancer Creates Healthcare Newsroom
To help people affected by breast cancer understand and prepare for changes to healthcare insurance policies that might affect them, Living Beyond Breast Cancer (LBBC) has created a Healthcare Newsroom on LBBC.ORG. … [Continue reading]
Milliman Identifies 6 Questions Arising from the Trump ACA Executive Order
Milliman, Inc., the premier global consulting and actuarial firm, has published six questions for consideration by healthcare stakeholders about the Trump Administration's recent executive order, which gives a sweeping command to the leaders of the … [Continue reading]
MailMyPrescriptions.com Agreement with Aon Benefit and National General Subsidiaries
MailMyPrescriptions.com has entered into an agreement with Alliance HealthCard of Florida, Inc. Alliance HealthCard of Florida, Inc., a division of Aon Benefit Solutions, Inc., an Aon subsidiary (NYSE: AON), will make mailmyprescriptions.com … [Continue reading]
Arriva Medical Update From Alere
Alere Inc. (NYSE: ALR), a global leader in rapid diagnostic tests, has provided an update on the decision by the Centers for Medicare & Medicaid Services (CMS) to revoke Arriva Medical's Medicare billing privileges. … [Continue reading]
ReWalk Robotics Exoskeleton System Donated to Paralyzed British Citizen
ReWalk Robotics Ltd. (Nasdaq: RWLK) ("ReWalk"), the leading global exoskeleton developer and manufacturer, announced today the donation of a ReWalk Personal 6.0 System to Daniel Timms, who sustained a spinal cord injury (SCI) in 2012 in a parachuting … [Continue reading]
WellCare To Acquire Medicaid Assets Of Phoenix Health Plan
WellCare Health Plans, Inc. (NYSE: WCG) has signed a definitive agreement to acquire certain assets, including Medicaid membership and certain provider contracts, from Phoenix Health Plan (PHP), a wholly owned managed care subsidiary of Tenet … [Continue reading]
Harmony Health Plan Helps Kidz Korna Make the Holidays Special
Harmony Health Plan, Inc., a subsidiary of WellCare Health Plans, Inc. (NYSE: WCG), gave $10,000 to Kidz Korna to help make the holidays special for thousands of children living in Chicago's low-income communities, such as Englewood, Bronzeville, … [Continue reading]
Chubb promotes Graham Lambourne
Chubb today announced that Graham Lambourne, currently Global Clients Claims Manager, Europe has been promoted to the role of Head of Multinational Claims for Overseas General Insurance. … [Continue reading]
Goodman Institute Health Economist: No Replacement for Obamacare
Finding a replacement for Obamacare that their colleagues will support may prove to be an impossible task for Republicans on Capitol Hill, says a health economist familiar with the obstacles involved. … [Continue reading]
ApolloMed And Network Medical Management Announce Merger
Apollo Medical Holdings, Inc. ("ApolloMed" or "the Company") (OTC: AMEH), an integrated population health management company, and Network Medical Management, Inc. ("NMM"), one of the largest healthcare Management Services Organizations (MSOs) in the … [Continue reading]
9 Oral Health Hazards of Holiday Stress
Holiday stress can be a pain in the neck…and the teeth, warns Delta Dental. If too much family time or the mad dash for last minute gifts causes you to grind or clench your teeth, be aware that it can cause your teeth to ache, wear down, become … [Continue reading]
Medicare Hospital Star Ratings Gives Flawed Quality Snapshot
Medicare's star ratings of hospitals fail to provide the public with an easy comparison of the quality of inpatient care provided. An analysis by J. Graham Atkinson, D.Phil., Jayne Koskinas Ted Giovanis Foundation for Health and Policy (JKTG) … [Continue reading]
WellStar and Blue Cross Reach Agreement
Over the past year, numerous insurers have left the federal health insurance exchange, which has left many Georgians with few options for health insurance and made their preferred providers and hospitals out of network. For some patients, they would … [Continue reading]
David Klein Joins NextHealth Technologies’ Board of Directors
NextHealth Technologies Inc., a prescriptive analytics and consumer engagement platform that measurably reduces medical costs for health plans, announced that David H. Klein has joined its board. As a CEO with over 30 years of experience managing … [Continue reading]
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