AmeriHealth

(USA-PA-Philadelphia) Accounts Payable Clerk | 9/16/2019

ID : 17710 Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation’s leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is …

Highlights from this Week’s HMA Conference on The Next Wave of Medicaid Growth and Opportunity | 9/12/2019

Close Blog Home / Knowledge Share / Blog / Highlights from this Week’s HMA Conference on The Next Wave of Medicaid Growth and Opportunity Highlights from this Week’s HMA Conference on The Next Wave of Medicaid Growth and Opportunity by Kristin Allen This week, our In Focus section provides a recap of the fourth annual HMA Conference, The Next Wave of Medicaid Growth and Opportunity: How Payers, Providers, and States are Positioning Themselves …

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Latest Iowa news, sports, business and entertainment at 3:20 a.m. CDT | 9/10/2019

BETTENDORF SLAYING Police: Man who killed himself in Nebraska killed Iowa clerk BETTENDORF, Iowa (AP) — Police in eastern Iowa say they’ve determined that an Illinois man who shot and killed himself as he fled troopers in western Nebraska last month was the gunman who killed a Bettendorf convenience store clerk a day before his death. Bettendorf police issued a written report Tuesday saying police “are certain based on all the …

Iowa Medicaid providers fight departed insurer for payment | 9/10/2019

Advertisement Iowa Medicaid providers fight departed insurer for payment Providers of Medicaid services in Iowa say they’re owed up to $1.4 million by an insurance company that left the Iowa Medicaid program two years ago. Share {copyShortcut} to copy Link copied! Updated: 1:21 PM CDT Sep 10, 2019 The Associated Press Providers of Medicaid services in Iowa say they’re owed up to $1.4 million by an insurance company that left …

Years later, Iowa health care providers continue to fight AmeriHealth Caritas for $1.4M | 9/10/2019

A hospital in Vinton and a nursing home company in Hampton are among Iowa providers that have sued for payment of tens of thousands of dollars. Post to Facebook Years later, Iowa health care providers continue to fight AmeriHealth Caritas for $1.4M A hospital in Vinton and a nursing home company in Hampton are among Iowa providers that have sued for payment of tens of thousands of dollars. Check out …

Service Delivery - Pharmacy Benefit Claims Analyst - Philadelphia, PA, , USA #jobs #Philadelphia pls RT | 9/10/2019

Job Detail for Service Delivery - Pharmacy Benefit Claims Analyst Job Location: Amerihealth Caritas Health Plan, Philadelphia, PA, Service Delivery - Pharmacy Benefit Claims Analyst Job Location: Amerihealth Caritas Health Plan, Philadelphia, PA, , USA Jobs In Service Delivery Pharmacy Ben… Jobs In Service Delive… Jobs In Service D… Summary: To ensure continuous improvement of processes; continuously reviews and refines processes and plans for improvements by collecting and interpreting data and by developing …

Specialty Care Manager Nurse - Orlando, FL, , USA #jobs #Orlando pls RT | 9/9/2019

Job Detail for Specialty Care Manager Nurse Job Location: AmeriHealth Caritas, Orlando, FL, , USA Job Detail for Specialty Care Manager Nurse Job Location: AmeriHealth Caritas, Orlando, FL, , USA Jobs In Specialty Care Manager Nu Orl… Jobs In Specialty Care… Jobs In Specialty… Specialty Care Manager Nurse Location: Orlando, FLTelecommuter?: NoID : 14012Your career starts now. We’re looking for the next generation of health care leaders.At AmeriHealth Caritas, we’re passionate about helping …

Independence promotes Kortney Cruz to vice president of Sales and Marketing-Medicare | 9/9/2019

… Marketing-Medicare, effective September 9, 2019. In her new role, Cruz will report to Daphne Klausner , senior vice president of Senior Markets at Independence. Cruz succeeds Rob Smith, who was recently appointed president of Medicare at AmeriHealth Caritas . AmeriHealth Caritas is part of Independence Health Group — the parent company of Independence Blue Cross — and is a national leader in health care solutions for people who are at a low-income …

Clinical Care Reviewer - Concurrent Review - Raleigh - Raleigh, NC, , USA #jobs #Raleigh pls RT | 9/8/2019

… Concur… Jobs In Clinical Care … Jobs In Clinical … Job BriefThe Clinical Care Reviewer is responsible for completing medical necessity reviewsYour career starts now. We re looking for the next generation of health care leaders.At AmeriHealth Caritas, we re passionate about helping people get care, stay well and build healthy communities. As one of the nation’s leaders in health care solutions, we offer our associates the opportunity to impact the lives …

(USA-LA-Monroe) Behavioral Health Care Manager - IHCM | 9/7/2019

AmeriHealth Caritas Behavioral Health Care Manager - IHCM in Monroe , Louisiana Behavioral Health Care Manager - IHCM Location: Monroe, LA ID : 17569 Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation’s leaders in health care solutions, we offer our associates the opportunity to impact the lives …

Medical Economics Analyst - Raleigh, NC, , USA #jobs #Raleigh pls RT | 9/7/2019

Job Detail for Medical Economics Analyst Job Location: AmeriHealth Caritas, Raleigh, NC, , USA Job Detail for Medical Economics Analyst Job Location: AmeriHealth Caritas, Raleigh, NC, , USA Jobs In Medical Economics Anal Raleigh Jobs In Medical Econom… Jobs In Medical E… Medical Economics Analyst Location: Raleigh, NCTelecommuter?: NoID : 17594 Job Brief Translates business requirements into production of both ad hoc and recurring reports and data setsYour career starts now. Were looking …

Select Health Makes It Easier for Members to Get Medical Help during Hurricane Dorian | 9/5/2019

… largest Medicaid managed care organization and part of the AmeriHealth Caritas Family of Companies , is committed to the health and safety of South Carolina’s communities during Hurricane Dorian, which is currently impacting the state. Select Health is working to ensure continuity of care for members of its First Choice Medicaid and First Choice VIP Care Plus Medicare-Medicaid plans during this critical time. In coordination with South Carolina’s Department of …

Sun Safety: UV Rays Don’t Discriminate | 9/3/2019

… color don’t need sunscreen is one we need to change because we do burn and we are susceptible to skin cancer just like everyone else,” says Lavdena Orr, MD, a chief medical officer with AmeriHealth Caritas, a health care organization dedicated to the care of those most in need.”Ultraviolet rays don’t discriminate against skin type, so avoiding sunburn is the primary way to reduce one’s risk of developing melanoma …

Sun Safety: UV Rays Don’t Discriminate | Health & Wellness | nbcrightnow.com | 9/3/2019

… color don’t need sunscreen is one we need to change because we do burn and we are susceptible to skin cancer just like everyone else,” says Lavdena Orr, MD, a chief medical officer with AmeriHealth Caritas, a health care organization dedicated to the care of those most in need. “Ultraviolet rays don’t discriminate against skin type, so avoiding sunburn is the primary way to reduce one’s risk of developing melanoma …

Sun Safety: UV Rays Don’t Discriminate | Health & Wellness | moorenews.com | 9/3/2019

… color don’t need sunscreen is one we need to change because we do burn and we are susceptible to skin cancer just like everyone else,” says Lavdena Orr, MD, a chief medical officer with AmeriHealth Caritas, a health care organization dedicated to the care of those most in need. “Ultraviolet rays don’t discriminate against skin type, so avoiding sunburn is the primary way to reduce one’s risk of developing melanoma …

MANSI MEDIA | Healthcare | greensboro.com | 9/1/2019

Ad details A NATIONAL LEADER. LOCAL CARE. In North Carolina, it’s now time to choose a Medicaid health plan. Since 1983, AmeriHealth Caritas has been a leader in providing Medicaid solutions to members across the country. Be sure to choose a national leader. AmeriHealth Caritas, now in North Carolina. Proudly serving Medicaid families for over 35 years Great health care solutions Added benefits, such as weight loss program, GED assistance …

Removing Breastfeeding Stigma Could Unlock Lifesaving Benefits to Black Mothers and Their Babies | 8/30/2019

Dr. Lenaye Lawyer, an OB-GYN and a market chief medical officer for AmeriHealth Caritas, a national leader in Medicaid managed care, said there should be greater awareness of the importance of raising the low Black breastfeeding rate. According to the Centers for Disease Control and Prevention (CDC), Black infants are 13 percent less likely to be breastfed than White infants. 3 “There are many factors that contribute to the …

Wellness center planned for Hazleton | 8/30/2019

… previously was occupied by the Greater Hazleton Chamber of Commerce. Its goal is to help residents overcome the social, economic and environmental barriers to achieving and maintaining a healthy life, a news release from AmeriHealth states. Open to members and non-members, it will offer a variety of services such as health education workshops, fitness and nutrition classes, Supplemental Nutrition Assistance Program benefits counseling and new member orientations. Members will …

Philadelphia Insurer Eyes A Piece Of Minnesota’s $4B Medicaid Market - InsuranceNewsNet | 8/29/2019

… license application in the near future.” For decades, Minnesota has hired HMOs to serve as managed care organizations in the Prepaid Medical Assistance Program (PMAP) as well as MinnesotaCare. Medical Assistance is the state’s Medicaid health insurance program for low-income Minnesotans while MinnesotaCare covers slightly higher-income residents who lack job-based coverage. Next year, the state Department of Human Services plans to take bids from HMOs interested in …

AmeriHealth Caritas Northeast to Open Community Wellness Center in Hazleton | Business Wire | 8/28/2019

HARRISBURG, Pa.- AmeriHealth Caritas Northeast , a Medicaid managed care plan that serves 22 northeastern Pennsylvania counties, announced today plans to open a community wellness center in Hazleton to help residents overcome the social, economic and environmental barriers to achieving and maintaining a healthy life. The community wellness center will be located at 20 West Broad Street, in a storefront that is the former home of Greater Hazleton Chamber of Commerce …

Medicaid

AmeriHealth Caritas Northeast to Open Community Wellness Center in Hazleton | Business Wire | 8/28/2019

HARRISBURG, Pa.- AmeriHealth Caritas Northeast , a Medicaid managed care plan that serves 22 northeastern Pennsylvania counties, announced today plans to open a community wellness center in Hazleton to help residents overcome the social, economic and environmental barriers to achieving and maintaining a healthy life. The community wellness center will be located at 20 West Broad Street, in a storefront that is the former home of Greater Hazleton Chamber of Commerce …

Behavioral Health

AmeriHealth Caritas Northeast to Open Community Wellness Center in Hazleton | Business Wire | 8/28/2019

HARRISBURG, Pa.- AmeriHealth Caritas Northeast , a Medicaid managed care plan that serves 22 northeastern Pennsylvania counties, announced today plans to open a community wellness center in Hazleton to help residents overcome the social, economic and … care products, pharmaceutical benefit management and specialty pharmacy services, and behavioral health services. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 35 years of experience serving low-income and chronically

Medicare

AmeriHealth Caritas Northeast to Open Community Wellness Center in Hazleton | Business Wire | 8/28/2019

HARRISBURG, Pa.- AmeriHealth Caritas Northeast , a Medicaid managed care plan that serves 22 northeastern Pennsylvania counties, announced today plans to open a community wellness center in Hazleton to help residents overcome the social, economic and … of Columbia, AmeriHealth Caritas serves more than 5 million Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, and behavioral health services

Children's Health Insurance Program

AmeriHealth Caritas Appoints Scott Westover Market President of Its New Hampshire Plan | Business Wire | 5/9/2019

MANCHESTER, N.H.- AmeriHealth Caritas , a national leader in Medicaid managed care and other health care solutions for those most in need, announced that it has appointed Scott Westover as market president of its New Hampshire plan, AmeriHealth Caritas New Hampshire. In this role, Westover will be responsible for the plan’s strategic direction, growth, and leadership. He will also serve as the plan’s primary point of contact with the state of …

Pennsylvania Legislative Black Caucus Recognizes AmeriHealth Caritas for Leadership with Small and Minority-Owned Businesses | Business Wire | 5/2/2019

PHILADELPHIA- The Pennsylvania Legislature has recognized AmeriHealth Caritas, a national leader in Medicaid managed care and other health care solutions for those most in need, with a citation for its work supporting diverse businesses. Members of the Pennsylvania Legislative Black Caucus, including State Rep. Stephen Kinsey (201 st District), State Rep. Margo Davidson (164 th District), and State Rep. Movita John-Harrell (190 th District) were on site recently, to …

Children's Health

AmeriHealth Caritas Delaware, Nemours reach provider agreement | The Business Journals | 1/5/2018

Senior Reporter, Philadelphia Business Journal Jan 5, 2018, 11:42am EST AmeriHealth Caritas Delaware and Nemours Children’s Health System have signed an agreement that will give members of the managed care plan access to Nemours’ hospitals … urgent care locations in Delaware, Pennsylvania and New Jersey. Nemours Children’s Health System also includes Nemours Children’s Hospital in Orlando, Fla., along with outpatient facilities in six states. Ranked by Total licensed beds Rank

AmeriHealth Caritas Delaware Appoints Emmilyn Lawson Market President | Business Wire | 11/29/2017

NEWARK, Del.- AmeriHealth Caritas Delaware , a Medicaid managed care health plan that will begin caring for Delawareans using Medicaid and long-term services and supports in January 2018, announced that it has appointed Emmilyn Lawson … Highmark, Lawson led all core operations for the insurer’s Medicaid, Children’s Health Insurance Program, and long-term services and supports products. Lawson holds a Bachelor of Arts in mathematics from the University of Delaware and

ACA

Aetna, Centene protest managed care bid loss in Louisiana, charge process was flawed | FierceHealthcare | 8/21/2019

… Louisiana was tainted, and that Humana gave inaccurate information. On August 5, Louisiana selected Humana Health Benefit Plan of Louisiana, AmeriHealth Caritas Louisiana, Community Care Health Plan of Louisiana and United Healthcare Community Plan to … in a statement. RELATED: Study: Luring managed care organizations into ACA exchanges could drive down premiums Louisiana Healthcare Connections argues that the bid process was tainted with “multiple conflicts of interest within the evaluation committee …

States Given Until End Of Year To Outline Overhaul On How They Approach Opioid Use By Their Medicaid Populations | Kaiser Health News | 8/6/2019

… Republic, and that the 13-month-old baby needed another trip to the emergency room. Ms. Nuez called pediatrician Vanessa Baracaldo, who assured her on the phone that such a trip wasn’t needed and instead … 1.7 million Medicaid patients in the state. The agency picked AmeriHealth Caritas Louisiana, Community Care Health Plan of Louisiana (Healthy Blue), Humana Health Benefit Plan of Louisiana and United Healthcare Community Plan. The terms of …

Community Health

AmeriHealth Caritas’ Inclusion of Community Health-Based Services Reduces Emergency Room Utilization | Business Wire | 7/12/2019

PHILADELPHIA- An analysis of data compiled by AmeriHealth Caritas’ clinical and health care analytics teams indicates that high-risk Medicaid members who receive community-based services, with an emphasis on screening for and addressing the … a protocol for its Community Care Management Team – consisting of community health navigators, licensed nurses and social workers – to assess any socioeconomic factors that may contribute to poor health outcomes for Medicaid members. During the

16 payer exec moves in 2019 | Becker’s Hospital Review | 7/1/2019

… New York, hired former Health Care Service Corp. executive Bruce Himelstein , MD, as its CMO. 5. Ken Janda , CEO of Community Health Choice in Houston, abruptly stepped down April 11. 6. Teresa Kline , CEO of … managed Medicaid health insurer, appointed Alissa Weber CEO Jan. 3.15. AmeriHealth Caritas appointed Scott Westover market president of AmeriHealth Caritas New Hampshire in May. 16. Danette Wilson , president and CEO of Blue Cross and Blue …

Mental Health

Iowa Human Services Director Jerry Foxhoven Resigns | U.S. News & World Report | 6/17/2019

… privatization despite complaints that the program wasn’t adequately serving recipients and calls to return it to a state-run program. AmeriHealth Caritas pulled out of the program in October 2017 owing millions in unpaid claims … announced Rick Shults, the administrator overseeing the DHS’ Division of Mental Health and Disability Services, which has oversight of the resource centers would retire next month. Shults said Monday his retirement announcement is unrelated to …

AmeriHealth Caritas: Greater acceptance of mental health issues driving social programs | FierceHealthcare | 5/15/2019

… company began as a mission to deliver medical services to the very poor in West Philadelphia, Medicaid managed care company AmeriHealth Caritas now works throughout Pennsylvania, the District of Columbia, South Carolina, Louisiana, Delaware, Florida … within medical services. AmeriHealth Caritas believes that the population with mental health issues greatly benefits from a holistic, comprehensive look at health and the implementation of social services. Free Daily Newsletter Like this story? Subscribe …

AHIP

Where is the payer-provider relationship headed? 17 healthcare execs weigh in | Becker’s Hospital Review | 6/28/2019

Where is the payer-provider relationship headed? 17 healthcare execs weigh in Morgan Haefner - At the AHIP Institute & Expo in Nashville June 19-20, Becker’s Hospital Review asked 17 executives from health plans and providers one … Gelzer, MD, senior vice president and corporate CMO for the AmeriHealth Caritas Family of Companies: “Closer. Ever closer. There has been a lot of consolidation in the industry and I’m sure we’ll have some more

AmeriHealth Caritas Names Cora Lee Klena Senior Vice President and Chief Communications Officer | 1/12/2018

Sign up for AHIP Solutions SmartBrief Health care industry news for insurers Get the intelligence you need: news and information that is changing your industry today, hand-curated by our professional editors from thousands of sources and delivered straight to your inbox …

Member Engagement

Governor Wolf Joins AmeriHealth Caritas to Launch New Opioid Overdose Reversal Training Program for Its Employees | Business Wire | 5/22/2019

PHILADELPHIA- AmeriHealth Caritas , a national leader in Medicaid managed care and other health care solutions for those most in need, announced today a new program to train its employees on the use of naloxone, also … available to the general public. AmeriHealth Caritas’ Opioid Blueprint Intervention, member engagement and increased access to naloxone are vital to AmeriHealth Caritas’ multi-faceted Opioid Blueprint, a comprehensive, multi-pronged approach to prevent and combat

Smart Meter Announces a Partnership with AmeriHealth Caritas District of Columbia and Becoming a Certified Provider for District of Columbia Medicaid | Markets Insider | Business Insider | 5/20/2019

… 20, 2019 /PRNewswire/ – Smart Meter, an innovative diabetes management data, technology and solutions company, today announced a strategic agreement with AmeriHealth Caritas District of Columbia contracting to provide the iGlucose® Cellular Diabetes Care Solution to … of Columbia addresses social risk factors impacting health, leverages robust member engagement strategies to increase rates of preventive care, and utilizes programs to support health and wellness for the vulnerable populations it serves. For more …

UnitedHealth

16 payer exec moves in 2019 | Becker’s Hospital Review | 7/1/2019

… business in the state Jan. 10. 9. Blue Cross Blue Shield of Arizona appointed James Napoli , MD, its CMO.10. UnitedHealthcare CEO Steve Nelson is retiring.11. Outgoing Blue Cross Blue Shield of Wyoming CEO … managed Medicaid health insurer, appointed Alissa Weber CEO Jan. 3.15. AmeriHealth Caritas appointed Scott Westover market president of AmeriHealth Caritas New Hampshire in May. 16. Danette Wilson , president and CEO of Blue Cross and Blue …

Genesis signs contract with another company to provide Iowa privatized Medicaid coverage | 6/18/2019

… 2019.The agreement means Genesis patients who use Iowa Medicaid will have coverage with the planned June 30 exit of UnitedHealthcare from the privatized Iowa Medicaid management market. In making the announcement Monday, Genesis says … second managed care organization to leave the Iowa Medicaid market. AmeriHealth Caritas left Iowa Medicaid in 2017 …

Mana Health

Centene, Aetna protest losing Louisiana MCO contracts worth billions care Finance News | Healthcare Finance | 8/25/2019

AmeriHealth Caritas and Healthy Blue. The Louisiana Department of Health announced earlier this month it will contract with only four Medicaid MCOs: AmeriHealth Caritas Louisiana, Community Care Health Plan of Louisiana (Healthy Blue), Humana Health Benefit Plan of Louisiana and United Healthcare Community Plan. The new contracts begin on January 1, 2020. WHY THIS MATTERS The contracts are worth billions of dollars. Aetna says it is appealing the decision. “On …

Centene, Aetna protest after losing lucrative Louisiana Medicaid contracts | Healthcare Dive | 8/21/2019

AmeriHealth Caritas Louisiana, Community Care Health Plan of Louisiana (Healthy Blue), Humana Health Benefit Plan of Louisiana and United Healthcare Community Plan. Both Centene and Aetna argued in their protests that Humana failed to provide accurate information, among other claims. Recommended Reading …

VertitechIT

Former CIGNA Health and Penn Mutual CIO Joins VertitechIT as Executive Project Officer | PR Newswire | 1/16/2018

Former CIGNA Health and Penn Mutual CIO Joins VertitechIT as Executive Project Officer Terry Ramey to Lead Major Healthcare Consulting Engagements Nationwide News provided by 13:00 ET Share this article HOLYOKE, Mass. , Jan. 16, 2018 … previously held senior technology titles at PerformRX (a subsidiary of AmeriHealth Caritas), Penn Mutual Life Insurance, CIGNA Health Services, and Dendrite International. As a nationally recognized healthcare technology executive, Terry says he was looking to

HCA

Centene, Aetna protest losing Louisiana MCO contracts worth billions care Finance News | Healthcare Finance | 8/25/2019

… Healthcare Connections, and Aetna were among five Medicaid MCOs paid $7.6 billion by Medicaid during fiscal year 2018 to cover more than 1.7 million enrollees, according to the Louisiana Department of Health. Louisiana Healthcare Connections is reportedly the largest MCO in the state. The current contracts, which expire December 31, also include United Healthcare Community Plan, AmeriHealth Caritas and Healthy Blue. The Louisiana Department of Health announced earlier this month …

Aetna, Centene file protest against Louisiana’s picks to manage its Medicaid program | Becker’s Hospital Review | 8/22/2019

… Healthcare Connections, who lost bids to help manage Louisiana’s Medicaid program, filed protests against the state’s decision Aug. 19, according to The Advocate . In their protests, the health insurers claim the Louisiana Department of Health was biased against them when deciding which payers should win part of the multibillion-dollar Medicaid contracts. Aetna and Centene also claimed the department’s scoring was inconsistent.Louisiana’s new Medicaid contracts, of which Humana, AmeriHealth Caritas …

George Washington University Hospital, Washington DC

Babyscripts and AmeriHealth Caritas District of Columbia Announce Strategic Partnership to Improve Access to Care for Maternal Populations | PRWeb | 4/16/2019

Babyscripts and AmeriHealth Caritas District of Columbia Announce Strategic Partnership to Improve Access to Care for Maternal Populations Share Article Partnership Between Tech Innovator and Managed Care Organization First of Its Kind in Healthcare Industry “With this new collaboration, we’re doing something that’s never been tried in the industry before,” said Juan Pablo Segura, Co-founder and President of Babyscripts. WASHINGTON Babyscripts , the leading virtual care platform for managing obstetrics …

MedStar Health

MedStar gets a win in its battle over D.C.’s $1.1B Medicaid contract | The Business Journals | 12/14/2017

MedStar Health scored a win Wednesday after the District’s Contract Appeals Board sided with the health system in its protest of D.C.’s recent Medicaid managed care contract process. The order comes after MedStar Family Choice’s bid to renew its contract to offer Medicaid coverage in the District was denied in favor of newcomer AmeriGroup D.C., as well as incumbents AmeriHealth Caritas and Trusted Health Plan. MedStar immediately appealed the …

MedStar opts out of primary care contracts for D.C. Medicaid patients | The Business Journals | 11/29/2017

MedStar Health physicians as their primary care doctors next year — something MedStar attributes to both capacity and business reasons. The change comes after the District decided not to renew part of its $1.1 billion, five-year Medicaid contract with MedStar Family Choice , a MedStar subsidiary, instead bringing on Amerigroup D.C. and incumbents AmeriHealth Caritas and Trusted Health Plan. All three winning contractors say Columbia-based MedStar will not to sign …

Howard University Hospital, Washington DC

Ultraviolet Rays Don’t Discriminate: With Summer Sun Comes Increased Need for Safety | Business Wire | 7/12/2019

PHILADELPHIA- Skin cancer, the most common form of cancer in the United States, according to the Skin Cancer Foundation, accounts for nearly 5.5 million cancer diagnoses, resulting in 15,000 deaths per year. This year new cases of melanoma – the most dangerous form of skin cancer – are estimated to exceed 190,000, up nearly 8 percent from 2018. 1 And while regular daily use of sunscreen with a sun protection factor or …

University Hospital, Columbia MO

Ultraviolet Rays Don’t Discriminate: With Summer Sun Comes Increased Need for Safety | Business Wire | 7/12/2019

PHILADELPHIA- Skin cancer, the most common form of cancer in the United States, according to the Skin Cancer Foundation, accounts for nearly 5.5 million cancer diagnoses, resulting in 15,000 deaths per year. This year new cases of melanoma – the most dangerous form of skin cancer – are estimated to exceed 190,000, up nearly 8 percent from 2018. 1 And while regular daily use of sunscreen with a sun protection factor or …

UnitedHealthcare

16 payer exec moves in 2019 | Becker’s Hospital Review | 7/1/2019

… business in the state Jan. 10. 9. Blue Cross Blue Shield of Arizona appointed James Napoli , MD, its CMO.10. UnitedHealthcare CEO Steve Nelson is retiring.11. Outgoing Blue Cross Blue Shield of Wyoming CEO … managed Medicaid health insurer, appointed Alissa Weber CEO Jan. 3.15. AmeriHealth Caritas appointed Scott Westover market president of AmeriHealth Caritas New Hampshire in May. 16. Danette Wilson , president and CEO of Blue Cross and Blue …

Iowa Human Services Director Jerry Foxhoven Resigns | U.S. News & World Report | 6/17/2019

… he has overseen a rocky transition to a privatized Medicaid program in which two major insurers have departed the state. UnitedHealthcare informed the state in March it was leaving the $5 billion program that serves … and calls to return it to a state-run program. AmeriHealth Caritas pulled out of the program in October 2017 owing millions in unpaid claims to hospitals and private and nonprofit service providers. Negotiations have …

Amerigroup

Where is the payer-provider relationship headed? 17 healthcare execs weigh in | Becker’s Hospital Review | 6/28/2019

… we get the best-quality outcome for the patient.” Tina Brill, vice president of long-term services and support at Amerigroup: “In the LTSS space, we work much more collaboratively and much more in a … Gelzer, MD, senior vice president and corporate CMO for the AmeriHealth Caritas Family of Companies: “Closer. Ever closer. There has been a lot of consolidation in the industry and I’m sure we’ll have some more …

Iowa Human Services Director Jerry Foxhoven Resigns | U.S. News & World Report | 6/17/2019

AmeriHealth Caritas pulled out of the program in October 2017 owing millions in unpaid claims to hospitals and private and nonprofit service providers. Negotiations have been underway for new contract agreements for next year with Amerigroup, a subsidiary of Anthem Inc. which remains under contract with Iowa and Iowa Total Care, a division of Centene Corp. which entered a contract with Iowa just last May to replace AmeriHealth. It begins …

Blue Cross Blue Shield Of Michigan

Ultraviolet Rays Don’t Discriminate: With Summer Sun Comes Increased Need for Safety | Business Wire | 7/12/2019

… be that sunscreen is a necessity, even for people of color, said Lavdena Orr, MD, a chief medical officer with AmeriHealth Caritas , a national leader in Medicaid managed care and other health care solutions for … is part of the Independence Health Group in partnership with Blue Cross Blue Shield of Michigan. For more information, visit www.amerihealthcaritas.com . https://www.skincancer.org/skin-cancer-information/skin-cancer-facts https://www.skincancer.org/prevention/skin-cancer-and …

AmeriHealth Caritas’ Inclusion of Community Health-Based Services Reduces Emergency Room Utilization | Business Wire | 7/12/2019

PHILADELPHIA- An analysis of data compiled by AmeriHealth Caritas’ clinical and health care analytics teams indicates that high-risk Medicaid members who receive community-based services, with an emphasis on screening for and addressing the … is part of the Independence Health Group in partnership with Blue Cross Blue Shield of Michigan. For more information, visit www.amerihealthcaritas.com . REFERENCES 1 Social Determinants of Health. https://www.who.int/social_determinants/en/ 2 Social Determinants

Aetna

Centene, Aetna protest losing Louisiana MCO contracts worth billions care Finance News | Healthcare Finance | 8/25/2019

The Centene subsidiary, Aetna and three other MCOs were paid $7.6 billion by Medicaid to cover more than 1.7 million beneficiaries. Susan Morse , Senior Editor Aetna and Centene, two insurers on the losing side for … which expire December 31, also include United Healthcare Community Plan, AmeriHealth Caritas and Healthy Blue. The Louisiana Department of Health announced earlier this month it will contract with only four Medicaid MCOs: AmeriHealth Caritas Louisiana

Aetna, Centene file protest against Louisiana’s picks to manage its Medicaid program | Becker’s Hospital Review | 8/22/2019

Aetna and Centene subsidiary Louisiana Healthcare Connections, who lost bids to help manage Louisiana’s Medicaid program, filed protests against the state’s decision Aug. 19, according to The Advocate . In their protests, the health insurers claim … department’s scoring was inconsistent.Louisiana’s new Medicaid contracts, of which Humana, AmeriHealth Caritas Louisiana, Community Care Health Plan of Louisiana (Healthy Blue) and United Healthcare Community Plan all won, are set to take effect Jan. 1

Cigna

16 payer exec moves in 2019 | Becker’s Hospital Review | 7/1/2019

… of Rocky Mountain Health Plans, made a surprise announcement May 21 that he is leaving the company. 2. Matthew Fitzsimmons , Cigna’s U.S. privacy officer and lead cybersecurity counsel, left the company for a new position … managed Medicaid health insurer, appointed Alissa Weber CEO Jan. 3.15. AmeriHealth Caritas appointed Scott Westover market president of AmeriHealth Caritas New Hampshire in May. 16. Danette Wilson , president and CEO of Blue Cross and Blue …

Where is the payer-provider relationship headed? 17 healthcare execs weigh in | Becker’s Hospital Review | 6/28/2019

… their lives easier. The patients win. And you win.” Eva Borden, senior managing director of behavioral and medical solutions at Cigna: “How do we help providers partner across the medical neighborhoods that they interact in … Gelzer, MD, senior vice president and corporate CMO for the AmeriHealth Caritas Family of Companies: “Closer. Ever closer. There has been a lot of consolidation in the industry and I’m sure we’ll have some more …

Humana

Centene, Aetna protest losing Louisiana MCO contracts worth billions care Finance News | Healthcare Finance | 8/25/2019

AmeriHealth Caritas and Healthy Blue. The Louisiana Department of Health announced earlier this month it will contract with only four Medicaid MCOs: AmeriHealth Caritas Louisiana, Community Care Health Plan of Louisiana (Healthy Blue), Humana Health Benefit Plan of Louisiana and United Healthcare Community Plan. The new contracts begin on January 1, 2020. WHY THIS MATTERS The contracts are worth billions of dollars. Aetna says it is appealing the decision. “On …

Aetna, Centene file protest against Louisiana’s picks to manage its Medicaid program | Becker’s Hospital Review | 8/22/2019

Humana, AmeriHealth Caritas Louisiana, Community Care Health Plan of Louisiana (Healthy Blue) and United Healthcare Community Plan all won, are set to take effect Jan. 1. However, if the protests aren’t resolved in the two months before open enrollment for the state’s Medicaid beneficiaries, the state health department may seek an emergency order to keep the current contracts, according to the report …

United Healthcare Community Plan

Centene, Aetna protest losing Louisiana MCO contracts worth billions care Finance News | Healthcare Finance | 8/25/2019

United Healthcare Community Plan, AmeriHealth Caritas and Healthy Blue. The Louisiana Department of Health announced earlier this month it will contract with only four Medicaid MCOs: AmeriHealth Caritas Louisiana, Community Care Health Plan of Louisiana (Healthy Blue), Humana Health Benefit Plan of Louisiana and United Healthcare Community Plan. The new contracts begin on January 1, 2020. WHY THIS MATTERS The contracts are worth billions of dollars. Aetna says it is …

Aetna, Centene file protest against Louisiana’s picks to manage its Medicaid program | Becker’s Hospital Review | 8/22/2019

AmeriHealth Caritas Louisiana, Community Care Health Plan of Louisiana (Healthy Blue) and United Healthcare Community Plan all won, are set to take effect Jan. 1. However, if the protests aren’t resolved in the two months before open enrollment for the state’s Medicaid beneficiaries, the state health department may seek an emergency order to keep the current contracts, according to the report …

Prestige Health Choice

Prestige Health Choice Participates in Learning Collaborative to Lower Risk for Substance Use Disorder Among Adolescents | PR Newswire | 11/14/2017

Prestige Health Choice Participates in Learning Collaborative to Lower Risk for Substance Use Disorder Among Adolescents Prestige is the only Florida-based health plan to take part in nationwide effort. News provided by 08:00 ET Share this article PALM BEACH GARDENS, Fla. , Nov. 14, 2017 /PRNewswire/ – Prestige Health Choice , a Medicaid managed care plan serving 55 of Florida’s 67 counties and a joint venture between AmeriHealth Caritas and Florida Blue …

Prestige Health Choice Pharmacy Director, Holly Moreau, Pharm.D., appointed to the Florida Medicaid Pharmaceutical and Therapeutics Committee by Florida Governor Rick Scott | PR Newswire | 11/9/2017

Prestige Health Choice Pharmacy Director, Holly Moreau, Pharm.D., appointed to the Florida Medicaid Pharmaceutical and Therapeutics Committee by Florida Governor Rick Scott News provided by Nov 09, 2017, 11:01 PALM BEACH GARDENS, Fla. , Nov. 9, 2017 /PRNewswire/ – Prestige Health Choice , a Medicaid managed care plan serving 55 of Florida’s 67 counties and a joint venture between AmeriHealth Caritas and Florida Blue , announced today that Florida Governor Rick Scott has appointed …

Medstar Family Choice

MedStar gets a win in its battle over D.C.’s $1.1B Medicaid contract | The Business Journals | 12/14/2017

… MedStar Family Choice’s bid to renew its contract to offer Medicaid coverage in the District was denied in favor of newcomer AmeriGroup D.C., as well as incumbents AmeriHealth Caritas and Trusted Health Plan. MedStar immediately appealed the decision, claiming the District’s evaluation was “tainted by bias.” The city awarded the $1.1 billion, five-year contract to AmeriGroup, AmeriHealth and Trusted in May. While the appeals board did not find bias …

Judge blasts District’s handling of Medicaid contracts, orders reevaluation - The Washington Post | 12/13/2017

… MedStar Family Choice, the company’s managed-care arm, for one of three five-year managed-care contracts after it scored the lowest in competitive bidding. Instead, the agency renewed AmeriHealth Caritas and Trusted Health Plan and replaced MedStar with Amerigroup, one of the nation’s largest providers of managed care. City officials have complained that MedStar ran up costs and had more patients readmitted to hospitals, even compared with a competitor …

Oscar Health

2 insurers raising premiums in health insurance marketplace | 10/18/2017

AmeriHealth of New Jersey policy holders will pay an average of 17 percent more. The state-approved rate increases were made public Tuesday by the Department of Banking and Insurance. Horizon and AmeriHealth are two of three insurers in New Jersey participating in the marketplace for 2018. The other is New York-based Oscar Health, which is returning after a year’s absence. Most Read Stories …

Paul Tufano

Governor Wolf Joins AmeriHealth Caritas to Launch New Opioid Overdose Reversal Training Program for Its Employees | Business Wire | 5/22/2019

PHILADELPHIA- AmeriHealth Caritas , a national leader in Medicaid managed care and other health care solutions for those most in need, announced today a new program to train its employees on the use of naloxone, also … our members in Pennsylvania,” said AmeriHealth Caritas Chairman and CEO Paul Tufano. “As a company that is deeply embedded in the communities we serve, we witness the struggles our members face. Opioid addiction doesn’t discriminate

Maurice H. Kornberg

Project Accessible Oral Health’s Annual Summit Honors Champions for Care in the Disability Community | Business & Finance | manchestertimes.com | Business Wire | 6/26/2019

… H. Carnell Professor and Dean at the Kornberg School of Dentistry, Temple University; Larry Paul, DDS, Vice President, Corporate Dental, AmeriHealth Caritas; and Jim Laughman, President, Intellectual and Developmental Disabilities Solutions, AmeriHealth Caritas. (Photo: Business … University of Pennsylvania School of Dental Medicine and Temple University’s Maurice H. Kornberg School of Dentistry were each honored for their commitment to treating people with disabilities, and ensuring that future generations of dentists are …

AmeriHealth Caritas Aims to Reduce Barriers to Oral Health Care for Individuals with Disabilities | Business Wire | 4/11/2019

PHILADELPHIA- AmeriHealth Caritas , a national leader in Medicaid managed care and other health care solutions for those most in need, announced the launch of Inclusive Dental, a program designed to address a growing concern around … the company’s southeastern Pennsylvania market where partnerships with Temple University’s Maurice H. Kornberg School of Dentistry and the University of Pennsylvania’s School of Dental Medicine are underway. The program will expand to other AmeriHealth Caritas

Tom Wolf

Governor Wolf Joins AmeriHealth Caritas to Launch New Opioid Overdose Reversal Training Program for Its Employees | Business Wire | 5/22/2019

PHILADELPHIA- AmeriHealth Caritas , a national leader in Medicaid managed care and other health care solutions for those most in need, announced today a new program to train its employees on the use of naloxone, also … all hands on deck to confront this crisis,” said Governor Tom Wolf. “We’ve made progress in the past year, but there is more work to be done at all levels. That starts with saving lives

Rick Scott

Prestige Health Choice Pharmacy Director, Holly Moreau, Pharm.D., appointed to the Florida Medicaid Pharmaceutical and Therapeutics Committee by Florida Governor Rick Scott | PR Newswire | 11/9/2017

Prestige Health Choice Pharmacy Director, Holly Moreau, Pharm.D., appointed to the Florida Medicaid Pharmaceutical and Therapeutics Committee by Florida Governor Rick Scott News provided by Nov 09, 2017, 11:01 PALM BEACH GARDENS, Fla. , Nov. 9, 2017 /PRNewswire/ – Prestige Health Choice , a Medicaid managed care plan serving 55 of Florida’s 67 counties and a joint venture between AmeriHealth Caritas and Florida Blue , announced today that Florida Governor Rick Scott has appointed …

Kim Reynolds

Iowa Human Services Director Jerry Foxhoven Resigns | U.S. News & World Report | 6/17/2019

… Services Director Jerry Foxhoven Resigns The director of the Iowa Department of Human Services has resigned without explanation and Gov. Kim Reynolds says she’s replaced him with an interim director. By Associated Press , Wire Service … and calls to return it to a state-run program. AmeriHealth Caritas pulled out of the program in October 2017 owing millions in unpaid claims to hospitals and private and nonprofit service providers. Negotiations have …

UnitedHealthcare begins Medicaid coverage for extra patients - Houston Chronicle | 12/1/2017

… to new coverage following the abrupt exit of an insurance company. UnitedHealthcare took over coverage Friday for affected patients, after AmeriHealth Caritas effectively withdrew Thursday from Iowa’s health care system for the poor and disabled … changes. Two Democratic lawmakers penned a letter to GOP Gov. Kim Reynolds on Wednesday seeking more coverage options for the impacted patients. Brenna Smith, her spokeswoman, responded by defending the state’s Medicaid system. UNITEDHEALTHCARE’S PLANS …

Bruce Himelstein

16 payer exec moves in 2019 | Becker’s Hospital Review | 7/1/2019

… insurer said Jan. 9.4. MVP Health Care, a health plan in New York, hired former Health Care Service Corp. executive Bruce Himelstein , MD, as its CMO. 5. Ken Janda , CEO of Community Health Choice in … managed Medicaid health insurer, appointed Alissa Weber CEO Jan. 3.15. AmeriHealth Caritas appointed Scott Westover market president of AmeriHealth Caritas New Hampshire in May. 16. Danette Wilson , president and CEO of Blue Cross and Blue …

7 recent payer executive moves | Becker’s Hospital Review | 5/10/2019

7 recent payer executive moves Morgan Haefner - The following payers announced executive moves since mid-April, as reported by Becker’s Hospital Review : 1. AmeriHealth Caritas appointed Scott Westover market president of AmeriHealth Caritas New Hampshire.2. Teresa Kline, CEO of Detroit-based Henry Ford Health System’s Health Alliance Plan, will retire June 30.3. MVP Health Care, a health plan in New York, hired former Health Care Service Corp. executive Bruce …

Morgan Haefner

Where is the payer-provider relationship headed? 17 healthcare execs weigh in | Becker’s Hospital Review | 6/28/2019

Where is the payer-provider relationship headed? 17 healthcare execs weigh in Morgan Haefner - At the AHIP Institute & Expo in Nashville June 19-20, Becker’s Hospital Review asked 17 executives from health plans and providers one … Gelzer, MD, senior vice president and corporate CMO for the AmeriHealth Caritas Family of Companies: “Closer. Ever closer. There has been a lot of consolidation in the industry and I’m sure we’ll have some more

7 recent payer executive moves | Becker’s Hospital Review | 5/10/2019

7 recent payer executive moves Morgan Haefner - The following payers announced executive moves since mid-April, as reported by Becker’s Hospital Review : 1. AmeriHealth Caritas appointed Scott Westover market president of AmeriHealth Caritas New Hampshire.2. Teresa Kline, CEO of Detroit-based Henry Ford Health System’s Health Alliance Plan, will retire June 30.3. MVP Health Care, a health plan in New York, hired former Health Care Service Corp. executive Bruce …