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Alliance News
Farewell Letter from Sara Neese, Alliance Chief Operating Officer
Health Plan Alliance
6/17/2019
Sara Neese retires from her position as Alliance chief operating officer on June 21 after 14 years of service.
Health Plan Alliance Announces Addition of LifeBalance Program to its Group Purchasing Organization
Health Plan Alliance
5/28/2019
LifeBalance is a discount network that offers health plan members savings and benefits at more than 20,000 recreational, cultural, well-being and travel-related businesses. Its offerings have shown to improve health plan member loyalty, engagement and well-being.
Medicare Advantage is nudging aside ‘old Medicare’ with a free ride, a warm meal, and a handyman
STAT News
4/3/2019
Private Medicare Advantage plans offer seniors services that aren't available through the traditional Medicare program.
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.
Blog
BLOG: Flying solo? The top reason to join the flock plus 5 key traits to maximize the benefits
Dennis Bolin, Health Plan Alliance
8/26/2019
What conditions need to be present to ensure your organization benefits from being a part of the flock – both internally between teams and externally between other health care providers?
BLOG: Growing where you are already planted
Kristin Rodriguez, Health Plan Alliance
6/24/2019
How delivery systems can become a hub for health and healthcare in the future by shifting their focus from buying and building hospitals to leveraging their existing platforms to generate growth and often more profitable streams of revenue.
BLOG: Why health plans should think more like Netflix
Kristin Rodriguez, Health Plan Alliance
5/13/2019
Netflix's success didn't come from one dramatic market play. It came from a thousand little choices their leadership made in reaction to new opportunities and a changing landscape. Using this approach, maybe health plans could create a health care experience consumers value as much as family movie night.
Business News
What healthcare executives must know about the interoperability and patient access rules
Cognizant
10/3/2019
Finding more efficient ways to meet time-sensitive data processing, analysis and compliance requirements is essential to the success of your Medicare Advantage, Managed Medicaid and Commercial Exchange Plans. Discover how Cognizant can help and learn about the exclusive pricing Cognizant is now offering through the Alliance Group Purchasing Organization.
An Aging American Population Requires a Change in Care Delivery
Landmark Health
10/3/2019
Mobile providers and medical house calls are becoming a staple in primary care to meet cost, quality, and access demands of the most complex patients. Read more about Landmark Health’s story as you may be considering a solution to address the high cost of the complex, chronic population.
Evolution of Claims Auditing
Data Saints Auditing
9/24/2019
The relationship between the Claims Auditing industry and Payers has not changed much over the last 20 years. Data Saints Auditing thinks that is a bad thing and is making changes that are shaking up the industry.
Cathy Eddy joins as newest member of Discovery Health Partners Strategic Advisory Board
Discovery Health Partners
9/18/2019
Discovery’s Strategic Advisory Board is charged with guiding the company in advancing its industry-leading solutions portfolio to help health plans proactively avoid costs, improve the accuracy of claims payments, and protect the erosion of premium revenue through emerging technologies, services, and best practices.