News

Health Plan Alliance to host Group Purchasing Organization (GPO) focus group on June 20th

6/9/2017
Alliance members responsible for making purchasing decisions for their health plan are invited to participate in the Alliance GPO focus group webinar.
Health Plan Alliance launches Quality Advisory Group

5/22/2017
The group is comprised of representatives from nine member plans who provide feedback and direction on educational programming topics, venues and methods that best meet the needs of their group.

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Health New England Announces Three New Leaders

6/9/2017
Health New England is pleased to announce the appointment of three individuals to Director-level positions.
Dennis Pijor named President of SummaCare

6/8/2017
Dennis was hired as Sr. Vice President in October, 2012, overseeing SummaCare operations and IT until he became CFO of SummaCare two years ago.

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The role of analytics in driving a successful value-based reimbursement strategy

6/13/2017 5:00:00 AM
As you develop your value-based reimbursement strategy, healthcare analytics plays a critical role in making data meaningful and actionable for providers. This white paper provides five critical enablers of transparency, outlines the role of analytics and provides a list of attributes for evaluating an effective analytics solution.
MCOL offers webinar on Access Transformation Techniques, June 27, 2017

6/13/2017
BDC Advisors' Craig Ahrens, MHA, MBA, Alan E. London, MD, and David Fairchild, MD focus on applying access transformation best practices through case studies and potential application scenarios during this HealthcareWebSummit event.

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More formularies may mean more problems on audits, suggests CMS

6/16/2017
CMS's annual report summarizing activities for the prior audit year — released several months earlier than usual — contained some "encouraging" results, such as improved performance in the Part D program areas of Formulary and Benefit Administration (FA) and Coverage Determinations, Appeals, and Grievances (CDAG), observed a CMS official who spoke during a session of the Medicare Advantage and Prescription Drug Plan Audit and Enforcement Conference.
Value-Based Contracting: How to Engage in the New Payment Models

6/13/2017
Value-Based Contracting is a range of reimbursement methods from Fee-For-Service with incentives for value to full risk-based agreements.

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