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]
WellCare Employees Spread Holiday Cheer with Metropolitan Ministries
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]
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]
Veterans Groups Applaud New Rule
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]
City of Fort Worth Partners with Employer Direct Healthcare
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]
Blue Shield of California Foundation Awards $3.9 million
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]
PAMCIG and Next Wave Insurance Partner
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]
GetInsured Acquires Array Health
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]
Study shows 30% of Americans don’t know their health plan deductible
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]
AMSUS Announces Executive Advisory Board Plans to Improve Federal Health Care Policy
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]
Home Health Community Urges Congress to Enact Pre-Claim Undermines Seniors’ Health (PUSH) Act
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]
UK Lags Behind Europe in Readiness for Old Age
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]
Accolades Recognize Preeminence of 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]
International Medical Group Unveils New Logo and Branding
International Medical Group® (IMG®), a leader in global benefits and assistance services, recently announced the company’s new corporate branding and logo. … [Continue reading]
Blue Cross and Blue Shield of Texas Offers 2017 Open Enrollment
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]
Still Time To Sign Up For Magnolia Health Medicare Advantage During The 2017 Annual Enrollment Period
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]
Health Care Empowerment, Career Transitions, Socially Responsible Investing and More in the December AARP Bulletin
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]
Class Settlement Over Health Insurance Benefits for Same-Sex Spouses of Walmart Associates
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]
1Sovereign Health Examines Insurance and Other Barriers That Affect Addiction Treatment
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]
UPMC Health Plan opens new Connect Service and Sales Center Store
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]
Centene Reaches Settlement
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]
7 TV News Stations Have Aired No Coverage of Drug Price Reform Initiative Prop 61
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]
Kaiser Family Foundation Under Fire
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]
Blue Cross and Blue Shield of Texas Expands its Medicare Advantage Offerings
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]
Oklahomans Brace for Skyrocketing Increases on ACA Marketplace
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]
Adapt Pharma Announces NARCAN® coverage with California’s Medi-Cal Program
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]
Alignment Healthcare Hires Kevin P. Enterlein to Head Its Florida Market
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]
Karen Brach Named President of Illinois Office by Meridian Health Plan
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]
What If It’s YOUR Medical Record?
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]
Hospital Executives Increasing Focus on Patient Expectations and Engagement According to Survey
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]
Mark Brooks Appointed CIO of Centene Corporation
Centene Corporation (NYSE: CNC) has appointed Mark Brooks to Senior Vice President and Chief Information Officer, effective immediately. Mr. Brooks will oversee the development and implementation of all information technology and systems for Centene. … [Continue reading]
Blue Cross And Blue Shield Of Texas Highlights Record Volunteerism And Support
In 2015, Blue Cross and Blue Shield of Texas (BCBSTX), the state's largest health insurer, collaborated with nearly 500 community organizations through employee volunteers and financial investments to help prevent and manage heart disease, cancer, … [Continue reading]
43% Expect to Pay More for Healthcare in 2016
According to the latest survey conducted by leading personal finance website GOBankingRates.com, 43 percent of Americans expect to pay more for health insurance in 2016, with 23 percent expecting to pay "a little more than the last year" and 20 … [Continue reading]
New President and CEO at GeoBlue®
GeoBlue today announced the appointment of Guillaume Deybach as President and CEO for parent company Highway to Health, Inc (HTH). This concludes the global search conducted over a period of several months for an exceptional candidate able to … [Continue reading]
Dreamit Health Awarded Grant From Blackstone Charitable Foundation
Leading global startup accelerator Dreamit announced today that the Dreamit Health program developed in collaboration with Penn Medicine and Independence Blue Cross (Independence) has received a $325,000 grant from Blackstone Charitable Foundation to … [Continue reading]
New Vice President of Ancillary Services at Capital BlueCross
Capital BlueCross today announced Chris Davis as the company's new vice president of ancillary services. Davis was previously vice president of sales and service at Dominion Dental Services, a national dental and vision plan administrator … [Continue reading]
ProAssurance Life Sciences Leadership Changes
ProAssurance Corporation (NYSE: PRA) announced that Chief Financial Officer Edward L. Rand, Jr. will assume additional duties as the President of Medmarc, the Company's life science and legal professional liability insurance subsidiary. Additionally, … [Continue reading]
Paradigm Signs Contract With UnitedHealthcare
Paradigm, a molecular information & Next Generation Sequencing corporation specializing in providing testing for cancer patients recently announced that it has entered into a contractual agreement with UnitedHealthcare for coverage of … [Continue reading]
IEHP Increases The Network Enhancement Fund for New Providers
Inland Empire Health Plan (IEHP), with the approval of its Governing Board, added $5 million additional dollars to its Network Enhancement Fund (NEF) to bring new providers to practice in the Inland Empire (IE) to help improve access to care for more … [Continue reading]
Blue Cross and Blue Shield of Minnesota recognized for industry-leading commitment to veterans
As the number of Minnesota soldiers returning home after serving overseas continues to increase, so do the challenges that come with transitioning into work and civilian life. Blue Cross and Blue Shield of Minnesota (Blue Cross), which has long … [Continue reading]
10 Days Left to Sign Up for Health Insurance
"In just ten days, January 31, 2016, most residents of Atlanta must have health insurance or face new tax penalties," said Dr. Jane L. Delgado, President and CEO of the National Alliance for Hispanic Health, the nation's leading Hispanic health … [Continue reading]
Open Enrollment Deadline Approaching Soon
January 31st marks the end of the third annual enrollment period through the Health Insurance Marketplace. With this deadline quickly approaching, Blue Cross and Blue Shield of Texas (BCBSTX) is actively providing Texans with health insurance … [Continue reading]
Consumer Watchdog Asks Centene, Health Net Execs To Commit To Correct Network Deficiencies
Consumer Watchdog will challenge executives at a Department of Insurance hearing into the proposed Centene/Health Net merger to commit to strong consumer protections as conditions of a merger approval. The Department of Insurance has broad … [Continue reading]
Highest Health Insurance Costs Are in New York and South Carolina
As monthly premiums for the most popular plans offered under the Affordable Care Act are seeing a 10.1 percent spike up from 2015*, GOBankingRates conducted a study to see which states' residents are paying more (or less) for health insurance in 2016 … [Continue reading]
CentraState Medical Center Streamlines Administration of Medication Education
CentraState Medical Center is establishing a new benchmark for patient education best practices by integrating video medication education with a patient’s Electronic Medical Record (EMR) using in-room televisions. Partnering with TeleHealth Services, … [Continue reading]
Thomas Duncan: CEO Of Trusted Health Plan Ensures DC Medicaid Managed Care, Makes Good Business Sense
The deadline is drawing near for uninsured consumers to sign up for Affordable Health Care this month. Numerous legislators across the country continue to wrestle with whether to expand their state's Medicaid provisions to accommodate ACA. However … [Continue reading]
Capital BlueCross New Hospital Recognition Program
Capital BlueCross has signed an agreement with The Leapfrog Group, a national nonprofit organization focused on health care quality and safety, that will establish a regional hospital recognition program to help employers and consumers in central … [Continue reading]
DinnerTime Signs Agreement with Johns Hopkins HealthCare
DinnerTime has signed an agreement with Johns Hopkins HealthCare to provide Johns Hopkins Employer Health Programs (EHP) members with free access to DinnerTime's personalized meal planning and sale-smart shopping service. As of January 1, 2016, Johns … [Continue reading]
WellCare Fourth Quarter and Full-Year 2015 Results
WellCare Health Plans, Inc. (NYSE: WCG) announced that it will release its financial results for the fourth quarter and full year of 2015 on Tuesday, February 9, 2016, at approximately 6:30 a.m. Eastern time. The company will also host a conference … [Continue reading]
Blue Cross Members With Advanced Illnesses Will Receive Enhanced Benefits
Blue Cross Blue Shield of Massachusetts (Blue Cross) has announced the launch of a comprehensive program aimed at improving quality-of-life for individuals and families facing advanced illnesses and the end of life. … [Continue reading]
HealthWell Foundation Opens New Medicare Access Fund to Provide Financial Assistance to Renal Cell Carcinoma Patients
The HealthWell Foundation®, an independent non-profit that provides a financial lifeline for inadequately insured Americans, has announced it has opened a new fund to provide financial assistance to Medicare patients suffering from renal cell … [Continue reading]
Senior Health Insurance of Pennsylvania Enters Into Reinsurance Transaction with Teachers Protective Mutual
Senior Health Insurance Company of Pennsylvania (SHIP) has announced that it has executed a reinsurance transaction with Teachers Protective Mutual, a mutual insurance company, for SHIP to reinsure all of Teacher's long-term care business. Founded … [Continue reading]
WellStar brings transparency to patient records
WellStar Health System is deploying an innovative solution to improve the patient experience while providing better patient care. WellStar's electronic medical record patient portal, WellStar MyChart, will provide patients with round-the-clock access … [Continue reading]
hCentive Expands Partnerships With Insurance Carriers and Benefits Administrators
hCentive, the leader in health insurance exchange solutions, announced recently that the company has added new health and ancillary insurance carriers and benefits administrators to its WebInsure Benefits marketplace. WebInsure Benefits is a single … [Continue reading]
WellCare Honors High-Performing Physicians in New York
WellCare Health Plans, Inc. (NYSE: WCG), a leading provider of managed care services for government-sponsored health care programs, announced recently that it honored its high-performing network physicians in New York by making them the first … [Continue reading]
PIA Hails Passage of Policyholder Protection Act
The National Association of Professional Insurance Agents (PIA) has hailed passage of the Policyholder Protection Act. The measure was included in the omnibus appropriations agreement that was passed 316-113 in the House and 65-33 in the Senate on … [Continue reading]
32 Hospitals Settling Medicare Fraud Allegations Due to Whistleblower
Thirty-two hospitals in 15 states agreed to pay more than $28 million to settle a whistleblower lawsuit brought by Phillips & Cohen LLP alleging that the hospitals overcharged Medicare for a type of back surgery known as kyphoplasty. … [Continue reading]
WellCare of Iowa to Contest State Official’s Decision to Overturn Medicaid Contract Award
WellCare of Iowa, a subsidiary of WellCare Health Plans, Inc. (NYSE: WCG), announced today that the company will aggressively contest the order issued by Janet Phipps, director of Iowa's Department of Administrative Services, which overturned the … [Continue reading]
PROCEPT BioRobotics Closes $42 Million in New Funding
PROCEPT BioRobotics, a privately held medical device company based in Silicon Valley, announced today the closing of $42 million in a venture round of equity financing led by Novo A/S. New investor CPMG, Inc. and existing investors also participated … [Continue reading]
Hemp Health Inc. Helps Marijuana Users Get Sober Quickly
Hemp Health Inc., maker of cannabidiol (CBD) products, today introduced THC Buzzkill, a patent-pending CBD supplement that counteracts the 'high' of marijuana. Sold as an oral spray, THC Buzzkill absorbs into the bloodstream rapidly and lessens the … [Continue reading]
BIO-Europe® 2015 in Munich to take place November 2-4, 2015
The twenty-first annual BIO-Europe® international life science partnering conference will be held in Munich, Germany, November 2–4, 2015. Organized by EBD Group, the event is co-hosted by BioM Biotech Cluster Development, the Bavarian Ministry of … [Continue reading]
Moleculera Labs Receives Grant from OCAST
Moleculera Labs today announced the receipt of a two-year, $300,000 matching grant from the Oklahoma Center for the Advancement of Science and Technology (OCAST). This grant supports the development and clinical validation of new diagnostic testing … [Continue reading]
Equifax Achieves Milestone in Helping Employers Manage the Affordable Care Act
Equifax Workforce Solutions, a leader in human resource, analytics and verification services, and a business unit of Equifax Inc. (NYSE: EFX), has achieved a major milestone in Affordable Care Act (ACA) management for employers. The company's ACA … [Continue reading]
Physicians Discuss Role of Medicare Over 50 Years of Care
On July 30, 1965, Lyndon B. Johnson signed Medicare as well as Medicaid into law. The following year, slightly more than 19 million older Americans had Medicare coverage. Since then, Medicare has grown, and today covers more than 54 million … [Continue reading]
Medical Tourism Association® Joins Forces to Launch Asia-Pacific 2015 Global Healthcare Congress
The Medical Tourism Association® and Beijing Great-Idea Business Resources Company Ltd. have partnered to hold the World Medical Tourism and Global Healthcare Congress Asia-Pacific 2015, Nov. 14-16, 2015, in Guilin, China. Renée-Marie Stephano, … [Continue reading]
Aetna Publishes Favorable Coverage Policy for ThyGenX
PDI, Inc. (NASDAQ: PDII) subsidiary Interpace Diagnostics announced that effective June 2015, ThyGenX™,i the company's genetic mutation panel, has been approved by Aetna for assessing fine needle aspiration (FNA) samples from indeterminate thyroid … [Continue reading]
GuideWell and Alignment Healthcare Create Strategic Medicare Advantage Partnership
GuideWell Mutual Holding Corporation (GuideWell) has entered into a strategic partnership with Alignment Healthcare, LLC (Alignment Healthcare), a population health management company with technology-enabled clinical integration at its core. The new … [Continue reading]
CMS Changes Will Bridge Old and New Models of Chronic Care Management
The prevalence of chronic conditions presents one of the greatest risks to the U.S in terms of population health and well-being. However, many serious conditions such as hypertension or hyperlipidemia can be successfully managed if the patient … [Continue reading]
EHE International Certifies Prime Healthcare As Partner
EHE International, the recognized leader in preventive medicine and annual physical exams, today announced that the Prime Healthcare, Avon, CT office has been named an EHE-certified preventive care center. Through Prime Healthcare, Avon, EHE members … [Continue reading]
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 … [Continue reading]
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 … [Continue reading]
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 … [Continue reading]
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 … [Continue reading]
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 … [Continue reading]
Aon Hewitt Shows Continued Cost Savings for Companies and Individuals Participating in the Aon Active Health Exchange
Aon Hewitt, the global talent, retirement and health solutions business of Aon plc (NYSE: AON), has announced that employers and individuals participating in the Aon Active Health Exchange are seeing notable reductions in health care spend for the … [Continue reading]
Capital BlueCross, Health Care Improvement Foundation develop collaborative with area health care systems to improve patient care
Thousands of Pennsylvanians receive medical services every day from local health care systems. Each of these facilities has its own physicians and practitioners with their own specialized knowledge gained from their own experience providing care. But … [Continue reading]
New White Paper on Important Role of Post-Acute Care (PAC) Provider within an ACO
Managed Health Care Associates, Inc. (MHA), a leading health care services and technology company focused on the alternate site health care provider marketplace, today announced the release of a new white paper titled, "The Right Care for the Right … [Continue reading]
Blue Cross And Blue Shield Of Texas Transparency Solution Helps Consumers Better Manage Health Care Services
As consumers look for new ways to obtain the best possible care and lower their health care costs, Blue Cross and Blue Shield of Texas (BCBSTX), the largest provider of health benefits in the state, announces the enhanced Provider Finder, an online … [Continue reading]
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