The Health Plan News

This is selected news for The Health Plan, which is filed under Sectors / Healthcare Payers. There are 1.3K news items for this page. The Health Plan is occasionally combined with AHIP, Mental Health Parity and Care Navigation in news items. A press release filter page is also available for The Health Plan.

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Selected Headlines

Date Headline (link) Source
12/6/2022 Employers Use Patient Assistance Programs to Offset Their Own Costs
... of which work directly with employers. In one approach, insurers or employers continue to cover the drugs but designate them as ‚Aunonessential,‚Au which allows the health plans to bypass annual limits set by the Affordable Care Act on how much patients can pay in out-of-pocket costs for ...
California Healthline
12/6/2022 Employers Use Patient Assistance Programs to Offset Their Own Costs | Kaiser Health News
... work directly with employers. /p p In one approach, insurers or employers continue to cover the drugs but designate them as ‚Aunonessential,‚Au which allows the health plans to bypass annual limits set by the Affordable Care Act on how much patients can pay in out-of-pocket costs for ...
Kaiser Health News
12/6/2022 Psychedelic therapy moving to next frontier: workplace perk - STAT
... on-label one, said Sabrina Corlette, a research professor at Georgetown University's Center on Health Insurance Reforms. In those cases, it's up to the health plan or employer to decide whether they want to cover the off-label use. ‚AuThere may be market demand and insurers feel like ...
STAT
12/5/2022 AmeriHealth Caritas Florida Awarded the Multicultural Healthcare Distinction
... that has 5 of their 12 food banks directly serving areas affected by Hurricane Ian. Now they have been given the Multicultural Healthcare Distinction because the health plan offers numerous services to meet the diverse needs of its membership, including: · Targeted programs and interventions to address identified health disparities · Bilingual ...
floridianpress.com
12/5/2022 CalOptima Health launches $50M “Cancer Moonshot”
... incidence rate nationwide for late-stage breast, cervical, colon and certain lung cancers. This is the single largest investment in a disease prevention program in the health plan's history. ‚AuWith rare exception, no one should die from breast, cervical or colon cancer, and many heavy smokers should not die ...
newsantaana.com
12/5/2022 CalOptima Health launches largest cancer prevention program with record $50.1 million investment - Orange County Breeze
... incidence rate nationwide for late-stage breast, cervical, colon and certain lung cancers. This is the single largest investment in a disease prevention program in the health plan's history. ‚AuWith rare exception, no one should die from breast, cervical or colon cancer, and many heavy smokers should not die ...
oc-breeze.com
12/5/2022 Impact of COVID-19 on Demand for Mental Health Services
... saw increases in mental health requests from the pediatric population all the way up to the geriatric population, which triggered a number of changes within the health plan. We increased access to telemedicine and behavioral health services. We focused on ensuring that our members in our community were aware of ...
AJMC
12/5/2022 Nominations Now Open: IEHP Living the Mission Awards
... by visiting LivingTheMissionAwards.IEHP.org . Continue Reading Community Action Partnership of San Bernardino County (CAPSBC) was awarded Inland Empire Health Plan's (IEHP) Mission INSPIRE Award at the health plan's second annual Mission Conference on May 6. The award recognized CAPSBC's dedication to eliminating the effects of poverty through advocacy ...
PR Newswire
12/5/2022 Nominations Now Open: IEHP Living the Mission Awards
... and happier place for all? Community Action Partnership of San Bernardino County (CAPSBC) was awarded Inland Empire Health Plan's (IEHP) Mission INSPIRE Award at the health plan's second annual Mission Conference on May 6. The award recognized CAPSBC's dedication to eliminating the effects of poverty through advocacy ...
Yahoo News
12/1/2022 Challenges to the Final August 2022 No Surprises Act Independent Dispute Resolution Rule | dispatchist.com
... and a health plan cannot reach agreement on the amount the plan will pay for a service to which the NSA applies, the provider and the health plan must resolve the dispute through the new federal IDR process.The original October 2021 interim final rule stated that arbitrators implementing the IDR ...
dispatchist.com
11/30/2022 WellSky® Partners with Catholic Charities of Southeast Michigan to Improve Health Equity and Outcomes | Business | Maryville Daily Forum
... leverage the same platform, referrals are more easily tracked and managed. CCSEM can identify all the social services a member has been referred to, while the health plan has visibility into the outcomes of the referrals they made. This collaboration helps close the gap on SDoH for the community, driving ...
maryvilleforum.com
11/30/2022 WellSky® Partners with Catholic Charities of Southeast Michigan to Improve Health Equity and Outcomes | Business Wire
... leverage the same platform, referrals are more easily tracked and managed. CCSEM can identify all the social services a member has been referred to, while the health plan has visibility into the outcomes of the referrals they made. This collaboration helps close the gap on SDoH for the community, driving ...
Business Wire
11/29/2022 The No Surprises Act is Full of Surprises
... co-insurance, and also may receive a ‚Aubalance bill‚Au for the difference between the provider or facility's charges and the amount covered by the health plan. Many patients aren‚Aot aware of this additional potential bill. The NSA attempts to address these surprises by requiring advanced estimates and ...
HIT Consultant
11/29/2022 Audits — hidden until now — reveal millions in Medicare Advantage overcharges
... to $773 per patient. Auditors flag overpayments when a patient's records fail to document that the person had the medical condition the government paid the health plan to treat, or if medical reviewers judge the illness is less severe than claimed. That happened on average for just over 20 ...
tucsonsentinel.com
11/29/2022 IEHP supports new moms with mental health events
... health and wellness resources and connections to prenatal and postpartum care. Events will be hosted by IEHP's Maternal Mental Health Team at all three of the health plan's Community Resource Centers: Thursday, Dec. 1 , 9 a.m.- 1 p.m. at IEHP's Victorville center, 12353 Mariposa Road, Suites C-2 & C-3 ...
marketwirenews.com
11/29/2022 IEHP supports new moms with mental health events
... health and wellness resources and connections to prenatal and postpartum care. Events will be hosted by IEHP's Maternal Mental Health Team at all three of the health plan's Community Resource Centers: Thursday, Dec. 1 , 9 a.m.- 1 p.m. at IEHP's Victorville center, 12353 Mariposa Road, Suites C-2 & C-3 ...
PR Newswire
11/29/2022 IEHP supports new moms with mental health events | Financial | thebesttimes.com
... health and wellness resources and connections to prenatal and postpartum care. Events will be hosted by IEHP's Maternal Mental Health Team at all three of the health plan's Community Resource Centers: - Thursday, Dec. 1, 9 a.m.- 1 p.m. at IEHP's Victorville center, 12353 Mariposa Road, Suites C-2 & C-3 ...
thebesttimes.com
11/29/2022 Improving Health And Well-Being Through Community Care Hubs | Health Affairs
... 2020, WNYICC contracted with a regional Medicare Advantage plan to provide post-discharge home-delivered meals and incorporated patient satisfaction surveys to facilitate feedback to the health plan. After a successful proof-of-concept, their contract was expanded to include services including chronic care management, an expanded meal benefit, and ...
Health Affairs
11/29/2022 Inovalon Customers Outperform Market on Key CMS Star
... that more than 60% of all health plans that achieve the highest CMS Star score of 5 Stars utilize Inovalon's software. Furthermore, analysis of the health plans with CMS Star scores below the coveted 4 Star threshold, reveals that those utilizing Inovalon's Converged Quality solution realized an average ...
Globe Newswire
11/29/2022 Challenges to the Final August 2022 No Surprises Act Independent Dispute Resolution Rule
... and a health plan cannot reach agreement on the amount the plan will pay for a service to which the NSA applies, the provider and the health plan must resolve the dispute through the new federal IDR ...
ramaonhealthcare.com
11/26/2022 Adding a Parent or Stepparent as Dependents on your Covered California Application
... provides over one-half of the parent or stepparent's total support during the tax year and claims them as a tax dependent. - Live in the health plan's service area ‚Ai carriers will be required to provide coverage if the qualifying dependent lives in the carrier's service area ...
insuremekevin.com
11/26/2022 More people will be eligible for health insurance through Covered California | dispatchist.com
... for financial assistance through Covered California based on their income. The federal government is footing the bill for the expansion and pays subsidies directly to the health plans based on Covered California's marketplace prices.Covered California pays for outreach to families, including those who have been caught in the glitch ...
dispatchist.com
11/26/2022 Blue Shield PPO Covered California Rate Increase 2022 vs 2023
... The rate for a 64-year-old can be no more than 3 times that of a 21-year-old. This means, in most instances, the health plan rate will increase with each year of age. The health plans and insurance companies use a universal age adjusted percentage rate increase ...
insuremekevin.com
11/24/2022 Audits reveal millions in Medicare Advantage overcharges | News | transylvaniatimes.com
... to $773 per patient. Auditors flag overpayments when a patient's records fail to document that the person had the medical condition the government paid the health plan to treat, or if medical reviewers judge the illness is less severe than claimed. That happened on average for just over 20 ...
transylvaniatimes.com
11/24/2022 Accelerating value-based care: Why health plans now hold the keys | Viewpoint
... provide a bigger window into provider performance.\n\nThere also needs to be more clarity for providers on how to submit patient care data to the health plan. For many plans, this process is still highly fragmented with providers submitting data from various channels. Narrowing provider dataflow to one channel ...
Chief Healthcare Executive