Member News
Eight Ways to Reduce Healthcare Administrative Costs
Managed Healthcare Executive
10/14/2019
Wendy Karsten, president of Care N’ Care Health Plan in Fort Worth, Texas, and other health insurer and hospital executives discuss ways to reduce healthcare administrative costs.
Autism coverage offered by Avera Health Plans and Sanford Health Plan
Avera Health Plans (DAKOTACARE)
10/14/2019
Governor Kristi Noem, in conjunction with Avera Health Plans and Sanford Health Plan, has announced health insurance coverage options that include Applied Behavioral Analysis (ABA) therapy in the South Dakota insurance market for 2020.
Leveraging an Integrated Population Health Model to Improve Costs, Quality, and Satisfaction
Sharp Health Plan
10/14/2019
Cary Shames, DO, CHCQM, ABQAURP, vice president and chief medical officer, Sharp Health Plan, discusses using an integrated population health model to drive better quality and satisfaction of care while lowering costs at the National Association of Managed Care Physicians 2019 Fall Managed Care Forum, held October 10-11 in Las Vegas, Nevada.
Geisinger, Cerner Partner to Boost Population Health Management
Geisinger Health PLan
10/14/2019
Geisinger will use actionable insights and innovative tools from the Cerner platform across its patient network, accountable care organization (ACO), and Geisinger Health Plan. The partnership will use open standards and integration capabilities to provide a seamless user experience.
Intermountain Ventures Invests in Omada Health to deliver digital diabetes prevention services via physician referral
SelectHealth
10/14/2019
Intermountain Healthcare is widely recognized as a leader in transforming healthcare by using evidence-based best practices to consistently deliver high-quality outcomes and sustainable costs. The not-for-profit system of 24 hospitals, 215 clinics, and more than 2,500 physicians and clinicians in Utah, Idaho and Nevada and a health plans division called SelectHealth has received recognition for its investment in value-based, clinically-effective preventive care.
Geisinger Health Plan adds Penn State Health to provider network
Geisinger Health Plan
10/14/2019
The new agreement, which went into effect Sept. 18, makes Penn State Health an in-network, preferred provider for GHP members. Penn State Health joins a provider network of more than 29,000 primary care specialty physicians, 120 hospitals and 132 urgent and convenient care locations.
‘360 support with whatever they need,’ MetroPlus Health’s new leader outlines plan to help combat breast cancer
MetroPlus Health Plan
10/14/2019
“As an insurer we somewhat go against the current,” said Dr. Tayla Schwartz, president and CEO of MetroPlus Health Plan, which covers over half a million New Yorkers. “We want to focus on vulnerable populations that need health care, the populations that need support..."
Prisma Health Partners With Contessa to Bring High-Quality Hospital-Level Care Into Patients’ Homes
Prisma Health
10/14/2019
Home Recovery Care provides hospital-level care to patients with acute, non-life-threatening medical conditions in the comfort of their own homes. Roughly 150 diagnoses are considered eligible for the service and range from congestive heart failure and pneumonia to dehydration, cellulitis and urinary tract infections.
Utah's Low Mammography Screening Rates Prompts Intermountain Healthcare to Launch New Initiative and Resources to Save More Lives
SelectHealth
10/7/2019
Extended hours, mobile mammography, and local business partnerships all aimed to increase convenience.
Interim president and CEO of Health Alliance made permanent
Health Alliance Medical Plans
10/4/2019
Dennis Hesch, an executive of the Carle health system for more than a decade, has been named the new president and CEO of Carle-owned Health Alliance Medical Plans.
SelectHealth, renews sponsorship of GREENbike as it expands
SelectHealth
10/3/2019
Greg Reid, SelectHealth’s community and public relations manager, said the new contract means the bike share program will grow even more, promising it will be “moving closer to municipal green spaces” and offer more “opportunities for the underserved to be on bikes.”
NYC Health + Hospitals’ CEO and President Dr. Mitchell Katz’s TEDMED Talk Debuts Online
MetroPlus Health Plan
10/2/2019
Dr. Katz's talk focuses on the erroneous assumptions made about patients and their resources, which ultimately affect their ability to not only access healthcare, but to adhere to medications and a lifestyle that is conducive to their overall health.
VCU Health System and Optima Health agree on joint ownership of Virginia Premier Health Plan
Sentara Health Plans (Optima)
9/30/2019
The agreement brings together two community-focused, Virginia-based organizations with deep roots in the Medicaid program and experience serving the Commonwealth.
James P. Holland, New President of Johns Hopkins HealthCare
Johns Hopkins HealthCare
9/30/2019
Holland brings significant experience and a strong record of success in the managed care industry. He previously served as the vice president for alliance business with Anthem, Inc., a national health benefits company.
Johns Hopkins HealthCare, Network Health Plan and Sharp Health Plan topped NCQA's list of best-rated Commercial health plans for 2019
Becker's Hospital Review
9/30/2019
NCQA rated 1,000-plus health insurance plans based on clinical quality, member satisfaction and NCQA Accreditation Survey results for its rankings.