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Alliance News
Health Plan Alliance inaugurates the Cathy K. Eddy Health Care Leadership Lecture Series
Health Plan Alliance
5/1/2018
The lecture series was created in honor of Alliance founder and president, Cathy Eddy, and was unveiled on April 5 at a celebration honoring her career. Cathy Eddy retired from the Alliance on April 30.
Health Plan Alliance welcomes new member PreferredOne
Health Plan Alliance
4/26/2018
The Health Plan Alliance is expanding its community of provider-sponsored and independently-owned health plans. The organization today announced that PreferredOne, based in Golden Valley, Minn. joined the Alliance as its newest member.
Health Plan Alliance welcomes new member Care N' Care
Health Plan Alliance
2/17/2018
Care N' Care, based in Fort Worth, Texas joins the Alliance as its newest member.
Member News
The big data disruption: How big data analytics can impact health care
Crains Detroit Business
10/15/2018
HAP is doing more to ensure clinicians have the information they need to interact directly with patients and providers to improve results.
Passport Health Plan latest renderings of HQ campus are pretty epic
BizJournals
10/15/2018
Passport Health Plan latest headquarters campus renderings include as many as 13 buildings.
CHRISTUS Health Plan Expands Medicare Advantage
East Texas Review
10/13/2018
The Centers for Medicare & Medicaid Services (CMS) has announced the expansion of two new health care options across a larger area in Northeast Texas for seniors, CHRISTUS Health Plan Generations and Generations Plus (HMO).
Geisinger, Dignity Health among 1,300 providers to sign up for CMS bundled payment model
FierceHealthcare
10/10/2018
Nearly 1,300 providers including Adventist Health, Dignity Health, Geisinger Health System and Sutter Healthcare have signed up to participate in the first wave of CMS new voluntary bundled payment program.
Geisinger and other Pennsylvania insurance companies arm up in opioid addiction fight
The Citizens Voice
10/9/2018
In the war on opioid drug addiction, the companies that pay for the medicine at the pharmacy counter have immense power to prevent abuse, and insurance companies in Pennsylvania are interceding where they can to keep doctors and pharmacists accountable.
Blog
BLOG: Top 10 reads of the summer
Health Plan Alliance
10/2/2018
What is summer without a reading challenge? This summer, Health Plan Alliance members tapped into the resources available in the Alliance Knowledge Center and accessed more than 700 documents. Turn over a new leaf this fall with our favorite page-turners of the summer and hear from our reading challenge champion, Sarah Litchfield, Government Program Coordinator, Geisinger Health Plan.
BLOG: Q&A - Containing costs on out of network claims
Health Plan Alliance
9/17/2018
Tim Callender, VP at The Phia Group, talks about health plans' cost-containment challenges and the savings health plans have achieved on out of network claims with The Phia Group's newest cost-containment service, Phia Unwrapped.
BLOG: How provider-sponsored health plans use their super power to differentiate in government-sponsored health care
Kristin Rodriguez, Health Plan Alliance
8/31/2018
From a deep dive into Medicare Advantage (MA) product design and marketing strategy to major wins and lessons learned in risk adjustment, quality and member engagement, Alliance members share how they are differentiating themselves in their marketplace and serving their beneficiaries.
Business News
Study Shows Nutrition Intervention Reduces Hospital Readmissions
GA Foods
10/15/2018
Health plans are always looking for better ways to keep members out of the hospital and to reduce their length of stay. Yet, the role of nutrition remains poorly understood by providers, administrators, and payers. One of the leading causes for readmission to the hospital is malnutrition.
How Intermountain and SelectHealth Engaged Members and Saw ROI with Direct-to-Consumer Telehealth
Intermountain
10/2/2018
Intermountain Healthcare, a not-for-profit integrated health system based in Salt Lake City, recently presented the results of its claims analysis showing the value and quality impact direct-to-consumer telehealth has on its system and patients
Industry News
New Regulation Requiring Drug Pricing Transparency
CMS
10/23/2018
On October 15, 2018, the Centers for Medicare and Medicaid Services (CMS) unveiled its proposed rule requiring direct-to-consumer television advertisements for prescription drug and biological products to contain the list price (defined as the Wholesale Acquisition Cost) if the product is reimbursable by Medicare or Medicaid.