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Alliance News
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.
Health Plan Alliance Announces Addition of Pareto Intelligence’s Medicare Advantage Market Intelligence Tool to its Group Purchasing Organization
Health Plan Alliance
10/21/2019
A long-time preferred business sponsor of the Alliance, Pareto will now offer a custom version of its Pareto Spotlight solution exclusive to Alliance member health plans through the Alliance Group Purchasing Organization (GPO).
Member News
New Intermountain Study Aims to Determine the Most Effective Method to Identify People at Risk for Heart Disease Before They Ever Develop Problems
SelectHealth
10/29/2019
Findings from the first-of-its-kind study, which will involve more than 90,000 people in Utah, could possibly change the way cardiovascular-related diseases are diagnosed in the future – and potentially save thousands of lives due to more accurate screening and better diagnosis.
Intermountain Healthcare Community Pharmacies Are Syncing when Patients Pick Up Medications
SelectHealth
10/28/2019
Intermountain Healthcare's Community Pharmacies are helping patients take their medication as prescribed in a new way using medication synchronization — which means the pharmacy will coordinate the refill of medications so patients can pick them all up at the same time each month.
Network Health, SelectHealth, Senior Preferred (administered by Quartz Health Plan), Sharp Health Plan and SummaCare listed among the best insurance companies for Medicare Advantage in 2020
U.S. News
10/23/2019 1:00:00 PM
U.S. News analyzed insurance companies’ Medicare Advantage offerings in each state based on their 2020 CMS star ratings.
MetroPlus Health Plan Redesigns Its Website to Support Members and Be Mobile Focused
MetroPlus Health Plan
10/23/2019
User-friendly and easier to navigate, the new MetroPlus home page features clear and simple buttons linking to pages dedicated to members, providers, a selection of health insurance products, and a direct link to the expanded MetroPlus services in the GOOD4YOU pages.
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.
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
Medicare Plan Finder Reboot May Help Firms Study Competitors
Change Healthcare
10/17/2019
CMS has launched a user-friendly Medicare Plan Finder tool designed to give beneficiaries more choices when comparing various Medicare pricing options, while allowing healthcare companies to see what their competitors are up to. Please read the article to learn more.
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.