Member News
Prisma Health Expands Interactive Mobile Wayfinding Platform to Six Midlands Hospitals
Prisma Health
8/22/2019
The expansion of Prisma Health GO will provide step-by-step directions to any destination within the health system. Prisma Health’s wayfinding platform brings indoor navigation to over 10 million square feet of the 14 Prisma Health Campus locations.
CareOregon Is Becoming Part Of Providence
Providence Health Plans
8/22/2019
CareOregon, the largest insurer of Medicaid patients in the state, is becoming part of the multistate, multi-billion-dollar Providence Health & Services system, under a proposal the two nonprofits announced Tuesday morning.
MetroPlus Health Plan Announces New Partnerships with City Government Agencies to Enroll More New Yorkers in Health Insurance
MetroPlus
8/22/2019
MetroPlus Health Plan today announced new partnerships with the Fire Department of the City of New York (FDNY), NYC Housing Authority (NYCHA) and the New York City Taxi and Limousine Commission (TLC) to provide New Yorkers who interact with these three critical agencies information about the City’s public option health plan and encourage them to enroll in affordable health insurance.
Using Data Analytics to Reach Five-Star Medicare Quality Measures
Geisinger Health PLan
8/22/2019
Geisinger Health Plan leveraged highly specific survey data to improve their Medicare quality measures
Sanjiv S. Shah, M.D., Appointed Chief Medical Officer of MetroPlus Health Plan
MetroPlus
8/20/2019
"We are confident Dr. Shah is the visionary leader we need to continue ensuring our members receive the excellent health services they deserve and continue to rank us among the top in quality and patient satisfaction,” said MetroPlus Board Chair Sally Hernandez-Pinero.
New Accountable Care Organization aims to help Carle, Christie patients fill Medicare gaps
The News Gazette
8/13/2019
Thousands of Carle and Christie Clinic patients covered by traditional Medicare Parts A and B will be receiving some new wellness services, courtesy of a new Accountable Care Organization.
Geisinger names new chief nursing executive
The Express
8/13/2019
Janet Tomcavage, MSN, RN, a pioneer in population health and advanced medical homes, has assumed the role of Chief Nursing Executive at Geisinger, effective Aug. 1, 2019.
Santa Clara Family Health Plan Launches Health Homes, a New Program for Eligible Med-Cal Enrollees
Santa Clara Family Health Plan
8/13/2019
This will help members coordinate their health care services and link them to community-based organizations that can assist them with gaining access to other necessities such as food and housing.
Health plans, including Prominence Health Plan, and big tech firms to test Blue Button implementation guide
Health Data Management
8/13/2019
About a dozen health plans will join Apple, Google and Microsoft to test a new private sector implementation guide for Blue Button 2.0. The Blue Button 2.0 project provides more than 53 million Medicare fee-for-service beneficiaries with access to their electronic claims information, and CMS wants private health plans to follow their lead in sharing claims information with consumers.
Homelessness, health care access top list of health concerns in Greenville County, new report shows
Greenville News
8/13/2019
Homelessness, poor access to health services and addiction are among the top problems facing Greenville County, according to the latest Community Health Needs Assessment from Bon Secours St. Francis Health System.
Community Health Plan of Washington to Cover Acupuncture for Chronic Pain
Community Health Plan of Washington
8/13/2019
As part of its whole-person care model, Community Health Plan of Washington (CHPW) announced today that it will cover acupuncture for Medicaid members statewide age 18 and up who experience chronic pain.
Medicaid recipients to receive integrated physical and behavioral care
Community Health Plan of Washington
8/13/2019
“The goal is to improve care coordination between primary care and behavioral health,” said Connie Mom-Chhing, director of fully integrated managed care at Community Health Plan of Washington (CHPW). Behavioral health includes mental health and substance-use disorders. It’s a combination of outpatient services to include individual and group therapy, medication management, inpatient stays at psychiatric hospitals, services delivered in treatment facilities and peer support services.
Dr. Marylou Buyse joins Neighborhood Health Plan of Rhode Island as chief medical officer and senior vice president
Neighborhood Health Plan of Rhode Island
8/13/2019
She brings more than 20 years of experience to her new position, including clinical leadership roles at Highmark, UnitedHealthcare of New England and Scott & White Health Plan of Texas.
CommunityCare announces the appointment of Robert L. (Bob) Bush as President and Chief Executive Officer
Tulsa World
7/12/2019
Bob has served the organization as Senior Vice President and Chief Financial Officer since January 2019 and has served as the interim President and Chief Executive Officer since February.
John Bulger, CMO of Geisinger Health Plan and other healthcare execs weigh in on where the payer-provider relationship is headed
Becker's Hospital Review
7/2/2019
What is the future of the payer-provider relationship? C-level leaders, presidents, vice presidents, directors and advisers from payers and providers nationwide share their perspective.