Member News
Santa Clara Family Health Plan Receives Three-Year NCQA Accreditation
Santa Clara Family Health Plan
4/18/2019
Santa Clara Family Health Plan (SCFHP), the safety net health plan for Santa Clara County, announced that the National Committee for Quality Assurance (NCQA) has awarded an Accreditation status of Accredited to SCFHP’s Cal MediConnect (Medicare-Medicaid Plan) line of business.
As Part of NYC’s Commitment to Guarantee Health Care for All, MetroPlus Health Plan Announces New City Agency Partnerships to Enroll New Yorkers in Health Insurance
MetroPlus Health Plan
4/18/2019
Health Plan Teams Up with NYC Department of Probation and NYC Department of Small Business Services Following Mayor’s Executive Order.
Kickstarting your telehealth program: Making the first 100 days count
Becker's Hospital Review
4/16/2019
Intermountain launched its telehealth program to employees, its insurance arm, SelectHealth, and then the public.
How Lessons from a Lifelong Athlete Translate to Ways We Can Reduce Healthcare Costs
SelectHealth
4/12/2019
Thomas Risse, CFO, SelectHealth, shares five ways health plans and systems can reduce health care costs.
Community Health Plan of Washington names Paul Sherman Chief Medical Officer
State of Reform
4/12/2019
Dr. Paul Sherman has been appointed Chief Medical Officer at Community Health Plan of Washington (CHPW), Washington’s only local not-for-profit Medicaid and Medicare managed care plan.
Sentara Health Plans among six provider organizations to use data to trim low-value care in Virginia
Health Data Management
4/10/2019
The Virginia Center for Health Innovation (VCHI) will launch the statewide pilot to reduce medical tests and procedures that have been shown to add little or no benefit to a patient’s health and, in some cases, can even lead to potential harm.
Oak Street Health to Expand into Flint, Michigan to Deliver Quality Healthcare in Partnership with Health Alliance Plan
BioSpace
4/10/2019
Through a continued partnership with Health Alliance Plan (HAP), Oak Street Health will support Medicare beneficiaries in Genesee County with a more personal, equitable and accountable approach to healthcare.
WATCH: SelectHealth CEO Patricia Richards speaks to Idaho Falls Chamber of Commerce
East Idaho News
4/10/2019
During her tenure, SelectHealth has ranked “highest in member satisfaction” from JD Power and Associates eight times. SelectHealth has been named one of Utah’s “Best Companies to Work For” eleven times by Utah Business magazine and was recognized with the “Top Workplaces” award from Salt Lake Tribune three times.
Community Health Options in Maine one of eight organizations recognized by APA for healthy workplace
P&T Community
4/10/2019
From a symphony orchestra in Maine to an architectural firm in Hawai'i, eight organizations across the United States and Canada have been named winners of the American Psychological Association's 2019 Psychologically Healthy Workplace Awards.
Health insurers migrating to Medicare, Medicaid
Modern Health Care
4/10/2019
Fryar, president of the health system-run insurer Presbyterian Health Plan, said shifting away from fee-for-service payment toward value-based payment arrangements with clinicians is essential, because it creates incentives for physicians to meet cost and quality measures, which helps Presbyterian serve the population on a fixed, lean budget.
How Johns Hopkins Created a Preferred SNF Network
Health Leaders
4/10/2019
Components of Johns Hopkins' SNF collaborative include a rigorous process for selecting partner facilities and establishing a management framework.
More Staten Islanders Choose MetroPlus Health Plan
MetroPlus
3/18/2019
Staten Island membership has tripled in the last year and more than 400 doctors and specialists on the Island now accept MetroPlus.
More Insurers Win Lawsuits Seeking Cost-Sharing Reduction Payments
Health Affairs
2/17/2019
On February 14 and 15, two judges at the Court of Federal Claims held that insurers (including Maine Community Health Options) are entitled to unpaid cost-sharing reduction (CSR) payments.
Prominence Health Plan Invests in Primary Care
AIS Health Daily
2/15/2019
Nevada-based Prominence Health Plan has partnered with Vera Whole Health to launch primary care centers for their members to improve the quality and cost of care by integrating key services such as behavioral health treatment and health coaching.
Passport Health Plan promotes new president and chief operating officer
The Lane Report
2/15/2019
Passport Health Plan has promoted Carl Felix to the position of president and chief operating officer.