Payer Updates

Cigna

Cigna Launches New Medicare Advantage Plan in Nashville Area Wire | Business Wire | 10/12/2019

Global health service company Cigna today announced it will launch a new Medicare Advantage (MA) plan in the Nashville metropolitan area. In addition to Cigna’s existing Medicare Supplement, Part D and MA HMO plans for the region, a new MA PPO offering will first be available for Medicare’s Annual Election Period (AEP). All plans will be effective on January 1, 2020. Residents of Davidson, Rutherford, Sumner, Williamson and Wilson counties …

Careplus Health Plans

CarePlus Health Plans Once Again Achieves Medicare’s Highest Quality Rating | Business Wire | 10/11/2019

… Plan Customer Service Member Complaints and Changes in the Drug Plan’s Performance Member Experience with Drug Plan Drug Safety and Accuracy of Drug Pricing People who are Medicare‐eligible can find out more about CarePlus Health Plans by contacting 1-855-450-1352, (TTY 711) from 8 a.m. to 8 p.m. local time, seven days a week, or visiting www.careplushealthplans.com . About CarePlus Health Plans CarePlus Health Plans, Inc., a recognized leader in health …

Superior HealthPlan

Allwell From Superior HealthPlan Earns 4.5 Out Of 5.0 In Latest Medicare Quality Ratings From CMS | PR Newswire | 10/11/2019

AUSTIN, Texas Allwell from Superior HealthPlan has earned 4.5 of 5.0 stars from the Centers for Medicare and Medicaid Services (CMS) in their annual Star Ratings report. The latest ratings are based on a number of quality-of-care measures and member experience ratings for Medicare Advantage and Prescription Drug Plan enrollees. CMS elevated the company’s rating for the 2020 plan year from 3.5 to 4.5 stars for the Allwell …

Humana

Humana invests $20M in employee benefit tech firm | Becker’s Hospital Review | 10/11/2019

Humana expanded its partnership with Accolade and committed $20 million to the healthcare technology and benefits firm, the organizations said Oct. 10. Through their partnership, Humana uses Accolade’s solutions to improve member engagement among its commercial employer group plans. The investment will allow Humana and Accolade to significantly expand their co-branded services in 2020.The two organizations first partnered in March 2019 …

Bright Health

University Hospitals partners with Bright Health to offer Medicare Advantage plans | Modern Healthcare | 10/11/2019

Minneapolis-based health insurance company Bright Health has partnered with University Hospitals to offer Medicare Advantage plans to residents of the Cleveland and Akron areas in 2020, according to a news release. Coverage will be available in Cuyahoga, Lake, Portage, Medina, Geauga and Summit counties. Bright Health received regulatory approval from the Ohio Department of Insurance and the Centers for Medicare and Medicaid Services to offer health plans during this …

Metroplus Health Plan

Former CEO of MetroPlus Health Plan, Dr. Arnold Saperstein, Joins Cecelia Health as Chief Medical Officer | PRWeb | 10/10/2019

Cecelia Health , a leading technology-enabled chronic disease management company based in New York City, has hired former President and CEO of MetroPlus Health Plan, Arnold Saperstein MD, FACP, as Chief Medical Officer. Saperstein began his career in managed care in 1992 and joined MetroPlus Health Plan in 1995 initially as Chief Medical Officer and then as President and CEO from 2006 until 2019. MetroPlus Health Plan, a wholly-owned …

Wellcare

NCQA Rates WellCare as Kentucky’s Top-Rated Medicaid Plan for Consumer Satisfaction | PR Newswire | 10/10/2019

LOUISVILLE, Ky. and TAMPA, Fla. , Oct. 10, WellCare of Kentucky , Inc., a WellCare Health Plans, Inc. (NYSE: WCG ) company and the commonwealth’s largest Medicaid provider, earned the highest rating in consumer satisfaction in Kentucky by the nation’s top healthcare accreditation organization. WellCare received an overall score of 3.5 out of 5 – the highest score this year in Kentucky – according to the National Committee for Quality Assurance (NCQA) Medicaid Health Insurance …

UnitedHealthcare

UnitedHealthcare launches new app with on-demand telemedicine | FierceHealthcare | 10/10/2019

… help them find and navigate through a number of functions,” Keran said. “From a technical standpoint, we’re really modified and molded the back end to really help us modify and improve the application.” RELATED: UnitedHealthcare ramping up investment in virtual visits, home monitoring for 6M Medicare Advantage members Using the app, a UnitedHealthcare member can directly request and schedule a virtual visit instead of needing a separate login or having …

Fidelis Care

Fidelis Care Community Office Opens in Bensonhurst, Brooklyn | PR Newswire | 10/10/2019

BENSONHURST, N.Y., Oct. 10, Fidelis Care , a Statewide health plan with more than 1.7 million members, is pleased to announce the opening of its new community office located at 2133 86 Street in Brooklyn . Local dignitaries and community partners joined Fidelis Care for a ribbon cutting and grand opening celebration at the office today. Staffed by Fidelis Care representatives that speak several languages (Russian, Chinese, Arabic, and Spanish), the 1,900 …

Meridian Health Plan Of Illinois

NCQA Rates MeridianHealth among Top-Performing Medicaid Plans in Illinois | PR Newswire | 10/10/2019

CHICAGO and TAMPA, Fla. , Oct. 10, Meridian Health Plan of Illinois , Inc. (Meridian), a WellCare Health Plans, Inc. (NYSE: WCG ) company, rated among the top Medicaid plans in the state, according to the National Committee for Quality Assurance (NCQA) Medicaid Health Insurance Plan Ratings 2019-2020. NCQA, a private, non-profit organization dedicated to improving healthcare quality, publicly released its 2019-20 Health Insurance Plan Ratings at healthinsuranceratings.ncqa.org. The annual report rates …

Aetna

Luisa Beltran wrote a new post, Papa raises $10 mln, on the site PE Hub | 10/9/2019

Follow @LuisaRBeltran Papa said Oct. 9 that it raised $10 million in a Series A round led by Canaan , with additional investment from Pivotal Ventures , an investment and incubation company created by Melinda Gates . Initialized Capital , Y Combinator , and Sound Ventures re-invested in the round. Papa seeks to provide companionship to seniors to curb loneliness and social isolation. PRESS RELEASE Papa Announces $10 Million Series A Round and Partnerships …

EMI Health

Employee Navigator & EMI Health Announce Partnership | Business Wire | 10/8/2019

BETHESDA, Md.–(BUSINESS WIRE)–Oct 8, 2019– Employee Navigator, one of the nation’s leading benefits and HR solutions for brokers , has announced a partnership with EMI Health ® , (EMI Health) a leading health insurance organization with over 280,000 members. The partnership aims to streamline benefits administration for brokers and their customers. This integration will allow employers to enroll in an array of quality EMI Health benefits in a modern self-service …

Carelink

Capsa Healthcare’s CareLink Nurse Workstations Integrate with Imprivata Medical Device Access and Imprivata OneSign | PRWeb | 10/7/2019

Capsa Healthcare’s CareLink Nurse Workstations Integrate with Imprivata Medical Device Access and Imprivata OneSign Share Article Capsa Healthcare’s CareLink integration with Imprivata’s secure identity and access management solutions optimize clinical workflows, improve security, and save care providers time. CareLink M48 The integrated solution now further maximizes the workflow advantages our customers gain with the CareLink platform PORTLAND, Ore. Capsa Healthcare is pleased to announce a collaboration with Imprivata®, the healthcare …

Blue Cross Blue Shield Of Massachusetts

Blue Cross Blue Shield of Massachusetts Sponsors $1 Single-Trip Bluebikes Fares During MBTA Weekend Shutdowns | PR Newswire | 10/4/2019

BOSTON, Oct. 4, Blue Cross Blue Shield of Massachusetts (Blue Cross), in partnership with the system’s municipal owners, today announced Bluebikes fare reductions on Saturdays and Sundays through the end of 2019 to support easier travel during the MBTA’s planned shutdowns. Beginning October 5 , riders can take 30-minute single trips to and from stations on the Metro area’s public bike share system for $1 on weekends. The reduced fares …

EmblemHealth

EmblemHealth and LaborPress Honor 2019 Heroes of Labor | PR Newswire | 10/3/2019

… long-standing dedication to the city and their work. “The strength of New York City is a direct result of the work and dedication of the working men and women of our city,” said EmblemHealth President and CEO Karen Ignagni . “It is an honor to be entrusted with the responsibility of advancing New York’s working men and women, and EmblemHealth is proud to serve these individuals and their families.” The …

Independence Blue Cross

Independence Blue Cross Opens State-of-the-Art Innovation Center | PR Newswire | 10/3/2019

PHILADELPHIA , Oct. 3, Independence Blue Cross (Independence) today celebrated the grand opening of its new Center for Innovation, located in the company’s headquarters at 1901 Market Street. The two-story, 30,000-square foot facility will provide space and resources to engage the community, members, customers, health care professionals, and other partners in innovative projects. It will also offer Independence employees a space for collaboration and creative thinking. “At Independence, innovation …

Health Net

Photo of Abbie Totten, Health Net Medi-Cal Program Officer, at the Restoring Healthcare, Restoring Community Summit is Available on Business Wire’s Website and the Associated Press Photo Network | Business Wire | 10/2/2019

A photo is available on Business Wire’s website and the Associated Press Photo Network of Abbie Totten, Health Net Medi-Cal Program Officer, joining the Innovative Connections to Care panel at the Restoring Healthcare, Restoring Community Summit in September hosted by the Butte-Glenn Medical Society. The panel, which included local and statewide officials and healthcare providers, discussed efforts underway to re-establish the healthcare infrastructure in Butte County after …

Alignment Health Plan

Alignment Health Plan to Offer Concierge, Social Determinants of Health Benefits | HealthPayer Intelligence | 10/2/2019

Private Payers News Alignment Health Plan to Offer Concierge, Social Determinants of Health Benefits The Southern California-based Medicare Advantage plan, Alignment Health plan, will offer members concierge and social determinants of health benefits in 2020. Source: Getty Images By October 02, 2019 - Alignment Health Plan will offer qualified Medicare Advantage members concierge services and social determinants of health benefits in 2020. The Southern California-based Medicare Advantage plan will …

SCAN Health Plan

SCAN Health Plan 2020 Benefits in Northern California Extend to Stanislaus County With Three Plan Options | PR Newswire | 10/1/2019

LONG BEACH, Calif. SCAN Health Plan® today announced its 2020 health plan benefits in Northern California and debut in Stanislaus County . SCAN will enter Stanislaus with three plans and introduce new plans in several of its current service areas. Current and prospective SCAN Health Plan members in Northern California benefit from the stability and dependability of the 2020 benefit options. “With expanded geographic reach, the introduction of new plans and …

Amerigroup

Amerigroup Expands Benefits in 2020 Medicare Advantage Plans to Address Whole-Person Health | Business Wire | 10/1/2019

PHOENIX- Amerigroup in Arizona announced today enhancements to its wellness services offered in many of the company’s 2020 Medicare Advantage plans. As part of its commitment to helping consumers improve their health and well-being, Amerigroup is giving its members access to wellness services, including nutritional support, in-home support, respite care, and pest control. Amerigroup recognizes that these types of social and support services can be drivers of good …