Priority Health

Spectrum ups funding for equitable health assistance … | 6/26/2020

… Lakeland division. As a system, Spectrum Health will dedicate an additional 40% to improve health equity, a total commitment of at least $100 million over the next 10 years. “For decades, Spectrum Health — including Priority Health — has been committed to meeting the needs of those in our community that experience the poorest health outcomes,” said Tina Freese Decker, president and CEO of Spectrum Health. “Our mission is to improve health …

Cigna and Priority Health to Form Strategic Alliance | 6/24/2020

Cigna and Priority Health to Form Strategic Alliance By: Rob Senior Share on Twitter Duo will join forces starting in 2021 to create a “strategic alliance” Priority Health and Cigna today announced they have formed a Strategic Alliance and will partner to make comprehensive health care coverage more affordable and accessible to Michigan employers, their employees and families. This new Strategic Alliance will offer a competitive network solution for employer …

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Datapoint: Cigna Expands Michigan Network With Priority Health Deal | 6/24/2020

Cigna Corp. and Priority Health on Monday said they have formed a strategic alliance to offer a more comprehensive provider network to Michigan employer groups. Beginning January 1, 2021, Cigna’s employer groups will have access to Priority Health’s provider network, and Priority Health’s members will be able to use Cigna’s network when travelling outside of the Priority Health service area. Priority Health is currently the second-largest insurer in Michigan …

Priority Health & Battle Creek YMCA Giving Away Thousands of Free | 6/24/2020

Thanks to Priority Health ‘s nearly $40,000 donation, starting June 24th through August 12th on every Wednesday from 11:45 a.m. to 12:15 p.m., families can drive through to pick up diapers and wipes at the Battle Creek Family YMCA. They’re expecting to help out at least 100 families a week, having already provided nearly 4,000 diapers per week since the pandemic started. This is a huge advancement for those who have …

Cigna, Priority Health Team Up to Offer Improved Healthcare - June 23, 2020 - Zacks.com | 6/23/2020

Cigna Corporation ( CI - Free Report ) recently partnered with Priority Health — the second largest health plan in the state of Michigan. Priority Health, which provides a diverse suite of health care plans for employer groups and individuals, comprises strong network of 97% of primary care physicians in the state. This is not the first time that Cigna is working with Priority Health, which even offers health coverage schemes under Medicare and …

Priority Health and Cigna Form Strategic Alliance to Make Quality Health Care More Affordable and Accessible for Michigan Employers and Customers | PR Newswire | 6/22/2020

Cigna Logo (PRNewsfoto/Cigna) (PRNewsfoto/Priority Health ,Cigna) GRAND RAPIDS, Mich. , June 22, 2020 /PRNewswire/ – Priority Health and Cigna (NYSE: CI ) today announced they have formed a Strategic Alliance and will partner to make comprehensive health care coverage more affordable and accessible to Michigan employers, their employees and families. This new Strategic Alliance will offer a competitive network solution for employer groups in the state, leveraging the best capabilities of …

Cigna to partner with Spectrum’s health plan | Becker’s Hospital Review | 6/22/2020

Cigna to partner with Spectrum’s health plan Morgan Haefner - Print Email Cigna is partnering with Priority Health , the health plan of Grand Rapids, Mich.-based Spectrum Health, on several initiatives. The two organizations will offer combined network solutions to members. Beginning Jan. 1, 2021, Cigna members will be able to access Priority Health ‘s provider network, including physicians, hospitals, labs and ancillary care services. Priority Health members who work outside of …

Cigna, Priority Health team up to offer broader network to Michigan employers | FierceHealthcare | 6/22/2020

Cigna and Priority Health are teaming up to offer a more expansive network to employers in Michigan. Beginning Jan. 1, Cigna’s employer clients will have access to Priority Health’s provider network in the state, and Priority Health clients will have access to Cigna’s network when they travel outside of Priority’s service area, the two insurers announced Monday. The goal, they said, is to make it easier for members to access …

Cigna, Priority Health Form Strategic Alliance For Employer Plans | HealthPayer Intelligence | 6/22/2020

Private Payers News Cigna, Priority Health Form Strategic Alliance For Employer Plans The strategic alliance will focus on offering broader access to care and streamlining previous areas of partnership. Source: Getty Images By June 22, 2020 - Priority Health and Cigna are creating a strategic alliance to offer greater in-network options for employer-sponsored health plans in Michigan, the payers announced . “This Strategic Alliance with one of the fastest growing …

Grand Rapids’ Priority Health Partners with Connecticut’s Cigna to Expand Out-of-state Coverage | 6/22/2020

Grand Rapids-based Priority Health, the second-largest health care plan in the state, has formed a strategic alliance with Connecticut-based Cigna. Priority says the partnership will make comprehensive health care coverage more affordable and accessible to Michigan employers and their employees. Terms of the agreement were not disclosed. The alliance will offer a network solution for employer groups in the state, leveraging the capabilities of each organization and …

COVID-19 Update: U.S. Retail Sales Rose 17.7% in May, Auto Dealers Jumped 44.1%, Clothing Stores Receipts up 188%, Priority Health Reduces Coverage Pricing, and More | 6/17/2020

… sense for them. There are many ways to locate a HUD-approved housing counseling agency. Visit HUD’s website or call 800-569-4287. Priority Health Reduces Individual Coverage Pricing for Third Straight Year Grand Rapids-based Priority Health, the second-largest health plan in Michigan, announced today that for the third straight year the company plans to reduce individual coverage premiums. Priority Health submitted a variety of product options on the Affordable …

Priority Health Selects The Inovalon ONE® Platform | 6/10/2020

… 07:55 ET Source: Inovalon Holdings, Inc. BOWIE, Md., June 10, 2020 (GLOBE NEWSWIRE) – Inovalon (Nasdaq: INOV), a leading provider of cloud-based platforms empowering data-driven healthcare, today announced a multi-year engagement with Priority Health , a leading Michigan health plan with more than one million members, to provide a configuration of the Inovalon ONE ® Platform in support of superior member insights and economic performance for its commercial and Medicare …

Priority Health Selects The Inovalon ONE Platform | 6/10/2020

Life Sciences , News Leave a comment 49 Views Inovalon , a leading provider of cloud -based platforms empowering data-driven healthcare , today announced a multi-year engagement with Priority Health , a leading Michigan health plan with more than one million members, to provide a configuration of the Inovalon ONE® Platform in support of superior member insights and economic performance for its commercial and Medicare Advantage memberships. Recommended AI News: Securden Unveils …

Priority Health Selects The Inovalon ONE® PlatformLeading Health Plan Transitions Initiatives to Inovalon’s Integrated Platform | 6/10/2020

… Transitions Initiatives to Inovalon’s Integrated Platform BOWIE, Md., June 10, 2020 (GLOBE NEWSWIRE) – Inovalon (Nasdaq: INOV), a leading provider of cloud-based platforms empowering data-driven healthcare, today announced a multi-year engagement with Priority Health , a leading Michigan health plan with more than one million members, to provide a configuration of the Inovalon ONE ® Platform in support of superior member insights and economic performance for its commercial and Medicare …

Torelli | 6/1/2020

Main article: Small Favor In Small Favor , Torelli tries to take over John Marcone ‘s operation. At his first appearance he walks into Ms. Demeter ‘s office at Executive Priority Health , while in the middle of a meeting with Dresden . Torelli splits his thugs in two groups, two entering with him, two remaining at the door. He demands bank accounts, passwords, records, etc. When he sends in two of his …

Priority Health offers members, employers rate relief for two months | Modern Healthcare | 5/12/2020

Print Priority Health , one of Michigan’s largest health insurers, has cut premium rates for members and employers for June and July and will return possible overpayments to fully funded employers later this year to provide financial support amid the ongoing COVID-19 pandemic, officials said today. Grand Rapids-based Priority Health said lower use of services—and lower claim costs—enabled the insurer to offer premium credits and waive cost …

Sheridan Community Hospital names new CEO | Becker’s Hospital Review | 4/30/2020

… years of management experience to the position. Most recently, she was director of nursing at Sheridan Community Hospital. Before joining Sheridan Community Hospital, Ms. Petricevic served as director of medical operations and preauthorization for Priority Health , a Grand Rapids, Mich. -based insurer. She also served as director of nursing at Grand Rapids-based Spectrum Health. Sheridan Community Hospital said Bobbi McColley, who has been acting CEO, will continue to work …

Medicare Advantage insurers tested by flood of kidney failure patients | Modern Healthcare | 4/27/2020

… Gorman Health Group, which advises Advantage plans. New York-based insurer Emblem Health is preparing for new kidney disease members by striking up value-based care arrangements to drive better health outcomes. Michigan-based Priority Health is training its care managers to be able to better serve patients with ESRD. Humana is expanding its ability to facilitate dialysis at home instead of in a clinic, and for more than a …

Business in Brief: 04/10/2020 | 4/10/2020

… is offering a variety of resources for youth and families during the COVID-19 crisis. It’s website includes an online database of 125-plus regional activities and organizations that incorporate hands-on STEM activities. Priority Health waives costs GRAND RAPIDS — Priority Health will waive all copays, deductibles and coinsurance for COVID-19 treatment through June 30, the company announced in a release Thursday. According to Priority Health , nearly 1 million …

Michigan health insurers agree to waive Coronavirus treatment costs | 4/10/2020

Priority Health, Priority Health Insurance Co., Priority Health Choice, Total Health Care United Healthcare Insurance, United Healthcare Community Plan The waived cost-sharing applies to commercial health insurance products from these insurers. Consumers with questions about their specific coverage may wish to reach out to their health plan directly. DIFS can help consumers with health insurance questions and complaints. The Michigan Health Insurance Consumer Assistance Program (HICAP) can provide shopping …

COVID-19 Update: Health Insurers Offer Free Testing and Treatment, Henry Ford Health System Begins HCQ Medical Study, and More | 4/10/2020

Priority Health, Priority Health Insurance Co., Priority Health Choice, Total Health Care United Healthcare Insurance, United Healthcare Community Plan COVID-19 Study Detroit’s Henry Ford Health System said Thursday it has started enrollment for the first large-scale study in the U.S. of the effectiveness of an anti-malarial drug in preventing COVID-19. Health care workers and first responders will be able to volunteer to participate. The study — Will …

Most Michigan health insurers will not charge patients for COVID-19 care | 4/10/2020

Priority Health, Priority Health Insurance Co., Priority Health Choice, Total Health Care United Healthcare Insurance, United Healthcare Community Plan The above insurance providers’ health plans will not cost-share for coronavirus-related medical treatment, including primary care visits, laboratory testing, emergency room visits, and ambulance services. According to the DIFS, the providers will also waive cost-sharing for FDA-approved medications and vaccines for COVID-19 when they become available …

Priority Health Waives All Member Cost Sharing for the Treatment of COVID-19 | Financial Buzz | 4/10/2020

We are committed to ensuring our members have access to the health care they need for COVID-19, when they need it without worrying about cost,” said Joan Budden, President and CEO of Priority Health . Share 0 Tweet LinkedIn Pin 0 0 shares …

Priority Health waives copays for COVID-19 treatment | 4/9/2020

People can only be tested for the new coronavirus if a physician orders a test, Priority Health said. The company says patients must have a confirmed COVID-19 diagnosis and be treated with evidence-based care to be fully covered. People experiencing symptoms should contact their provider to see if they are eligible for testing. More information can be found online . TRACKING CORONAVIRUS …

Some insurers pay doctors less for virtual visits | 4/8/2020

… couple of children we couldn’t do online, and 98% telehealth in a matter of about two weeks,” said a doctor who runs a local office and did not want to be identified. He said Priority Health is one of a few insurance companies that are paying offices less for video visits. “Priority Health is paying us 10% less for telehealth and the insurers are all being admonished to not do …

Medicare

Medicare Advantage insurers tested by flood of kidney failure patients | Modern Healthcare | 4/27/2020

Print DaVita Kidney Care A DaVita Kidney Care clinician tends to a dialysis patient. Medicare spending on kidney disease totaled more than $114 billion in 2016. A corner of the health insurance industry that has … based care arrangements to drive better health outcomes. Michigan-based Priority Health is training its care managers to be able to better serve patients with ESRD. Humana is expanding its ability to facilitate dialysis at …

Medicaid

Priority Health Waives All Member Cost Sharing for the Treatment of COVID-19 | Business Wire | 4/9/2020

GRAND RAPIDS, Mich.- Priority Health announced today that it will waive all copays, deductibles and coinsurance for the treatment of COVID-19 through June 30. This means that all of the company’s nearly one million members across Commercial, Individual, Medicaid and Medicare plans can get the testing and treatment they need for COVID-19 with no out-of-pocket health insurance costs. Covered treatment may be inpatient or outpatient from …

Mental Health

Priority Health CEO eager to share best practices with Total Health Care | Modern Healthcare | 12/7/2019

Print Joan Budden, CEO of Priority Health Priority Health and Total Health Care in late November won approval from Michigan regulators to merge. Total Health Care—the state’s oldest health plan, founded in 1973—will … things, seeing if they work. We’ve been working on virtual mental health to get greater access to care across all of Michigan. A lot of our state is rural populations with very little access to …

Virtual Care

Encourage employees to ‘VUE’ their care and save on health costs | 11/29/2019

Priority Health offers employer group members a toolkit to help employees VUE their care. It includes messaging and materials for bathroom signage, posters, table tents for breakrooms, intranet content and more. Using this quick acronym, employees can decide whether the care they need warrants virtual care (V), urgent care (U) or the emergency room (E) based on symptoms, urgency and whether their primary care provider is available. It’s important to …

ACA

Casey: Dems can leverage health care to beat Trump - WHYY | 11/24/2019

… plan was slashed in half. Funding for navigators to help people find the right plan was cut, as was advertising money for the health care marketplaces. Previously temporary plans that didn’t meet the ACA’s requirements to cover pre-existing conditions have been expanded as long-term options and disguised as traditional plans, leaving patients with big hospital bills when their care turned out to be ineligible for coverage. Since Trump …

Medicare Advantage

Tech startups tackling loneliness among aging seniors | FierceHealthcare | 10/10/2019

… Zhang and Madeline Dangerfield-Cha met at Stanford Business School and launched the company in 2018. RELATED: Why HHS wants Medicare Advantage plans to pay for home modifications, transportation for seniors “I saw a huge … partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health and Alignment Healthcare. Those insurers are partnering with Papa across select markets for Medicare Advantage members. The Centers for Medicare & Medicaid Services (CMS …

Population Health

Tech startups tackling loneliness among aging seniors | FierceHealthcare | 10/10/2019

… footprint next year to 25 states. Papa also scored major partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health and Alignment Healthcare. Those insurers are partnering with Papa across select markets for … to health outcomes, Caraline Coats, vice president, Bold Goal and Population Health Strategy at Humana said in a statement. “We’re very excited to partner with Papa to further review how this type of intervention may …

Home Care

Tech startups tackling loneliness among aging seniors | FierceHealthcare | 10/10/2019

… had early dementia, needed more support around the home. But “Papa,” as Parker’s family called their grandfather, didn’t need traditional home care services; he needed a social connection. Parker’s family connected Papa with a local … partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health and Alignment Healthcare. Those insurers are partnering with Papa across select markets for Medicare Advantage members. The Centers for Medicare & Medicaid Services (CMS …

Health Tech

Tech startups tackling loneliness among aging seniors | FierceHealthcare | 10/10/2019

… website, mobile app and call center to match aging seniors with college students. His company is among a subset of health tech startups addressing the social needs of seniors and is part of a growing … partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health and Alignment Healthcare. Those insurers are partnering with Papa across select markets for Medicare Advantage members. The Centers for Medicare & Medicaid Services (CMS …

Digital Health

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

… Capital and others to accelerate growth of Papa’s “Grandkids on Demand” service for older adults who live independently –– Humana, Aetna, Priority Health and Alignment Healthcare committed to partner with Papa across select markets for Medicare … We’re inspired by their efforts to bring the benefits of digital healthcare to an older generation of Americans all over the United States.” Papa Pals undergo a rigorous screening and training process, before being matched …

Social Determinants of Health

Tech startups tackling loneliness among aging seniors | FierceHealthcare | 10/9/2019

… footprint next year to 25 states. Papa also scored major partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health and Alignment Healthcare. Those insurers are partnering with Papa across select markets for … the survey. “We’re making a positive impact on reducing the social determinants of health for that younger age group as well,” Parker said. These companion services also benefit the caregivers and families, Dangerfield-Cha said …

ACO

Together Health closes after five years | Modern Healthcare | 7/12/2019

… other clinically integrated networks exist in Michigan. They are Kalamazoo-based Affirmant Health Partners and Beaumont Care Partners and Beaumont ACO, organizations affiliated with eight-hospital Beaumont Health in Southfield. Affirmant includes six health care … a comment. Neither did Trinity, another parter, Blue Cross or Priority Health, which contracted with Together Health at one time. Together Health signed a number of managed care contracts, most of which were geared at …

Behavioral Health

Beaumont makes deal to acquire Ohio’s Summa Health | Modern Healthcare | 7/9/2019

… and market rivals Henry Ford Health System with its Health Alliance Plan and Grand Rapids-based Spectrum Health with its Priority Health. “Summa Health has competencies we don’t have with Beaumont Health,” said Fox, noting … partnership with Atlanta-based WellStreet Urgent Care, a 150-bed behavioral health hospital in Dearborn with Universal Health Services, King of Prussia, Pa.-based for-profit company and three new outpatient centers in Livonia, Lenox …

AMA

VirtualHealth Chief Client Officer to Share HIT Insights at Medicaid Innovations Conference | Business Wire | 1/25/2018

… YORK- VirtualHealth , the leading provider of population health and care management technologies, announced today that its Chief Client Officer, Sheela Ramamurthy, will participate on an industry panel at the 2018 Medicaid Innovations Conference in Orlando … Barbara Dusenberry, BSN, RN, Manager of Care Management for Medicaid, Priority Health; Greg Moody, Director, Ohio Office of Healthcare Transformation; and William D. Holmes, MD, Senior Medical Director, Envolve Behavioral Health. “Payers need innovative tools …

NCQA

MeYou Health Survey Receives NCQA Certification, Joining an Elite Group of 28 Health Care Organizations | PRWeb | 11/11/2017

MeYou Health Survey Receives NCQA Certification, Joining an Elite Group of 28 Health Care Organizations Share Article MeYou Health’s personalized next-generation health and wellness assessment, has received Wellness & Health Promotion Certification from National Committee … to create a single instrument. The survey covers the highest priority health conditions and health behaviors, and uses dynamic tailoring to provide two-part online feedback that is customized, relevant, and engaging. Participants receive a …

Coordinated Care

Priority Health Partners with Beaumont Health to Offer New, Affordable Health Plan Option | Business Wire | 10/30/2017

… RAPIDS, Mich.- As part of its commitment to providing individual market consumers options to help control their health care costs, Priority Health is unveiling a new narrow network health plan option for Southeast Michigan residents … in a narrow network plan will get the benefit of coordinated care within one health system, along with services like free health coaching, free virtual visits, care management for those that are most at-risk …

CVS

Medicare Advantage insurers tested by flood of kidney failure patients | 4/27/2020

Priority Health is training its care managers to be able to better serve patients with ESRD. Humana is expanding its ability to facilitate dialysis at home instead of in a clinic, and for more than a year, CVS Health has been working on a clinical trial for a home hemodialysis device. All insurers and dialysis providers are calling for higher payment rates from the federal government, but their pleas have …

Medicare Advantage insurers tested by flood of kidney failure patients | 4/27/2020

Priority Health is training its care managers to be able to better serve patients with ESRD. Humana is expanding its ability to facilitate dialysis at home instead of in a clinic, and for more than a year, CVS Health has been working on a clinical trial for a home hemodialysis device. All insurers and dialysis providers are calling for higher payment rates from the federal government, but their pleas have …

CVS Health

Medicare Advantage insurers tested by flood of kidney failure patients | 4/27/2020

Priority Health is training its care managers to be able to better serve patients with ESRD. Humana is expanding its ability to facilitate dialysis at home instead of in a clinic, and for more than a year, CVS Health has been working on a clinical trial for a home hemodialysis device. All insurers and dialysis providers are calling for higher payment rates from the federal government, but their pleas have …

Medicare Advantage insurers tested by flood of kidney failure patients | 4/27/2020

Priority Health is training its care managers to be able to better serve patients with ESRD. Humana is expanding its ability to facilitate dialysis at home instead of in a clinic, and for more than a year, CVS Health has been working on a clinical trial for a home hemodialysis device. All insurers and dialysis providers are calling for higher payment rates from the federal government, but their pleas have …

DaVita

Medicare Advantage insurers tested by flood of kidney failure patients | 4/27/2020

Print DaVita Kidney Care A DaVita Kidney Care clinician tends to a dialysis patient. Medicare spending on kidney disease totaled more than $114 billion in 2016. A corner of the health insurance industry that has … based care arrangements to drive better health outcomes. Michigan-based Priority Health is training its care managers to be able to better serve patients with ESRD. Humana is expanding its ability to facilitate dialysis at …

Medicare Advantage insurers tested by flood of kidney failure patients | 4/27/2020

Print DaVita Kidney Care A DaVita Kidney Care clinician tends to a dialysis patient. Medicare spending on kidney disease totaled more than $114 billion in 2016. A corner of the health insurance industry that has … based care arrangements to drive better health outcomes. Michigan-based Priority Health is training its care managers to be able to better serve patients with ESRD. Humana is expanding its ability to facilitate dialysis at …

Alignment Healthcare

How Papa Is Helping Seniors Throughout Their Aging Journey | 10/19/2019

… Priority Health, and Alignment Healthcare. With this round of funding, Papa will be using the proceeds to expand its services to a broader population of older adults through partnerships with additional insurance plans and employee benefits providers. Originally, Papa launched in 2016 in order to connect college and nursing students — who are known as “Papa Pals” to older adults who need help with transportation, house chores, technology lessons, and other …

Papa raises $10 million Series A | 10/16/2019

Priority Health and Alignment Healthcare. Papa will use the proceeds from the financing to expand its services to a broader population of older adults, via partnerships with additional insurance plans and employee benefit providers. Papa will also expand its service footprint in 2020 to 25 states to address demand from new health plan commitments. As part of the financing, Canaan principal Byron Ling will join the company’s board. Papa was …

Initialized Capital

How Papa Is Helping Seniors Throughout Their Aging Journey | 10/19/2019

… Initialized Capital, Y Combinator, and Sound Ventures (Ashton Kutcher and Guy Oseary) also reinvested in the round. In conjunction with this funding round, Canaan principal Byron Ling is joining the company’s board. And Papa also revealed it signed partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health, and Alignment Healthcare. With this round of funding, Papa will be using the proceeds to expand its services to a …

Papa raises $10 million Series A | 10/16/2019

… Initialized Capital, Y Combinator, and Sound Ventures re-invested in the round. In addition, Papa announced partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health and Alignment Healthcare. Papa will use the proceeds from the financing to expand its services to a broader population of older adults, via partnerships with additional insurance plans and employee benefit providers. Papa will also expand its service footprint in 2020 to …

Pivotal Ventures

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

… 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 … Demand” service for older adults who live independently –– Humana, Aetna, Priority Health and Alignment Healthcare committed to partner with Papa across select markets for Medicare Advantage members – MIAMI, Oct. 9, 2019 /PRNewswire/ — Papa, a company …

Papa Announces $10 Million Series A Round and Partnerships with Large Health Insurance Plans to Curb Loneliness and Social Isolation in Seniors | PR Newswire | 10/9/2019

… Pivotal Ventures, an investment and incubation company created by Melinda Gates . Initialized Capital, Y Combinator, and Sound Ventures re-invested in the round. In addition, Papa announced partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health and Alignment Healthcare. Papa will use the proceeds from the financing to expand its services to a broader population of older adults, via partnerships with additional insurance plans and employee benefit …

Spectrum Health

Sheridan Community Hospital names new CEO | Becker’s Hospital Review | 4/30/2020

… Priority Health, a Grand Rapids, Mich. -based insurer. She also served as director of nursing at Grand Rapids-based Spectrum Health. Sheridan Community Hospital said Bobbi McColley, who has been acting CEO, will continue to work at the hospital as corporate compliance officer …

Priority Health CEO eager to share best practices with Total Health Care | Modern Healthcare | 12/7/2019

Print Joan Budden, CEO of Priority Health Priority Health and Total Health Care in late November won approval from Michigan regulators to merge. Total Health Care—the state’s oldest health plan, founded in 1973—will become a wholly owned subsidiary of Grand Rapids-based Priority, which is part of Spectrum Health. Priority is Michigan’s second-largest health insurer after Blue Cross and Blue Shield of Michigan with more than $4 …

HCA

Ampio Pharmaceuticals Retains Financial Advisor and Appoints Transaction Advisory Committee | PR Newswire | 8/22/2019

… are now upgrading the expertise level primarily devoted to further evaluating our near term strategic options in a rapidly evolving healthcare market place. The Torreya Partners team members have a vast level of merger, investment … United States . Mr. Bindley also founded and was Chairman of Priority Healthcare Corporation, a national provider of bio-pharmaceuticals and complex therapies for chronic disease states with annual revenues of over $2 billion when it …

Anesthesia Associates sues Trinity Health for trying to hire away anesthesia providers | Modern Healthcare | 8/15/2019

Priority Health other payers over contract disputes. A4 said it has signed new contracts with Blue Cross, Priority, Health Alliance Plan, Aetna and UnitedHealthcare. However, A4 has remained upset with the reimbursement deals. “The insurance rates for anesthesia services from these large insurance companies are some of the lowest in the country and have not increased in over six years,” Bock said. Despite reaching an agreement, Priority Health and Blue …

Beaumont Health

Anesthesia Associates sues Trinity Health for trying to hire away anesthesia providers | Modern Healthcare | 8/15/2019

Beaumont Health hospitals in Wayne, Dearborn, Trenton and Taylor, and another small hospital in Ypsilanti. It also has contracts with six ambulatory surgery centers and four chronic-pain-management clinics. On July 23, Trinity Health sued Anesthesia Associates of Ann Arbor after the group terminated its contract with Blue Cross Blue Shield of Michigan, Priority Health other payers over contract disputes. A4 said it has signed new contracts with Blue …

Together Health closes after five years | Modern Healthcare | 7/12/2019

… Michigan. They are Kalamazoo-based Affirmant Health Partners and Beaumont Care Partners and Beaumont ACO, organizations affiliated with eight-hospital Beaumont Health in Southfield. Affirmant includes six health care systems, 21 hospitals and about 6,000 … a comment. Neither did Trinity, another parter, Blue Cross or Priority Health, which contracted with Together Health at one time. Together Health signed a number of managed care contracts, most of which were geared at …

Trinity Health

Anesthesia Associates sues Trinity Health for trying to hire away anesthesia providers | Modern Healthcare | 8/15/2019

… Greg Bock Anesthesia Associates of Ann Arbor PLLC, the largest anesthesiology and pain-management medical group in Michigan, has sued Trinity Health Michigan in Washtenaw County Circuit Court over an allegation the 13-hospital health … terminated its contract with Blue Cross Blue Shield of Michigan, Priority Health other payers over contract disputes. A4 said it has signed new contracts with Blue Cross, Priority, Health Alliance Plan, Aetna and UnitedHealthcare. However …

Anesthesia Associates signs new provider contract with Blue Cross Michigan | Crain’s Detroit Business | 7/29/2019

Trinity Health sued Anesthesia Associates of Ann Arbor (A4) after the group terminated its contract with Blue Cross on July 15 amid rate disputes with several insurers. Talks continued on a new contract between Blue Cross and A4, said several sources, who declined to be named. A4 also terminated contracts with Priority Health and Aetna. Sources close to the health insurers who asked for anonymity said talks are underway with …

Trinity Health, Livonia MI

Anesthesia Associates signs new provider contract with Blue Cross Michigan | Crain’s Detroit Business | 7/29/2019

Trinity Health sued Anesthesia Associates of Ann Arbor (A4) after the group terminated its contract with Blue Cross on July 15 amid rate disputes with several insurers. Talks continued on a new contract between Blue Cross and A4, said several sources, who declined to be named. A4 also terminated contracts with Priority Health and Aetna. Sources close to the health insurers who asked for anonymity said talks are underway with …

Trinity Health sues anesthesiology group amid insurer rate disputes | Modern Healthcare | 7/24/2019

Print Getty Images Trinity Health sued a Michigan anesthesiology group for allegedly compromising operations at a handful of its hospitals amid rate disputes with several insurers. The lawsuit filed in a Michigan federal court Tuesday … terminating contracts with Blue Cross and Blue Shield, Aetna and Priority Health and are pursuing litigation. The rate disputes have dropped the doctors from the insurers’ networks, which would likely cause many consumers to seek …

Ascension

Together Health closes after five years | Modern Healthcare | 7/12/2019

… for its hospitals and doctors, has closed down, Crain’s has learned. Together Health was formed in 2014 by Warren-based Ascension Michigan and Trinity Health of Michigan in Livonia. Michigan Medicine, part of the University … a comment. Neither did Trinity, another parter, Blue Cross or Priority Health, which contracted with Together Health at one time. Together Health signed a number of managed care contracts, most of which were geared at …

Priority Health Partners with Local Health Systems to Create Affordable Plan Options for Southeast Michigan Residents | Business Wire | 10/18/2017

GRAND RAPIDS, Mich.- Priority Health is committed to providing individual market consumers statewide options to help control their health care costs. As part of this commitment, Priority Health announces, today, its introduction of two new … access to the St. John Providence network and physicians. Additionally, Ascension Crittenton Hospital is included as part of this narrow network option. St. Joseph Mercy Health Network will cover Oakland, Macomb, Wayne, Washtenaw and Livingston …

St. John Providence

Together Health closes after five years | Modern Healthcare | 7/12/2019

… of Partners in Care, a physician hospital organization representing the partnership between 2,100-member The Physician Alliance and five-hospital St. John Providence Health System, a subsidiary of Ascension Health. One of Together Health’s advertised … a comment. Neither did Trinity, another parter, Blue Cross or Priority Health, which contracted with Together Health at one time. Together Health signed a number of managed care contracts, most of which were geared at …

Priority Health Partners with Local Health Systems to Create Affordable Plan Options for Southeast Michigan Residents | Business Wire | 10/18/2017

GRAND RAPIDS, Mich.- Priority Health is committed to providing individual market consumers statewide options to help control their health care costs. As part of this commitment, Priority Health announces, today, its introduction of two new narrow networks in Southeast Michigan. St. John Providence and Saint Joseph Mercy Health System will serve as strategic partners in serving the region’s individual population, offering consumers access to high quality care with costs up …

Mercy Health

Beaumont makes deal to acquire Ohio’s Summa Health | Modern Healthcare | 7/9/2019

… and market rivals Henry Ford Health System with its Health Alliance Plan and Grand Rapids-based Spectrum Health with its Priority Health. “Summa Health has competencies we don’t have with Beaumont Health,” said Fox, noting … write a check” to pay Summa’s minority owner Cincinnati-based Mercy Health an undisclosed amount for its 30 percent interest in the four-hospital health system, which has about $1.4 billion in annual revenue, Beaumont …

Priority Health Partners with Local Health Systems to Create Affordable Plan Options for Southeast Michigan Residents | Business Wire | 10/18/2017

GRAND RAPIDS, Mich.- Priority Health is committed to providing individual market consumers statewide options to help control their health care costs. As part of this commitment, Priority Health announces, today, its introduction of two new narrow networks in Southeast Michigan. St. John Providence and Saint Joseph Mercy Health System will serve as strategic partners in serving the region’s individual population, offering consumers access to high quality care with costs up …

Aetna

Medicare Advantage insurers tested by flood of kidney failure patients | Modern Healthcare | 4/27/2020

… preparing for new kidney disease members by striking up value-based care arrangements to drive better health outcomes. Michigan-based Priority Health is training its care managers to be able to better serve patients with … rolling out its new chronic kidney-care management program to Aetna members and pharmacy benefit manager clients, CVS CEO Larry Merlo said at the J.P. Morgan Healthcare Conference in January. CVS and Aetna are combing …

How Papa Is Helping Seniors Throughout Their Aging Journey | 10/19/2019

… Aetna, Priority Health, and Alignment Healthcare. With this round of funding, Papa will be using the proceeds to expand its services to a broader population of older adults through partnerships with additional insurance plans and employee benefits providers. Originally, Papa launched in 2016 in order to connect college and nursing students — who are known as “Papa Pals” to older adults who need help with transportation, house chores, technology lessons, and …

SCAN Health Plan

Medicare Advantage insurers tested by flood of kidney failure patients | 4/27/2020

… preparing for new kidney disease members by striking up value-based care arrangements to drive better health outcomes. Michigan-based Priority Health is training its care managers to be able to better serve patients with … said Jill Selby, a corporate vice president at California-based SCAN Health Plan, which has offered a Medicare Advantage special needs plan for ESRD patients since 2006. People with permanent kidney failure, including those under …

Medicare Advantage insurers tested by flood of kidney failure patients | 4/27/2020

… preparing for new kidney disease members by striking up value-based care arrangements to drive better health outcomes. Michigan-based Priority Health is training its care managers to be able to better serve patients with … said Jill Selby, a corporate vice president at California-based SCAN Health Plan, which has offered a Medicare Advantage special needs plan for ESRD patients since 2006. People with permanent kidney failure, including those under …

Humana

How Papa Is Helping Seniors Throughout Their Aging Journey | 10/19/2019

… Humana, Aetna, Priority Health, and Alignment Healthcare. With this round of funding, Papa will be using the proceeds to expand its services to a broader population of older adults through partnerships with additional insurance plans and employee benefits providers. Originally, Papa launched in 2016 in order to connect college and nursing students — who are known as “Papa Pals” to older adults who need help with transportation, house chores, technology lessons …

Papa raises $10 million Series A | 10/16/2019

… Humana, Aetna, Priority Health and Alignment Healthcare. Papa will use the proceeds from the financing to expand its services to a broader population of older adults, via partnerships with additional insurance plans and employee benefit providers. Papa will also expand its service footprint in 2020 to 25 states to address demand from new health plan commitments. As part of the financing, Canaan principal Byron Ling will join the company’s board …

Health Alliance Plan

Priority Health, Total Health Care to merge in Southeast Michigan | Modern Healthcare | 8/28/2019

Print Priority Health and Total Health Care announced Wednesday a plan to merge in which Detroit-based Total Health will become a wholly owned subsidiary of Grand Rapids-based Priority, officials said. The proposed deal … Total with Priority gives us strength and size.” In June, Health Alliance Plan of Michigan announced plans to acquire for-profit Trusted Health Plan after absorbing Midwest Health Plan in 2015. Last year, Meridian Health …

Anesthesia Associates sues Trinity Health for trying to hire away anesthesia providers | Modern Healthcare | 8/15/2019

Priority Health other payers over contract disputes. A4 said it has signed new contracts with Blue Cross, Priority, Health Alliance Plan, Aetna and UnitedHealthcare. However, A4 has remained upset with the reimbursement deals. “The insurance rates for anesthesia services from these large insurance companies are some of the lowest in the country and have not increased in over six years,” Bock said. Despite reaching an agreement, Priority Health and Blue …

Health Net

Together Health closes after five years | Modern Healthcare | 7/12/2019

After five years, Together Health Network, an ambitious effort by three of the leading health systems in Michigan to contract with payers and employers and achieve shared savings for its hospitals and doctors, has closed … a comment. Neither did Trinity, another parter, Blue Cross or Priority Health, which contracted with Together Health at one time. Together Health signed a number of managed care contracts, most of which were geared at …

Priority Health Partners with Beaumont Health to Offer New, Affordable Health Plan Option | Business Wire | 10/30/2017

GRAND RAPIDS, Mich.- As part of its commitment to providing individual market consumers options to help control their health care costs, Priority Health is unveiling a new narrow network health plan option for Southeast Michigan residents. Priority Health has partnered with Beaumont Health to create Beaumont Health Network, offering consumers access to high quality care with costs up to 20 percent lower. Narrow network plans offer members lower premium rates …

Molina Healthcare

HAP Names Sheri Chatterson Vice President of Provider Network Management | Benzinga | 6/6/2019

… Priority Health, where she served as director of provider contracting and network development. She has more than 15 years of experience in the health care industry, which includes management positions in provider relations at Spectrum Health, Molina Healthcare and PDI, Inc., where she worked as a pharmaceutical sales representative. The addition of Chatterson in this role is key as HAP continues to expand its reach in all lines of business …

HAP Names Sheri Chatterson Vice President of Provi | 6/6/2019

… Priority Health, where she served as director of provider contracting and network development. She has more than 15 years of experience in the health care industry, which includes management positions in provider relations at Spectrum Health, Molina Healthcare and PDI, Inc., where she worked as a pharmaceutical sales representative. The addition of Chatterson in this role is key as HAP continues to expand its reach in all lines of business …

Glen French

Pulmonx Announces that UnitedHealthcare, the Largest Commercial Insurer in the United States, Has Lifted Coverage Restrictions on the Zephyr Valve, a Minimally-Invasive Treatment Option for Severe Emphysema (COPD) | BioSpace | 11/18/2019

… Priority Health, and EmblemHealth in making the Zephyr Valve a viable treatment option for their members who struggle with severe emphysema,” stated Glen French, President and Chief Executive Officer of Pulmonx. “As with all newly FDA approved technologies, it often takes time for major insurers to remove ‘experimental’ labels or restrictions on coverage, so we commend UnitedHealthcare for making this positive coverage decision and giving its members access to a …

Priority Health Joins Insurers That Will Cover the Zephyr Valve for Emphysema | 9/27/2019

Priority Health will cover Pulmonx’s Zephyr Endobronchial Valve device as a non-surgical treatment option for severe emphysema, a severe form of chronic obstructive pulmonary disease ( COPD ). The insurer’s new coverage policy is specific to … invasive and most effective treatment option for severe COPD/emphysema,” Glen French, president and CEO of Pulmonx, said in a press release . “We are very pleased that many more patients in Michigan will have access …

Melinda Gates

How Papa Is Helping Seniors Throughout Their Aging Journey | 10/19/2019

… Melinda Gates. And Initialized Capital, Y Combinator, and Sound Ventures (Ashton Kutcher and Guy Oseary) also reinvested in the round. In conjunction with this funding round, Canaan principal Byron Ling is joining the company’s board. And Papa also revealed it signed partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health, and Alignment Healthcare. With this round of funding, Papa will be using the proceeds to expand its …

Papa raises $10 million Series A | 10/16/2019

Melinda Gates . Initialized Capital, Y Combinator, and Sound Ventures re-invested in the round. In addition, Papa announced partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health and Alignment Healthcare. Papa will use the proceeds from the financing to expand its services to a broader population of older adults, via partnerships with additional insurance plans and employee benefit providers. Papa will also expand its service footprint in …

Andrew Parker

Tech startups tackling loneliness among aging seniors | FierceHealthcare | 10/10/2019

Andrew Parker recognized that his aging grandfather, who had early dementia, needed more support around the home. But “Papa,” as Parker’s family called their grandfather, didn’t need traditional home care services; he needed a social … partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health and Alignment Healthcare. Those insurers are partnering with Papa across select markets for Medicare Advantage members. The Centers for Medicare & Medicaid Services (CMS …

Tech startups tackling loneliness among aging seniors | FierceHealthcare | 10/9/2019

… 9, 2019 12:12pm Startup Papa connects aging seniors with a college student, or “Papa Pal,” for assistance and companionship. (Papa) Andrew Parker recognized that his aging grandfather, who had early dementia, needed more support around … partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health and Alignment Healthcare. Those insurers are partnering with Papa across select markets for Medicare Advantage members. The Centers for Medicare & Medicaid Services (CMS …

Alexis Ohanian

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

… Capital and others to accelerate growth of Papa’s “Grandkids on Demand” service for older adults who live independently –– Humana, Aetna, Priority Health and Alignment Healthcare committed to partner with Papa across select markets for Medicare … developing a truly unique solution to the loneliness epidemic,” said Alexis Ohanian, co-founder and managing partner at Initialized Capital. “Initialized was an early investor in Papa and we continue to be impressed by the …

Papa Announces $10 Million Series A Round and Partnerships with Large Health Insurance Plans to Curb Loneliness and Social Isolation in Seniors | PR Newswire | 10/9/2019

… Ventures re-invested in the round. In addition, Papa announced partnerships with multiple large health insurance plans, including Humana, Aetna, Priority Health and Alignment Healthcare. Papa will use the proceeds from the financing to expand … developing a truly unique solution to the loneliness epidemic,” said Alexis Ohanian , co-founder and managing partner at Initialized Capital. “Initialized was an early investor in Papa and we continue to be impressed by the …

Joan Budden

Priority Health, Total Health Care to merge in Southeast Michigan | Modern Healthcare | 8/28/2019

Print Priority Health and Total Health Care announced Wednesday a plan to merge in which Detroit-based Total Health will become a wholly owned subsidiary of Grand Rapids-based Priority, officials said. The proposed deal … Total Health Care and the business that they have built,” Joan Budden, president and CEO of Priority Health, said in a statement. “Throughout my long career in the region and as a Detroit native, I’ve …

Priority Health Partners with Beaumont Health to Offer New, Affordable Health Plan Option | Business Wire | 10/30/2017

… RAPIDS, Mich.- As part of its commitment to providing individual market consumers options to help control their health care costs, Priority Health is unveiling a new narrow network health plan option for Southeast Michigan residents … addressing cost concerns without sacrificing access to quality care,” said Joan Budden, president and CEO of Priority Health. “We’re thrilled to partner with some of the best health systems in the state and to expand …