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Health Plan News

Springbuk Adds 900th Employer to Platform

Posted on July 18, 2017 Written by Annalyn Frame

Springbuk, the leading employer-facing health intelligence platform, continues to show strong growth of its business-to-business software. With the introduction of more than 300 new employer customers in the second quarter, Springbuk now has over 900 … [Continue reading]

Filed Under: Healthcare Plan News

Sempre Health launches health plan partnerships

Posted on July 18, 2017 Written by Annalyn Frame

Sempre Health, the leading solution for behavior-based healthcare pricing, officially launched health plan partnerships today to empower consumers to lower their own medication costs. Sempre works with health plans and pharma manufacturers to … [Continue reading]

Filed Under: Healthcare Plan News

Missouri Care Signs Agreements with SSM Health

Posted on July 18, 2017 Written by Annalyn Frame

Missouri Care, Inc., a subsidiary of WellCare Health Plans, Inc. (NYSE: WCG), announced today that it has signed an agreement with SSM Health that provides in-network coverage to Missouri Care's MO HealthNet Managed Care (Medicaid) members. This … [Continue reading]

Filed Under: Healthcare Plan News

Ohio Father, Baby with Brain Cancer at Same Time Could Lose Health Insurance

Posted on July 18, 2017 Written by Annalyn Frame

A young Ohio father and his baby boy who battled brain cancer at the same time are among the 22 million Americans at risk of losing health insurance if a bill being considered by the United States Senate becomes law. The family is featured in a new … [Continue reading]

Filed Under: Healthcare Plan News

Prime Therapeutics Launches Program to Address Opioid and Controlled Substance Epidemic

Posted on July 18, 2017 Written by Annalyn Frame

A comprehensive program announced today by pharmacy benefit manager Prime Therapeutics LLC (Prime), which serves 14 Blue Cross and Blue Shield plans nationally, identifies members who are at risk of controlled substance misuse and gets them into … [Continue reading]

Filed Under: Healthcare Plan News

It’s Easier to Plan for Long-Term Care if We Face Our Personal Concerns First

Posted on July 18, 2017 Written by Annalyn Frame

Last year the U.S. Department of Health & Human Services issued a report about Americans' concerns and actions related to long-term care (LTC), also referred to as long-term services and supports (LTSS). … [Continue reading]

Filed Under: Healthcare Plan News

Johnson & Johnson Reports 2017 Second-Quarter Results

Posted on July 18, 2017 Written by Annalyn Frame

Johnson & Johnson (NYSE: JNJ) today announced sales of $18.8 billion for the second quarter of 2017, an increase of 1.9% as compared to the second quarter of 2016. Operational sales results increased 2.9% and the negative impact of currency was 1.0%. … [Continue reading]

Filed Under: Healthcare Plan News

Nation’s Emergency Physicians: Senate’s Alternative to Affordable Care Act Is a Huge Disappointment

Posted on June 25, 2017 Written by Annalyn Frame

The American College of Emergency Physicians (ACEP) has issued a statement deeply critical of the draft health care legislation introduced yesterday in the Senate, known as the Better Care Reconciliation Act, or BCRA. ACEP's president, Dr. Rebecca … [Continue reading]

Filed Under: Healthcare Plan News

American Diabetes Association Urges Senators to Vote Against Proposed Health Care Legislation

Posted on June 25, 2017 Written by Annalyn Frame

The American Diabetes Association has grave concerns about the impact the draft Senate health care bill will have on people with diabetes. Individuals with diabetes need access to continuous health care to effectively manage their disease and to … [Continue reading]

Filed Under: Healthcare Plan News

SKYGEN USA Debuts on Healthcare Informatics 100 List

Posted on June 2, 2017 Written by Annalyn Frame

MENOMONEE FALLS, Wisc., June 2, 2017 /PRNewswire/ -- The accolades continue to accrue for SKYGEN USA. The company, which is dedicated to transforming the delivery of health benefits through innovative, technology-enabled solutions that drive down the … [Continue reading]

Filed Under: Healthcare Plan News

Blue Cross and Blue Shield of Texas Acquires Allegian Health Plans’ Membership in Texas

Posted on June 2, 2017 Written by Annalyn Frame

blue cross blue shield of texas

RICHARDSON, Texas, June 1, 2017 /PRNewswire-USNewswire/ -- Blue Cross and Blue Shield of Texas (BCBSTX) announced today it has acquired certain Medicare Advantage and commercial group membership from Allegian Health Plans (AHP), a wholly-owned … [Continue reading]

Filed Under: Blue Cross Blue Shield

CAHU Statement On Senate Passage Of SB 562

Posted on June 2, 2017 Written by Annalyn Frame

SACRAMENTO, Calif., June 2, 2017 /PRNewswire/ -- CAHU is dismayed that the California State Senate saw fit to pass the $400 billion per year tax plan to pay for universal single payer legislation, SB 562 (Lara/Atkins). … [Continue reading]

Filed Under: Healthcare Plan News

American Well Telehealth Services Now Live in Texas

Posted on June 2, 2017 Written by Annalyn Frame

American Well announced today that its clinical partner, Online Care Group, is open and available for telehealth visits in Texas, following the historic signing of Bill SB107 into law by Governor Abbott on May 27. This bill embraces telehealth, … [Continue reading]

Filed Under: Healthcare Plan News

Alternate Health Announces Completion of Initial Study to Treat Zika Virus Symptoms with Hemp-Derived Cannabinoid

Posted on May 16, 2017 Written by Annalyn Frame

TORONTO, May 16, 2017 /CNW/ - Alternate Health Corp. (CSE:AHG, OTC:AHGIF), a diverse healthcare company revolutionizing patient care and research through compliance and technology in the emerging medical cannabis industry, announced today the … [Continue reading]

Filed Under: Healthcare Plan News

Typical American Family Faces $26,944 in Annual Healthcare

Posted on May 16, 2017 Written by Annalyn Frame

Milliman Medical Index

Milliman, Inc., a premier global consulting and actuarial firm, has released the 2017 Milliman Medical Index (MMI), which measures the cost of healthcare for a typical American family of four receiving coverage from an employer-sponsored preferred … [Continue reading]

Filed Under: Healthcare Plan News

73 Percent of Health Plan Members Say Their Plan Doesn’t Understand Their Health Very Well

Posted on May 16, 2017 Written by Annalyn Frame

More Americans now have health insurance than ever before, but that doesn't mean there are fewer gaps in the screening, monitoring, and management of healthcare and chronic disease. Most health plan members believe their plan's communications are … [Continue reading]

Filed Under: Healthcare Plan News

AARP Urges Senate to Start From Scratch on Health Care Bill

Posted on May 16, 2017 Written by Annalyn Frame

AARP sent a letter to every member of the U.S. Senate urging them to start from scratch on the health care legislation passed by the U.S. House of Representatives last week. The letter comes as AARP also begins to inform its members how each House … [Continue reading]

Filed Under: AARP

Blue Cross Blue Shield of Massachusetts First Quarter 2017 Financial Results

Posted on May 16, 2017 Written by Annalyn Frame

Blue Cross Blue Shield of Massachusetts (Blue Cross), Inc. and Blue Cross Blue Shield of Massachusetts HMO Blue, Inc. announced first quarter 2017 financial results today and reported a combined after-tax net income of $27.6 million (1.5% net margin) … [Continue reading]

Filed Under: Blue Cross Blue Shield

EPIC adds Reba Mathew, Pharm.D., R.Ph to Employee Benefits Consulting Pharmacy Practice

Posted on May 16, 2017 Written by Annalyn Frame

EPIC Insurance Brokers & Consultants, a retail property, casualty insurance brokerage and employee benefits consultant, announced today that Reba Mathew Pharm.D., R.Ph has joined the firm's Employee Benefits Consulting Practice as Pharmacy Practice … [Continue reading]

Filed Under: Healthcare Plan News

Signify Research report on Population Health Management in North America

Posted on May 16, 2017 Written by Annalyn Frame

The growing global market presence of SCIO Health Analytics™ is featured in healthcare technology consulting firm Signify Research's most recent market report, "Population Health Management IT – North America – 2017." … [Continue reading]

Filed Under: Healthcare Plan News

Aflac and Tough Mudder Partnership

Posted on April 19, 2017 Written by Annalyn Frame

aflac and tough mudder partnership

Aflac will partner with Tough Mudder Inc., the leading active lifestyle brand and media company, as the "Official Supplemental Insurance Provider" for Tough Mudder's 2017 events season. The partnership includes the introduction of the Aflac Small … [Continue reading]

Filed Under: Healthcare Plan News

xG Health Solutions and Casenet Partnership

Posted on April 19, 2017 Written by Annalyn Frame

xG Health Solutions, powered by Geisinger®, and Casenet, through a strategic alliance, will deliver evidence-based assessment and care plan content to the health plan market. Through this partnership, xG's Intelligent Care Management™ evidence-based … [Continue reading]

Filed Under: Healthcare Plan News

DaVita Certified as Freedom-Centered Workplace

Posted on April 19, 2017 Written by Annalyn Frame

DaVita Inc. (NYSE: DVA), a leading independent medical group and a leading global provider of kidney care services has been certified as a "Freedom-Centered Workplace" by WorldBlu. This is the tenth consecutive year the company has been recognized on … [Continue reading]

Filed Under: Healthcare Plan News

Top Environmental Honors For Boston Headquarters of BCBS Massachusetts

Posted on April 19, 2017 Written by Annalyn Frame

Blue Cross Blue Shield of Massachusetts (Blue Cross) has received top honors from the U.S. Green Building Council (USGBC) for the design of our corporate headquarters at 101 Huntington Avenue. This makes it largest project in New England and 12th … [Continue reading]

Filed Under: Blue Cross Blue Shield

WellCare of New York Agreements with Catholic Health and Catholic Medical Partners

Posted on April 3, 2017 Written by Annalyn Frame

WellCare of New York, Inc., a subsidiary of WellCare Health Plans, Inc. (NYSE: WCG), has signed an agreement with Catholic Health and Catholic Medical Partners, an independent practice association (IPA) that provides in-network coverage to WellCare's … [Continue reading]

Filed Under: Healthcare Plan News

ProgenyHealth and Family Health Network Partnership

Posted on April 3, 2017 Written by Annalyn Frame

ProgenyHealth, the only national company focused exclusively on neonatal intensive care unit (NICU) case management, has entered into an agreement with Family Health Network to manage the unique healthcare needs of their premature and medically … [Continue reading]

Filed Under: Healthcare Plan News

Blue Cross and Blue Shield of Minnesota 2016 Financial Results

Posted on April 3, 2017 Written by Annalyn Frame

Blue Cross and Blue Shield of Minnesota and its family of companies (Blue Cross) today announced audited financial results for 2016. Blue Cross ended the year with a net operating loss of $322.4 million on full-year revenues of $12.1 billion, for a … [Continue reading]

Filed Under: Blue Cross Blue Shield

Minnesota Council of Health Plans report operating losses over $680 million

Posted on April 3, 2017 Written by Annalyn Frame

Minnesota health insurers reported $687 million in operating losses for 2016, according to information released today by the Minnesota Council of Health Plans. Medical reserves were tapped to pay for doctor visits, nursing, hospital stays, … [Continue reading]

Filed Under: Healthcare Plan News

Sirius Acquires ArmadaGlobal

Posted on April 3, 2017 Written by Annalyn Frame

Sirius International Insurance Group, Ltd. has acquired ArmadaCorp Capital, LLC., a market leading provider of supplemental healthcare insurance products and administration services in the United States. … [Continue reading]

Filed Under: Healthcare Plan News

Texas Legislators File Bills to Increase Health Insurance Transparency, Oversight

Posted on April 3, 2017 Written by Annalyn Frame

The Texas Association of Freestanding Emergency Centers (TAFEC) supports legislation introduced in the Texas Legislature aimed at increasing oversight of health insurance companies and protecting consumers from surprise medical costs. … [Continue reading]

Filed Under: Healthcare Plan News

Blue Cross Blue Shield Of Massachusetts Program To Care For Chronically Ill Seniors At Home

Posted on April 3, 2017 Written by Annalyn Frame

In an effort to improve care and support for our members who are faced with serious illnesses, today Blue Cross Blue Shield of Massachusetts (Blue Cross), the largest health plan in the Commonwealth, announced it will partner with Landmark Health on … [Continue reading]

Filed Under: Blue Cross Blue Shield

Half of Patients’ Out-of-Pocket Spending for Brand Medicines Is Based on List Price

Posted on March 30, 2017 Written by Annalyn Frame

More than half of commercially-insured patients' out-of-pocket spending for brand medicines is based on the full list price, according to a new analysis from Amundsen Consulting, a division of QuintilesIMS. The data also show cost -sharing for nearly … [Continue reading]

Filed Under: Healthcare Plan News

Report: Link Between Population’s Health and Growing Economy, Higher Incomes and Lower Unemployment

Posted on March 30, 2017 Written by Annalyn Frame

The Blue Cross Blue Shield Association (BCBSA) today released the second edition of a Moody's Analytics report that finds a direct link between a population's health and a growing economy, higher incomes and lower unemployment. … [Continue reading]

Filed Under: Blue Cross Blue Shield

PhRMA Report on Cost-Sharing Misses the Mark

Posted on March 30, 2017 Written by Annalyn Frame

The Pharmaceutical Care Management Association (PCMA) today released the following points regarding a new PhRMA report on patient out-of-pocket spending: -- According to the Centers for Medicare and Medicaid Services (CMS), the average amount … [Continue reading]

Filed Under: Healthcare Plan News

WellCare to Release First Quarter 2017 Results

Posted on March 30, 2017 Written by Annalyn Frame

WellCare Health Plans, Inc. (NYSE: WCG) today announced that it will release its financial results for the first quarter of 2017 on Wednesday, May 3, 2017, at approximately 6:00 a.m. EDT. The company will also host a conference call at 8:00 a.m. EDT … [Continue reading]

Filed Under: Healthcare Plan News

DW Healthcare Partners Closes Fourth Fund

Posted on March 30, 2017 Written by Annalyn Frame

DW Healthcare Partners, a private equity firm focused exclusively on the healthcare industry, announced today the closing of its fourth fund totaling USD $295 million in total capital commitments. This brings DW Healthcare Partners' total capital … [Continue reading]

Filed Under: Healthcare Plan News

Symbility Solutions to Announce Annual and Q4 2016 Financial Results

Posted on March 30, 2017 Written by Annalyn Frame

Symbility Solutions Inc. ("Symbility") (TSX.V: SY), a global software company focused on modernizing the insurance industry, confirmed that it will release its fourth quarter and full year 2016 financial results before market open Tuesday, April 11, … [Continue reading]

Filed Under: Healthcare Plan News

ASPiRA Labs Announces TriCare South Contract

Posted on March 30, 2017 Written by Annalyn Frame

ASPiRA Labs, a Vermillion company (NASDAQ: VRML), today announced it has signed an in-network, contracted agreement with TriCare South for ASPiRA's U.S. FDA cleared, Centers for Medicare and Medicaid Services (CMS) covered, American College of … [Continue reading]

Filed Under: Healthcare Plan News

Combined Insurance Donates $30,000 to Luke’s Wings

Posted on February 20, 2017 Written by Annalyn Frame

Combined_Insurance_donates_to_Lukes_Wings

Combined Insurance, a leading provider of individual supplemental accident, disability, health, and life insurance products, and a Chubb company, demonstrates its continued commitment to giving back to U.S. servicemen and women with a $30,000 … [Continue reading]

Filed Under: Healthcare Plan News

Health Insurance Important For Students Studying Abroad

Posted on February 20, 2017 Written by Annalyn Frame

It is that time of year when offers of university places start to drop into electronic mailboxes around the world. Higher education is big business now, places at UK universities are some of the most sought after in the world. These institutions will … [Continue reading]

Filed Under: Healthcare Plan News

Healthcare Revenue Cycle Workflow Transformed by Recondo Technology

Posted on February 20, 2017 Written by Annalyn Frame

Recondo Technology, the market leader in cloud-based single-platform revenue cycle management (RCM) solutions, has released a suite of application programming interfaces (APIs) to significantly streamline payment, improve patient satisfaction, and … [Continue reading]

Filed Under: Healthcare Plan News

Centene Corporation Appoints Chris Koster

Posted on February 20, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Talix and Geisinger Health Plan to Present on Data Analytics for Risk Adjustment

Posted on February 14, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

National Alliance Releases Health Policy Recommendations

Posted on February 14, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Actuaries Examine Implications of ACA Reform and Replacement Proposals

Posted on February 14, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Nursing Organizations Urge President Trump, Congress to Make High-Quality, Affordable Health Care Access a Top Reform Priority

Posted on February 14, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Consumer Watchdog Says Anthem Consumers in California Discover Health Plans No Longer Provide Out-of-Network Coverage

Posted on February 14, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Aflac Choice Hospital Insurance Policy Offers First-to-Market Initial Assistance Benefit Option

Posted on February 14, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Best and Worst States for Group Health Insurance

Posted on January 26, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Secretary of Health Urges U.S. Legislators to Consider How Repealing ACA Could Eliminate Critical Health Funding for the Commonwealth

Posted on January 26, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Blue Cross Blue Shield of Massachusetts Partners With Ameresco and BlueWave

Posted on January 26, 2017 Written by Annalyn Frame

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]

Filed Under: Blue Cross Blue Shield

Discern Health Affiliates with Dr. Mai Pham as Senior Advisor

Posted on January 26, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

International Medical Group Appoints Chief Revenue Officer

Posted on January 26, 2017 Written by Annalyn Frame

International Medical Group® (IMG®), a leader in global benefits and assistance services, has named Craig Peters as chief revenue officer (CRO). … [Continue reading]

Filed Under: Healthcare Plan News

N.J. Hospitals Sustained $1.5 Billion in ACA Funding Cuts

Posted on January 26, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

2017 Greets PBMs With New CMS Report

Posted on January 26, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Kaiser Permanente Earns Top Marks for Providing High-Quality Care

Posted on January 26, 2017 Written by Annalyn Frame

kaiser permanente

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]

Filed Under: Healthcare Plan News

Insurance Commissioner Reminds Pennsylvanians of Upcoming Open Enrollment Deadline

Posted on January 26, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Living Beyond Breast Cancer Creates Healthcare Newsroom

Posted on January 26, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Milliman Identifies 6 Questions Arising from the Trump ACA Executive Order

Posted on January 26, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

MailMyPrescriptions.com Agreement with Aon Benefit and National General Subsidiaries

Posted on January 26, 2017 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Arriva Medical Update From Alere

Posted on December 29, 2016 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

ReWalk Robotics Exoskeleton System Donated to Paralyzed British Citizen

Posted on December 22, 2016 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

WellCare To Acquire Medicaid Assets Of Phoenix Health Plan

Posted on December 22, 2016 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Harmony Health Plan Helps Kidz Korna Make the Holidays Special

Posted on December 22, 2016 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Chubb promotes Graham Lambourne

Posted on December 22, 2016 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

Goodman Institute Health Economist: No Replacement for Obamacare

Posted on December 22, 2016 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

ApolloMed And Network Medical Management Announce Merger

Posted on December 22, 2016 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

9 Oral Health Hazards of Holiday Stress

Posted on December 20, 2016 Written by Annalyn Frame

Delta Dental

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]

Filed Under: Healthcare Plan News

Medicare Hospital Star Ratings Gives Flawed Quality Snapshot

Posted on December 20, 2016 Written by Annalyn Frame

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]

Filed Under: Healthcare Plan News

WellStar and Blue Cross Reach Agreement

Posted on December 20, 2016 Written by Annalyn Frame

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]

Filed Under: Blue Cross Blue Shield

David Klein Joins NextHealth Technologies’ Board of Directors

Posted on December 20, 2016 Written by Annalyn Frame

David Klein NextHealth Technologies

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]

Filed Under: Healthcare Plan News

WellCare Employees Spread Holiday Cheer with Metropolitan Ministries

Posted on December 20, 2016 Written by Annalyn Frame

WellCare employees

WellCare Health Plans, Inc. (NYSE: WCG) announced that its employees are giving back to the Tampa Bay community this holiday season by volunteering with Tampa-based, social-service agency Metropolitan Ministries, which provides life-changing support … [Continue reading]

Filed Under: Healthcare Plan News

Emerge Launches New Online Tool

Posted on December 20, 2016 Written by Annalyn Frame

Emerge Launches New Online Tool

Emerge, an online platform that reimagines how consumers purchase emergency insurance, has announced that its site is live and ready to educate individuals and help them avoid the risk of medical debt. … [Continue reading]

Filed Under: Healthcare Plan News

Veterans Groups Applaud New Rule

Posted on December 20, 2016 Written by Annalyn Frame

Veterans Deserve Care, a grassroots coalition committed to reducing wait times in VA facilities, applauded a decision by the U.S. Department of Veterans Affairs (VA) to finalize a rule allowing veterans to receive high-quality care by providing … [Continue reading]

Filed Under: Healthcare Plan News

City of Fort Worth Partners with Employer Direct Healthcare

Posted on December 20, 2016 Written by Annalyn Frame

The City of Fort Worth (the "City") is pleased to announce the expansion of its member healthcare coverage offering starting January 2017 through Employer Direct Healthcare's SurgeryPlus®, a supplemental benefit for non-emergent surgeries that … [Continue reading]

Filed Under: Healthcare Plan News

Blue Shield of California Foundation Awards $3.9 million

Posted on December 20, 2016 Written by Annalyn Frame

Blue Shield of California Foundation announced today $3.9 million in fourth-quarter grantmaking, raising its total 2016 giving to more than $29 million to advance its mission to improve health equity and end domestic violence in California. … [Continue reading]

Filed Under: Blue Cross Blue Shield

PAMCIG and Next Wave Insurance Partner

Posted on December 20, 2016 Written by Annalyn Frame

The Pennsylvania Medical Cannabis Industry Group ("PAMCIG") has partnered with Next Wave Insurance Services, LLC ("Next Wave"), which is backed by top rated insurance and reinsurance carrier partners providing comprehensive insurance coverage … [Continue reading]

Filed Under: Healthcare Plan News

GetInsured Acquires Array Health

Posted on December 4, 2016 Written by Annalyn Frame

GetInsured

GetInsured, a market leader in individual health insurance ecommerce, announced recently that it has acquired Array Health, a leading provider of group health insurance ecommerce technology. Together, the companies will make it possible for insurers, … [Continue reading]

Filed Under: Healthcare Plan News

Study shows 30% of Americans don’t know their health plan deductible

Posted on December 4, 2016 Written by Annalyn Frame

The U.S. business group of Sun Life Financial has released a study titled "Voluntary Benefits: An Unknown but Needed Option," illustrating that due to health care costs continuing to rise, American workers need to adequately understand what … [Continue reading]

Filed Under: Healthcare Plan News

AMSUS Announces Executive Advisory Board Plans to Improve Federal Health Care Policy

Posted on December 4, 2016 Written by Annalyn Frame

AMSUS, The Society of Federal Health Professionals, announced the creation of a new board, the Executive Advisory Board (EAB), during its Annual Meeting in Maryland recently. … [Continue reading]

Filed Under: Healthcare Plan News

Home Health Community Urges Congress to Enact Pre-Claim Undermines Seniors’ Health (PUSH) Act

Posted on December 4, 2016 Written by Annalyn Frame

The Partnership for Quality Home Healthcare — a coalition of home health providers dedicated to improving the integrity, quality, and efficiency of home healthcare for our nation's seniors – recently urged Congress to pass the Pre-Claim Undermines … [Continue reading]

Filed Under: Healthcare Plan News

UK Lags Behind Europe in Readiness for Old Age

Posted on December 4, 2016 Written by Annalyn Frame

Research shows old age is seen as a problem, worries about healthcare and social services and people not prioritising or doing enough to prepare for their own retirement. Research conducted by Chase de Vere, the national firm of independent financial … [Continue reading]

Filed Under: Healthcare Plan News

Accolades Recognize Preeminence of FAIR Health Consumer Website

Posted on December 4, 2016 Written by Annalyn Frame

FAIR Health Consumer Website

FAIR Health's consumer website marked another year as the preeminent site for consumers to access accurate, actionable healthcare cost estimates and health insurance information. In a time of flux in healthcare policy at the federal and state levels, … [Continue reading]

Filed Under: Healthcare Plan News

International Medical Group Unveils New Logo and Branding

Posted on December 4, 2016 Written by Annalyn Frame

International Medical Group

International Medical Group® (IMG®), a leader in global benefits and assistance services, recently announced the company’s new corporate branding and logo. … [Continue reading]

Filed Under: Healthcare Plan News

Blue Cross and Blue Shield of Texas Offers 2017 Open Enrollment

Posted on December 4, 2016 Written by Annalyn Frame

Blue Cross Blue Shield of Texas

Blue Cross and Blue Shield of Texas (BCBSTX) is the only carrier offering retail health benefit plans on the Texas Health Insurance Marketplace in every county of the state in 2017 with Blue Advantage HMO? and Blue Advantage Plus HMO? plans. These … [Continue reading]

Filed Under: Blue Cross Blue Shield

Still Time To Sign Up For Magnolia Health Medicare Advantage During The 2017 Annual Enrollment Period

Posted on December 4, 2016 Written by Annalyn Frame

The annual enrollment period for Medicare ends next week for most Medicare beneficiaries. For the first time, Magnolia Health, is offering a Medicare Advantage HMO, available to anyone eligible for Medicare and living in the following counties in … [Continue reading]

Filed Under: Healthcare Plan News

Health Care Empowerment, Career Transitions, Socially Responsible Investing and More in the December AARP Bulletin

Posted on December 4, 2016 Written by Annalyn Frame

aarp

Think you can't haggle over medical costs? Or demand that your doctor see you on time? The December issue of AARP Bulletin examines how to become a more effective advocate for yourself to receive better health care for less money. The issue also … [Continue reading]

Filed Under: AARP

Class Settlement Over Health Insurance Benefits for Same-Sex Spouses of Walmart Associates

Posted on December 4, 2016 Written by Annalyn Frame

Former Walmart associate Jacqueline Cote and her lawyers filed a motion today asking the U.S. District Court for the District of Massachusetts to grant preliminary approval of a class action settlement in Cote's action that challenged Walmart's lack … [Continue reading]

Filed Under: Healthcare Plan News

1Sovereign Health Examines Insurance and Other Barriers That Affect Addiction Treatment

Posted on December 4, 2016 Written by Annalyn Frame

Sovereign Health, a leading national provider of behavioral health treatment services, has announced the seventh installment of the "Beyond NIMBY" series, a second series that addresses the strong community opposition to recovery-oriented housing and … [Continue reading]

Filed Under: Healthcare Plan News

UPMC Health Plan opens new Connect Service and Sales Center Store

Posted on November 5, 2016 Written by Annalyn Frame

UPMC Health Plan Service and Sales Associates are now available to answer individual's health insurance questions and meet your health care coverage needs at a new Monroeville Mall store. The grand opening celebration was today, Saturday, Nov. 5, … [Continue reading]

Filed Under: Healthcare Plan News

Centene Reaches Settlement

Posted on November 5, 2016 Written by Annalyn Frame

Centene Corporation (NYSE: CNC) announced recently that its subsidiary, Kentucky Spirit Health Plan, Inc. (Kentucky Spirit), has settled all lawsuits and complaints associated with its contract with the Commonwealth of Kentucky (the Commonwealth). … [Continue reading]

Filed Under: Healthcare Plan News

7 TV News Stations Have Aired No Coverage of Drug Price Reform Initiative Prop 61

Posted on November 5, 2016 Written by Annalyn Frame

Seven California news stations have not aired a single story about Proposition 61 to educate voters on the measure that would cap state prescription drug prices, despite receiving nearly $1.7 million in ad money from the pharmaceutical industry's … [Continue reading]

Filed Under: Healthcare Plan News

Kaiser Family Foundation Under Fire

Posted on October 5, 2016 Written by Annalyn Frame

Consumer Watchdog today called out the Kaiser Family Foundation for holding a one-sided debate on drug price controls tomorrow that allows the opponents of Prop 61, the drug makers who raised $90 million against the effort to rein in California's … [Continue reading]

Filed Under: Healthcare Plan News

Blue Cross and Blue Shield of Texas Expands its Medicare Advantage Offerings

Posted on October 5, 2016 Written by Annalyn Frame

Focused on increasing access to quality care to Medicare beneficiaries, Blue Cross and Blue Shield of Texas (BCBSTX) is offering more options for health care coverage that provides them additional choice, optimized networks, flexibility and … [Continue reading]

Filed Under: Blue Cross Blue Shield

Oklahomans Brace for Skyrocketing Increases on ACA Marketplace

Posted on October 5, 2016 Written by Annalyn Frame

Health insurance premiums will likely increase by an average of 76 percent for Oklahomans who buy individual coverage through the Affordable Care Act's marketplace. The increases for individual market plans range from 58 percent to 96 percent. … [Continue reading]

Filed Under: Healthcare Plan News

Adapt Pharma Announces NARCAN® coverage with California’s Medi-Cal Program

Posted on October 5, 2016 Written by Annalyn Frame

Effective October 1, 2016, the Medi-Cal Fee-For-Service program provides unrestricted, $0 copay access to NARCAN® Nasal Spray for its beneficiaries. As a result of this decision, beneficiaries can now obtain NARCAN® Nasal Spray from pharmacists … [Continue reading]

Filed Under: Healthcare Plan News

Alignment Healthcare Hires Kevin P. Enterlein to Head Its Florida Market

Posted on April 5, 2016 Written by Annalyn Frame

Alignment Healthcare has hired former Aetna executive Kevin P. Enterlein to head its Florida market, which the California-based population health management company entered January 1st. … [Continue reading]

Filed Under: Healthcare Plan News

Karen Brach Named President of Illinois Office by Meridian Health Plan

Posted on April 5, 2016 Written by Annalyn Frame

Karen Brach has been named the new President of Meridian Health Plan of Illinois and is scheduled to step into that role on April 5. Brach is a managed care executive with more than 15 years of Medicaid and Medicare managed care senior leadership … [Continue reading]

Filed Under: Healthcare Plan News

What If It’s YOUR Medical Record?

Posted on April 5, 2016 Written by Annalyn Frame

AmeriVeri (http://www.ameriveri.com/) helps protect the integrity of Medical Records and saves patients from unnecessary, costly and possibly dangerous treatments resulting from medical coding errors. What many don't realize is how shockingly common … [Continue reading]

Filed Under: Healthcare Plan News

Hospital Executives Increasing Focus on Patient Expectations and Engagement According to Survey

Posted on April 5, 2016 Written by Annalyn Frame

While care transformation continues to lead the list of concerns for hospital and health system executives, this year two of the top four topics relate to patients' non-clinical needs, according to The Advisory Board Company's Annual Health Care CEO … [Continue reading]

Filed Under: Healthcare Plan News

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