Member News
Josiah Sutton Appointed CEO of CommunityCare
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CommunityCare has announced the appointment of Josiah Sutton as President and Chief Executive Officer. A longtime leader within the organization, Sutton brings both institutional knowledge and a passion for service to the role, reinforcing the company’s stability and long-term vision.
Krista Hoglund Named New President of Jefferson Health Plans
Press
Jefferson Health Plans has appointed Krista Hoglund, ASA, MAAA, MBA as its next President, effective March 10, 2025. A seasoned executive with extensive experience in the health insurance sector, Hoglund brings a strong track record of leadership, strategic innovation and expertise in value-based care.
Health New England Partners With Virta Health
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Health New England's partnership with Virta Health offers eligible members a digital, nutrition-based program for diabetes reversal and weight loss. The program helps those with type 2 diabetes, prediabetes, or weight management goals achieve sustainable results, better blood sugar control, and reduced medication needs. This cost-effective alternative supports Health New England's community health improvement mission.
Health New England Earns NCQA Accreditation
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Health New England earned a three-year NCQA reaccreditation for its Commercial and Medicaid HMO plans, scoring 4 out of 5 stars for clinical quality and member experience. This achievement underscores Health New England’s commitment to quality care and patient satisfaction, building on last year’s NCQA Health Equity recognition for its work addressing health disparities.
38 Local Non-Profits Receive Nearly $80,000 In Health New England DEIB Grants
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Health New England awarded $80,000 in DEIB grants to 38 Western Massachusetts nonprofits focused on youth health and equity, supporting food access, safe housing, and education. Since COVID-19, it has prioritized youth well-being, granting nearly $520,000 over six years.
Physicians Health Plan is now University of Michigan Health Plan
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As of Aug. 30, 2024, Physicians Health Plan (PHP) is now University of Michigan Health Plan (UM Health Plan).
Geisinger has been recognized for diversity, equity and inclusion practices by the Human Rights Campaign Foundation. This recognition speaks to Geisinger’s ongoing commitment to DE&I practices and creating a welcoming, inclusive environment for patients, members and employees. Want to follow in Geisinger's footsteps? Take a look at the DE&I practices to score high in the next HEI survey in the link above.
HealthOne Alliance and Alliant Health Plans Appoints New Chief Financial Officer
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Dalton, Georgia – Trey White was recently appointed Chief Financial Officer (CFO) for HealthOne Alliance.
Prominence Health Plan Leverages LeadingReach for Referral Management and Patient Care Coordination
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Prominence Health Plan is pleased to announce its partnership with LeadingReach, healthcare’s connected referral network and technology platform. By using LeadingReach as the foundation of its referral management efforts, Prominence Health Plan furthers its commitment to connect medical providers, specialists, and care coordinators to deliver high-quality care and improve the patient experience.
Prominence Health Launches Chronic Kidney Disease Management Program
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Prominence Health Plan announces its advanced kidney care management program in collaboration with Northern Nevada’s leading nephrologists at Sierra Nevada Specialty Care, and the national value based care experts Strive Health. This groundbreaking partnership aims to enhance the quality of care and improve health outcomes for Medicare members in Nevada with chronic kidney disease (CKD) and end-stage kidney disease (ESKD).
Sentara Healthcare acquires AvMed, Inc.
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Sentara Healthcare, one of the largest not-for-profit integrated health care delivery systems in the U.S. Mid-Atlantic region has finalized the transaction with SantaFe HealthCare, Inc., for ownership of AvMed, Inc., a not-for-profit health plan in Florida.
Health Alliance Medical Plans names new President and Chief Executive Officer
Health Alliance Medical Plans
Sinead Rice Madigan, Chief Operating Officer, has been named President and Chief Executive Officer of Health Alliance Medical Plans. Rice Madigan served for four years as COO, with 15 years of experience within the health plan, and an additional 15 years with Illinois state government agencies.
Summer 2022: Pharmacy Market Outlook
Vizient Inc.
Insight into biosimilars, their anticipated market impact, increased use of high-cost and novel cardiology, dermatology and diabetes medication therapies, and a 3.26% projected drug price inflation rate for 2023.
HealthTeam Advantage Partners with nirvanaHealth to Implement the First Integrated Payer & PBM Platform Ever Built
Businesswire
nirvanaHealth (formerly RxAdvance) and HealthTeam Advantage (“HTA”) announce their partnership, with HTA embracing both nirvanaHealth’s Medicare Advantage and PBM complete enterprise solution.
Optima Health taps Virginia Beach-based FinFit to offer financial wellness tool to Medicaid clients
Optima Health
FinFit, the Virginia Beach-based financial wellness company, and Optima Health, a Virginia Beach-based health insurance provider, have joined forces to help those in underserved and vulnerable populations ease financial stress.