Health Plan News

In 2008, Superior HealthPlan partnered with Texas Health and Human Services (HHS) and the Department of Family and Protective Services (DFPS) to become the first managed care organization in the country to provide statewide health care for children … [Continue reading]

Banjo Health, a startup pioneer in AI-driven prior approval solutions, has signed a philosophical arrangement with ELMCRx Solutions, LLC, a pharmacy benefits management and cost containment company located in Pennsylvania, to improve existing prior … [Continue reading]

The Health Transformation Alliance (HTA)has reached a major milestone in 2020. In the four years since the HTA was formed, the cooperative has saved its member companies $1 billion in healthcare costs. … [Continue reading]

Built In announced recently that GoHealth was honored in its 2021 Best Places To Work Awards. Specifically, GoHealth earned a place on 100 Best Places to Work in Chicago. The annual awards include companies of all sizes, from startups to the … [Continue reading]

Integrity Marketing Group, LLC ("Integrity"), the nation's largest independent distributor of life and health insurance products, has acquired CSG Actuarial ("CSG"), the industry's foremost quoting technology platform and data solution for the senior … [Continue reading]

Chubb has earned the highest customer satisfaction rating in the J.D. Power 2020 U.S. Small Commercial Insurance Study. Chubb is receiving this prestigious award based on its performance in five key customer satisfaction factors including claims, … [Continue reading]

The Russian Direct Investment Fund (RDIF, Russia's sovereign wealth fund) announces the delivery of the first batch of 300,000 doses of Sputnik V, the world's first registered vaccine against coronavirus, to Argentina. … [Continue reading]

Two cases of a new SARS-CoV-2 variant, which originated in South Africa, have been identified in the UK. … [Continue reading]

Therap Services, the long-standing national leader providing software solutions for HIPAA-compliant electronic documentation for providers in Home and Community Based Services (HCBS) and the broader Long Term Services and Supports (LTSS), introduces … [Continue reading]

To assist with the nation's fight against COVID-19, SNA International, LLC (SNA) provides emergency response support services to state and local governments. … [Continue reading]

Cedar Gate Technologies (Cedar Gate), a leading value-based care performance management company, has received a minority investment from Cobalt Ventures. … [Continue reading]

Many have Predicted 2020 the Entire Year of Disturbance and endurance, both emotionally and physically. Together with the entire world feeling the beat of COVID-19 exhaustion, lockdowns, overwork, childcare, home education and much more, it may feel … [Continue reading]

The Minnesota Council of Health Plans announced today that Minnesota-based nonprofit health programs are willingly extending cost-sharing waivers for in-patient COVID-19 therapy through March 31, 2021. The expansion coincides with a number of … [Continue reading]

Horizon Healthcare Services, Inc. is partnering with Geneia. A healthcare analytic services and solutions firm that's simplifying the transition into healthcare, has announced their partnership to advance population health is functioning. Horizon … [Continue reading]

QualChoice Health Insurance has announced that Chris O'Dwyer has joined the company as Director of Sales, effective Nov. 23. … [Continue reading]

AGS Health, a leader in revenue cycle management services for major healthcare providers across the U.S. today announced it has been recognized by KLAS® Research as a "consistent high performer" in their report, "Outsourced Coding 2020, Which Firms … [Continue reading]

Prior authorizations were the most costly and time-consuming transactions for providers in 2019 and are among the top reasons patient care is delayed. As cash-strapped hospitals and health systems strive to meet patient, payer and provider needs, the … [Continue reading]

Oscar, the first health insurance company built around a full stack technology platform and a relentless focus on serving our members, today announced it has hired R. Scott Blackley as its new Chief Financial Officer, effective March 16, 2021. Scott … [Continue reading]

A new survey released today by Certified Financial Planner Board of Standards, Inc. (CFP Board) in collaboration with research-led consulting firm Heart + Mind Strategies LLC found that more than half of Americans (54%) are experiencing high or very … [Continue reading]

The Cooperative of American Physicians, Inc. (CAP) today announced that the Mutual Protection Trust (MPT), the organization's core product, has earned another A+ (Superior) Rating with a Stable Outlook from A.M. Best Company, a global full-service … [Continue reading]

Health Alliance Plan (HAP), a Michigan-based nonprofit health plan, is partnering with Peerfit®, a digital health technology company, to bring Peerfit Move to its Medicare Advantage members. Peerfit Move encourages Medicare members to maintain an … [Continue reading]

Telehealth claim lines1 increased 2,980 percent nationally from September 2019 to September 2020, rising from 0.16 percent of medical claim lines in September 2019 to 5.07 percent in September 2020, according to new data from FAIR Health's Monthly … [Continue reading]

Paradigm, the industry leader in solving catastrophic and complex health care challenges and improving lives, today announced the results of a study1 conducted by an independent actuarial firm. Among other key findings, the study shows that … [Continue reading]

WellCare announced today its Medicare Advantage plans in Florida received a 4-Star Rating out of a possible 5 Stars from the Centers for Medicare & Medicaid Services (CMS) annual Star Quality Ratings for rating year 2021. This marks the fourth year … [Continue reading]

InComm Payments, a leading global payments technology company, today released the results of its Medicaid subscribers research, which found that many Medicaid members are prioritizing healthy habits during the COVID-19 pandemic. The study was based … [Continue reading]

"Can you please pass the mashed potatoes and do you have enough Medicare coverage?" This may be how the conversation goes for the 59% of people having an in person Thanksgiving this year, according to a new healthinsurance.com national survey. The … [Continue reading]

As COVID-19 surges across the nation, a new coalition of America's leading provider and health advocacy organizations and states are launching an unprecedented, unified effort to help people stay safe from COVID-19 and increase awareness about … [Continue reading]

Tufts Health Plan Foundation today announced 64 community organizations will share $900,000 in funding to help in on-going COVID-19 response efforts. The nonprofit organizations focus on urgent needs in communities, especially those … [Continue reading]

RANCHO CUCAMONGA, Calif., Nov. 19, 2020 /PRNewswire/ -- Inland Empire Health Plan (IEHP) received the 2020 Health Equity Award for their ability to engage and connect with members via text message during Governor Newsom's social isolation order this … [Continue reading]

SAN FRANCISCO, April 27, 2020 /PRNewswire/ -- Delta Dental of California, which offers comprehensive oral health care coverage to more than 36 million members, today announced details of a $200 million loan program through a partnership with … [Continue reading]

GERMANTOWN, Md., April 28, 2020 /PRNewswire/ -- The HealthWell Foundation®, an independent non-profit that provides a financial lifeline for inadequately insured Americans, has opened a new fund to assist individuals who have been laid off or … [Continue reading]

SHENZHEN, China, April 29, 2020 /PRNewswire/ -- Tencent's insurance platform WeSure, launched a new initiative on April 16, following the establishment of the "WeSure Charity Fund". By embodying the concept of public welfare in the design and … [Continue reading]

COLUMBUS, Ga., April 23, 2020 /PRNewswire/ -- Aflac, a leader in supplemental insurance sales at U.S. worksites, today announced its new, people-centric "Not Alone" marketing campaign. Developed in partnership with Dagger, Aflac's new advertising … [Continue reading]

SEATTLE, April 23, 2020 /PRNewswire/ -- Milliman, Inc., a premier global consulting and actuarial firm, released a report today projecting the COVID-19 pandemic will reduce U.S. nationwide healthcare expenditures by at least $75 billion and by as … [Continue reading]

CONCORD, Calif., April 9, 2020 /PRNewswire/ -- Nonstop Administration and Insurance Services, Inc. (Nonstop) has announced that they will now sell their flagship product through a channel program to health benefits brokers nationally. Nonstop … [Continue reading]

NEW YORK, April 9, 2020 /PRNewswire/ -- Centivo today launched its new self-funded health plan solution, which is built to save 15 percent or more compared to traditional health plans and is easy to use for the employer and the employee. The solution … [Continue reading]