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Alliance News
Health Plan Alliance Announces Addition of RxSense to its Group Purchasing Organization
Health Plan Alliance
2/20/2020
The healthcare technology company, RxSesnse®, offers Health Plan Alliance health plan members enterprise solutions for pharmacy benefits administration.
Health Plan Alliance welcomes new member, Mary Washington Healthcare
Health Plan Alliance
11/7/2019
The Health Plan Alliance is expanding its network of provider-sponsored health plans. The organization today announced that Mary Washington Healthcare, based in Fredericksburg, Va., is now a member of the Alliance.
Health Plan Alliance welcomes new member, Capital District Physicians' Health Plan, Inc. (CDPHP)
Health Plan Alliance
11/7/2019
The Health Plan Alliance is expanding its network of provider-sponsored health plans. The organization today announced that Capital District Physicians' Health Plan, Inc. (CDPHP), based in Albany, N.Y., is now a member of the Alliance.
Member News
Henry Ford Health System Announces New President And CEO Of Health Alliance Plan
Health Alliance Plan
2/10/2020
Following a national search, Henry Ford Health System has selected Michael Genord, M.D., M.B.A., as president and chief executive officer of HAP and executive vice president of the health system, effective immediately. Dr. Genord has been serving as HAP's interim president and CEO since July 2019.
How telehealth is starting to reshape primary care delivery at Prisma Health
Prisma Health
2/9/2020
Asynchronous virtual visits are helping reduce the burdens on primary care providers at Prisma Health – while also enabling easier access, convenience and speed to care for patients.
PreferredOne adds digital platforms for mental health
Health Data Management
2/9/2020
PreferredOne has added Learn to Live’s evidence-based digital cognitive behavioral therapy platform to support its self-insured clients with 200 or more employees to aid in treating mild to moderate anxiety, depression, social anxiety, insomnia or substance use.
Baylor’s health plan worked for employees, and American Airlines and others want in on the action
Baylor, Scott & White
2/9/2020
Baylor Scott & White’s ACO expects to cover over 800,000 people this year, making it among the largest networks in the country.
Medacta, Geisinger offer lifetime Guarantee to revision knees
ryortho.com
1/23/2020
Geisinger and Medacta will stand behind the full cost of care associated with eligible revision surgeries over a patient’s lifetime, as long as they remain in the care of a Geisinger provider and are a Geisinger Health Plan member.
Blog
Blog: Innovation at work
Cathy K. Eddy
12/27/2019
What health plans can learn from the former head of innovation and creativity at Walt Disney Company.
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.
Business News
Engaging Members, Wherever They Live with New Program Offerings
The LifeBalance Program
1/31/2020
Many health plan members live in rural areas with few local services. The LifeBalance Program is enhancing its offerings to ensure that all members – no matter where they live – can enjoy benefits.
Change Healthcare podcast
Change Healthcare Consulting
1/26/2020
It’s an important time of year for Medicare Health Plans, and managing the highly regulated areas of Medicare Parts C and D can be a daunting challenge. Listen to learn from Change Healthcare Consulting's Phillip Cardona, Melissa Bailey, and Tim Gundlach explain CMS audit universes; managing the considerable amount of data they can require; and best practices for preparing for and facilitating the audit process.
Change Healthcare Consulting Services - Medicare STARS Support Case Study
Change Healthcare
1/15/2020
Accurately predicting STAR scores in real-time for a health plan can be difficult without the proper tools in place. Learn how the Change Healthcare Consulting staff helped a payer predict proper STAR scores and utilize them for their advantage.
MultiPlan’s Data iSight Reduces Out-of-Network Claim Charges
MultiPlan
12/24/2019
Data iSight is a patented, defensible alternative to U & C or Medicare-based reductions for out-of-network charges Using publicly available claim data and a unique benchmarking process, it calculates fair reimbursement that is cost-based for facilities and median reimbursement-based for practitioners — and acceptable to providers and able to achieve savings for medical payers.