Medicare Advantage

CVS Health to buy Illinois insurance unit | Seeking Alpha | 12/4/2019

Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. The Centene unit is one of six private insurers awarded contracts to administer Medicaid …

WellCare Selected to Continue Serving Kentucky’s Medicaid Managed Care Program, Awarded Sole Contract for New Kentucky SKY Program | PR Newswire | 12/4/2019

… network of providers and our local communities to continue to deliver quality care and services that help Kentuckians live better, healthier lives.” As of Sept. 30, 2019 , WellCare serves approximately 438,000 Medicaid members, 14,000 Medicare Advantage plan members and 33,000 Medicare Prescription Drug Plan members in Kentucky . About WellCare Health Plans, Inc. Headquartered in Tampa, Fla. , WellCare Health Plans, Inc. (NYSE: WCG ) focuses primarily on providing government-sponsored managed care …

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ACS acts to address burdensome, inappropriate use of prior authorization | The Bulletin | 12/4/2019

… authorization Surgeons across the U.S. are facing setbacks in providing services to patients because of stringent prior authorization processes both private insurance companies and the Centers for Medicare & Medicaid Services (CMS) contractors that administer Medicare Advantage health plans have implemented. Participants in a recent American College of Surgeons (ACS) questionnaire ranked prior authorization as the top administrative burden for surgical practices in 2019. Although utilization review requirements, such as prior …

Philips and Humana team up to improve care for at-risk Medicare Advantage members | Globe Newswire | 12/4/2019

… health technology, today announced a collaboration with Humana Inc. (NYSE: HUM), one of the leading health and well-being companies in the U.S., to help improve care and health outcomes for select high-risk Medicare Advantage members. Through an integrated approach, Humana has implemented two programs that leverage Philips’ medical alert services and remote member monitoring (RMM) solutions to actively monitor at-risk Medicare Advantage members, encourage more timely interventions …

Philips and Humana team up to improve care for at-risk Medicare Advantage members | Azerbaijan News Gazette | 12/4/2019

… health technology, today announced a collaboration with Humana Inc. (NYSE: HUM), one of the leading health and well-being companies in the U.S., to help improve care and health outcomes for select high-risk Medicare Advantage members. Through an integrated approach, Humana has implemented two programs that leverage Philips’ medical alert services and remote member monitoring (RMM) solutions to actively monitor at-risk Medicare Advantage members, encourage more timely interventions …

Mental health-related ED visits among kids on the rise in Colorado | Modern Healthcare | 12/4/2019

… the primary diagnosis grew from 21% in 2016 to 25% in 2018, according to an analysis performed by the Center for Improving Value in Health Care using claims data for commercially insured, Medicaid and Medicare Advantage patients. Those visits for adults dropped from 79% to 75% in that time. “For a lot of kids it’s the ability to feel comfortable asking for help,” said CIVHC spokeswoman Cari Frank. “That’s one …

Medicare Advantage members rarely review or switch plans | Healthcare Dive | 12/4/2019

Medicare Advantage members rarely review or switch plans CMS share Dive Brief: Very few beneficiaries with Medicare Advantage or Medicare Part D stand-alone coverage voluntarily switch plans during open enrollment, according to a report from the Kaiser Family Foundation. The analysis found a “substantial majority” of enrollees in MA plans did not voluntarily switch during enrollment from 2007 to 2016. The number of people changing plans knowingly ranged from …

Hospitals sue HHS, warning price transparency rule would chill competition, crash computers | Healthcare Dive | 12/4/2019

Healthcare Dive the administration will continue to push price transparency to help patients make informed decisions. “Hospitals should be ashamed that they aren’t willing to provide American patients the cost of a service before they purchase it,” Caitlin Oakley said. Dive Insight: The plaintiffs argued that revealing negotiated rates will confuse patients, overwhelm hospitals and thwart competition and said it does nothing to help people understand their actual out-of …

UnitedHealth Group Incorporated (NYSE:UNH) - Analysts Offer Positive Prognosis For UnitedHealth After Investor Day | Benzinga | 12/4/2019

… Director Ann Hayes wrote in a report. Biggest Takeaways From UnitedHealth’s Investor Day UnitedHealth’s guidance mostly aligned with analyst expectations, but big picture details caused a stir. Mizuho was particularly enthused about Medicaid and Medicare Advantage growth. Medical membership growth is expected to be driven by government rather than commercial accounts in 2020. Bank of America noted the company is well positioned to seize synergies across its health plan, pharmacy …

Medicare’s open enrollment can be confusing — here are some last-minute tips | 12/4/2019

… article, this year’s open enrollment process has been made more confusing than normal because Medicare redesigned its online Plan Finder — the only tool that offers detailed comparisons of the often dizzying array of private Medicare Advantage and Part D drug plans. Even if you’ve chosen one or more new Medicare plans, there is still time during the next few days to change those selections. Patient advocates and Medicare experts have …

Humana partners with Philips on 2 remote monitoring initiatives | Becker’s Hospital Review | 12/4/2019

Humana and Philips partnered on two new programs that use remote medical alert systems to monitor Medicare Advantage members who are at risk of health complications, the companies said Dec. 4. The programs aim to identify at-home interventions for seniors should they experience a fall or congestive heart failure. For falls, Humana will offer at-risk members Philips’ fall detection technology AutoAlert, which uses predictive analytics to mitigate fall …

Medicare Advantage Enrollees Discover Dirty Little Secret | Medpage Today | 12/4/2019

Medicare Advantage Enrollees Discover Dirty Little Secret Medpage Today : Getting out is a lot harder than getting in …

Medicare open enrollment ending soon | 12/4/2019

… in the Plan Finder. Let’s be clear: the new Plan Finder has experienced no outages since it was launched. It displays the most current and accurate information on premiums, deductibles and cost sharing that Medicare Advantage and Prescription Drug Plans provide. That information changes frequently because plans regularly update drug formularies and renegotiate drug prices. That’s good for beneficiaries and for the Medicare program. Traffic on Plan Finder is 14 …

UnitedHealth Group: 2020 Revenues To Eclipse $260B | Forbes | 12/3/2019

… year as the company prepares to unveil its business strategy Tuesday. Already the nation’s largest health insurance company, UnitedHealth is poised to grow its top line by about 9%. UnitedHealth operates commercial, Medicaid and Medicare Advantage plans via its UnitedHealthcare health insurance unit and is also expanding its medical care provider business across the country under its fast-growing Optum unit. Offering a sneak preview to its investor day Tuesday …

NEW REPORT from RAM Technologies, Inc.: Loneliness and Social Isolation in the MA Population | PRWeb | 12/3/2019

… the same, loneliness and social isolation. These quieter social determinants afflict all Americans – and Medicare beneficiaries in particular – driving up costs for isolated seniors at a rate similar to high blood pressure and arthritis. Medicare Advantage goes well beyond traditional healthcare, incorporating innovative benefit design to improve the physical and mental health and well-being of America’s seniors while controlling costs, FORT WASHINGTON, Pa. RAM Technologies, Inc., the perennial leader …

Congress Should Act Now to Repeal Obamacare Taxes | 12/3/2019

… through the individual insurance market and 23 million households covered through their jobs. In 2020 alone, the HIT is projected to add an estimated $16 billion to the cost of coverage for families and Medicare Advantage seniors. If lawmakers fail to repeal this harmful tax, the HIT will increase premiums by 2.2 percent per year and by almost $6,000 over the next decade for a typical family of four with …

OSF Claims Meridian Owes Them “Millions of Dollars” | 12/3/2019

OSF HealthCare said it is terminating its contract with Meridian later this month due to “millions of dollars of outstanding claims” unpaid over the past five years. Meridian manages about 801,000 Illinois Medicaid plans and another 80,000 Medicare Advantage and Prescription Drug Program plans. OSF notified patients last week it would no longer accept Meridian plans as of Dec. 15. “We are unfortunately at a standstill with Meridian because for …

State Highlights: Worried About Homelessness In Big Cities, Boise Court Case Would Test ‘Policing’; Georgia Waits For Public To Comment On Plans To Overhaul Health Care | Kaiser Health News | 12/3/2019

Media outlets report on news from Idaho, Georgia, New York, Colorado, Illinois, Florida, Wisconsin, Ohio, Minnesota, and Washington. The New York Times: How Far Can Cities Go To Police The Homeless? Boise Tests The Limit During a recent mayoral debate at a Boise homeless shelter, after disposing of icebreakers like the candidates’ favorite Metallica album, the moderator turned to something more contentious: a decade-old lawsuit, now a step away …

Value-based primary care provider accelerates growth and physician recruitment | PRWeb | 12/3/2019

… Recent examples include: America’s Physician Groups 2019 Colloquium, LAN Summit 2019, NEJM Catalyst Dinner 2019, Cain Brothers’ 2019 Annual Healthcare Innovation Conference, Oliver Wyman Healthcare Summit 2019, SHSMD Connections 2019 Annual Conference, and BMA Medicare Advantage Summit 2019. Plus, ChenMed continues to educate physicians about the tremendous promise of value- over volume-based primary care. During 2019 alone, ChenMed has hosted or presented at more than 50 invitation only events …

Centene (CNC) Divests IlliniCare as Part of Merger Agreement | Zacks | 12/3/2019

… to follow? Zacks Equity Research Cancel Read More Hide Full Article Centene Corporation ( CNC - Free Report ) and CVS Health ( CVS - Free Report ) have inked a deal under which CVS Health will buy Medicaid and Medicare Advantage lines of business owned by Centene in Illinois. The financial terms of this transaction have been kept under wraps.The divestiture of IlliniCare Health Plan is necessary for Centene to win approval for its WellCare …

Medicare

30 companies worth at least $1 billion that didn’t exist 10 years ago | Business Insider | 12/4/2019

Medicare Advantage plans, in 12 new markets starting in 2020 . Additional reporting by Lydia Ramsey and Clarrie Feinstein. Robotic food-preparation company Zume, known for its pizza-making robots, landed a $375 million investment led by SoftBank in 2018, skyrocketing its valuation to over $2 billion. It’s now reportedly seeking additional funding at a $4 billion+ valuation. Zume cofounder & CEO Julia Collins. Steve Jennings/Getty Images for TechCrunch A year …

InnerScope Hearing Technologies Supports the Medicare Hearing Act of 2019 to Improve Access for Hearing Aids - Stocks News Feed | 12/4/2019

The Medicare Hearing Act of 2019 H.R. 4618 provides coverage for hearing aids and services for seniors under Part B of the Medicare program. Roseville, California–(Newsfile Corp. – December 4, 2019) – InnerScope Hearing Technologies Inc … of a company that received its approval for coverage under Medicare Advantage Plans was Exact Sciences Corp., a Nasdaq company, for its 1Cologuard®, a stool DNA-based colorectal cancer screening product that went from selling …

Medicaid

Medicare’s open enrollment can be confusing — here are some last-minute tips | 12/4/2019

… Medicare redesigned its online Plan Finder — the only tool that offers detailed comparisons of the often dizzying array of private Medicare Advantage and Part D drug plans. Even if you’ve chosen one or more new … provides about 2020 plan choices. The Centers for Medicare and Medicaid Services (CMS) has steadfastly maintained that the tool is working as planned and that it represents a marked improvement over the previous Plan Finder …

CVS Health to buy Illinois insurance unit | Seeking Alpha | 12/4/2019

Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. The Centene unit is one of six private insurers awarded contracts to administer Medicaid

Centers for Medicare and Medicaid Services

Medicare’s open enrollment can be confusing — here are some last-minute tips | 12/4/2019

Medicare Advantage and Part D drug plans. Even if you’ve chosen one or more new Medicare plans, there is still time during the next few days to change those selections. Patient advocates and Medicare experts have taken Medicare to task for the way Medicare plan information is presented in the new Plan Finder, and also have reported inaccuracies in the information it provides about 2020 plan choices. The Centers for …

Value-based primary care provider accelerates growth and physician recruitment | PRWeb | 12/3/2019

… 2019, Cain Brothers’ 2019 Annual Healthcare Innovation Conference, Oliver Wyman Healthcare Summit 2019, SHSMD Connections 2019 Annual Conference, and BMA Medicare Advantage Summit 2019. Plus, ChenMed continues to educate physicians about the tremendous promise of … Human Services (HSUS), and by Seema Verma, administrator for the Centers for Medicare and Medicaid Services (CMS). More time with patients means better outcomes The proven ChenMed approach is simple and vital to Medicare-eligible …

Telehealth

Health IT: Improving Quantity & Quality of Care in Rural Areas | 12/4/2019

… that doesn’t further burden already-stretched systems. Here’s how CMS is using (and supporting) technology to benefit rural patients: Expanding telehealth In the past year, CMS has expanded the Medicare program to allow for access … communities by bringing healthcare to patients where they are. Increasing Medicare Advantage flexibility Expanding telehealth and other technology-enabled health services is the first step in better serving rural communities, but it’s imperative that Medicare …

The Future of the Home Health Agency (HHA) Market: 2019 Study Results | 12/4/2019

… different states responded to the online-based survey in October 2019. Here are the main findings: 1. A rise in telehealth technologies Telehealth is gaining popularity in the long-term care market because it enables … CMS also announced earlier this year that, starting in 2020, Medicare Advantage plans will further expand coverage for patients with chronic diseases or conditions. Per the U.S. Bureau of Labor Statistics (BLS) , the home healthcare …

Behavioral Health

Philips and Humana team up to improve care for at-risk Medicare Advantage members | 12/4/2019

… leading health and well-being companies in the U.S., to help improve care and health outcomes for select high-risk Medicare Advantage members. Through an integrated approach, Humana has implemented two programs that leverage Philips … clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience with the goal of making health care easier to navigate …

ACA

Medicare Sales Representative - New York, NY - UnitedHealth Group - New York, NY | 12/4/2019

… assigned NY sales territory Preferred Qualifications: Proficiency in MS Office (Outlook, Word, Excel and Power Point) Bilingual Prior experience selling Medicare Advantage or Dual Eligible Special Needs Plan (D-SNP) Established professional contacts or active … New York City, NY, NYC, managed care, Affordable Care Act, ACA Requisition : 853378 …

What you need to know about Medicare for All | 12/3/2019

… for All would cover medical bills completely, with no burden on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care … two-thirds of those who want to improve the existing ACA (67%) say they would personally be willing to pay more in taxes so that everyone can have health insurance in the U.S. But only …

Home Care

Philips and Humana team up to improve care for at-risk Medicare Advantage members | 12/4/2019

… leading health and well-being companies in the U.S., to help improve care and health outcomes for select high-risk Medicare Advantage members. Through an integrated approach, Humana has implemented two programs that leverage Philips … continuum from healthy living and prevention, to diagnosis, treatment and home care. Philips leverages advanced technology and deep clinical and consumer insights to deliver integrated solutions. Headquartered in the Netherlands, the company is a leader …

Kaiser Family Foundation

Medicare Advantage members rarely review or switch plans | Healthcare Dive | 12/4/2019

Medicare Advantage members rarely review or switch plans CMS share Dive Brief: Very few beneficiaries with Medicare Advantage or Medicare Part D stand-alone coverage voluntarily switch plans during open enrollment, according to a report from the Kaiser Family Foundation. The analysis found a “substantial majority” of enrollees in MA plans did not voluntarily switch during enrollment from 2007 to 2016. The number of people changing plans knowingly ranged from …

Medicare’s open enrollment can be confusing — here are some last-minute tips | 12/4/2019

… Medicare redesigned its online Plan Finder — the only tool that offers detailed comparisons of the often dizzying array of private Medicare Advantage and Part D drug plans. Even if you’ve chosen one or more new … missed by most beneficiaries, according to regular assessments by the Kaiser Family Foundation. A recent Kaiser Family Foundation study found that only between 6% and 13% of Medicare enrollees switched their Medicare Part D plans …

Home Health

Home Health M&A Activity Steady in 2019, as Hospice Deals Spike | 12/4/2019

At 79 deals and counting through November, home health and hospice mergers-and-acquisitions activity for 2019 is poised to exceed the previous year. That’s according to newly released data from Norwalk, Connecticut-based Irving … companies, based on the significantly more positive reimbursement environment, with Medicare Advantage plans set to roll out hospice benefits beginning in 2021, and the uncertainty currently playing out on the home health side before the …

The Future of the Home Health Agency (HHA) Market: 2019 Study Results | 12/4/2019

The Future of the Home Health Agency (HHA) Market: 2019 Study Results December 4, 2019 BY Tory Waldron The home healthcare industry is in the midst of a rapid expansion, driven by an aging U.S … CMS also announced earlier this year that, starting in 2020, Medicare Advantage plans will further expand coverage for patients with chronic diseases or conditions. Per the U.S. Bureau of Labor Statistics (BLS) , the home healthcare …

Population Health

Philips and Humana team up to improve care for at-risk Medicare Advantage members | Globe Newswire | 12/4/2019

… leading health and well-being companies in the U.S., to help improve care and health outcomes for select high-risk Medicare Advantage members. Through an integrated approach, Humana has implemented two programs that leverage Philips … rising healthcare costs, payers are increasingly realizing the value of population health management, and seeking partnerships with proven experts in the space to help identify vulnerable populations to deliver meaningful insights into patient conditions. Philips …

UnitedHealth

Business Analyst/ Product Manager - San Antonio, TX - UnitedHealth Group - San Antonio, TX | 12/4/2019

… Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We’ve joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well … from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity …

Senior Business Healthcare Systems Analyst - San Antonio, TX - UnitedHealth Group - San Antonio, TX | 12/4/2019

Medicare Advantage health plans in Texas and Florida and look forward to continuing growth. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law …

UnitedHealth Group

Business Analyst/ Product Manager - San Antonio, TX - UnitedHealth Group - San Antonio, TX | 12/4/2019

… Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We’ve joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well … from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity …

Senior Business Healthcare Systems Analyst - San Antonio, TX - UnitedHealth Group - San Antonio, TX | 12/4/2019

Medicare Advantage health plans in Texas and Florida and look forward to continuing growth. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law …

CVS

CVS Health to buy Illinois insurance unit | Seeking Alpha | 12/4/2019

Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. The Centene unit is one of six private insurers awarded contracts to administer Medicaid …

Covenant House seeks to expand mental health services | Crain’s New York Business | 12/3/2019

CVS Health has agreed to buy the Medicaid and Medicare Advantage lines of business from Centene’s Illinois insurer, IlliniCare, Forbes reported . PREVALENCE OF PREDIABETES: Nearly one in five adolescents aged 12 to 18 , and one in four young adults aged 19 to 34, are living with prediabetes, according to a new study from the Centers for Disease Control and Prevention published Monday in JAMA Pediatrics . The condition, in which blood …

CVS Health

CVS Health to buy Illinois insurance unit | Seeking Alpha | 12/4/2019

Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. The Centene unit is one of six private insurers awarded contracts to administer Medicaid …

Covenant House seeks to expand mental health services | Crain’s New York Business | 12/3/2019

CVS Health has agreed to buy the Medicaid and Medicare Advantage lines of business from Centene’s Illinois insurer, IlliniCare, Forbes reported . PREVALENCE OF PREDIABETES: Nearly one in five adolescents aged 12 to 18 , and one in four young adults aged 19 to 34, are living with prediabetes, according to a new study from the Centers for Disease Control and Prevention published Monday in JAMA Pediatrics . The condition, in which blood …

Optum

(USA-CA-Van Nuys) Podiatrist - February 2020: 1-2 Month Coverage - San Fernando Valley | 12/4/2019

… Optum) is seeking a Per Diem Podiatrist to provide coverage in the month of February 2020. The position could potentially extend through March, based on needs.HCP is a value-based care organization and this position would help support two current Podiatrists with patients referred as part of their annual wellness visits. We see mainly adults and Medicare Advantage seniors and do basic bread and butter clinical and procedural Podiatry.Upon completion …

UnitedHealth Group: 2020 Revenues To Eclipse $260B | Forbes | 12/3/2019

Medicare Advantage plans via its UnitedHealthcare health insurance unit and is also expanding its medical care provider business across the country under its fast-growing Optum unit. Offering a sneak preview to its investor day Tuesday in New York, UnitedHealth said Monday evening its 2020 outlook will include “revenues of $260 billion to $262 billion, net earnings of $15.45 to $15.75 per share, and adjusted net earnings of $16.25 to …

Tivity Health

Tivity Health (NASDAQ:TVTY) Releases FY 2019 After-Hours Earnings Guidance | 12/4/2019

Tivity Health (NASDAQ:TVTY) Releases FY 2019 After-Hours Earnings Guidance Posted by Amber Abramson on Dec 3rd, 2019 Tweet Tivity Health (NASDAQ:TVTY) updated its FY 2019 After-Hours earnings guidance on Monday. The … company offers SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers …

Voya Investment Management LLC Has $11.25 Million Holdings in Tivity Health Inc (NASDAQ:TVTY) | 12/4/2019

Voya Investment Management LLC increased its holdings in shares of Tivity Health Inc (NASDAQ:TVTY) by 16.0% in the third quarter, according to the company in its most recent filing with the SEC. The institutional … company offers SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers. Tivity Health Tivity Health …

SilverSneakers

Tivity Health (NASDAQ:TVTY) Releases FY 2019 After-Hours Earnings Guidance | 12/4/2019

SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers …

Voya Investment Management LLC Has $11.25 Million Holdings in Tivity Health Inc (NASDAQ:TVTY) | 12/4/2019

SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers. Tivity Health Tivity Health …

OptumRx

UnitedHealth Group Incorporated (NYSE:UNH) - Analysts Offer Positive Prognosis For UnitedHealth After Investor Day | Benzinga | 12/4/2019

… guidance mostly aligned with analyst expectations, but big picture details caused a stir. Mizuho was particularly enthused about Medicaid and Medicare Advantage growth. Medical membership growth is expected to be driven by government rather than … analysts led by Kevin Fischbeck wrote. They expect developments in OptumRx and OptumInsight to drive further momentum. “The most bullish part of the story is OptumHealth (the company expects rev growth up to 30% in …

Optum To Provide More Than Half Of UnitedHealth’s 2020 Profits | Forbes | 12/3/2019

Medicare Advantage plans, its finding growth on the medical care provider side of the healthcare system. Optum owns one of the nation’s largest pharmacy benefit managers in OptumRx as well as an array of medical care provider businesses, including doctor practices, surgery centers and urgent care sites across the country. “We believe in supporting the whole person throughout their care journey,” Andrew Witty, who is CEO of Optum and was …

Alignment Healthcare

Alignment Healthcare Expands Its ACCESS On-Demand Concierge Program for Seniors With Uber Health Agreement | Malvern Daily Record | 12/3/2019

Alignment Healthcare, a mission-based Medicare Advantage insurance company founded in 2013, today announced an agreement with Uber Health, a HIPAA-secure solution that allows health care providers to arrange rides for those who need it most. As an extension of Alignment’s ACCESS On-Demand Concierge program, an around-the-clock service the company provides to its California plan members at no additional cost, Uber Health will augment the “on …

Uber Health partners with California health plan: 3 things to know | Becker’s Hospital Review | 12/3/2019

Alignment Healthcare, a Medicare Advantage insurance company in Orange, Calif., partnered with Uber Health to provide nonemergency medical transportation options for its plan members, according to a Dec. 3 news release. Three things to know: 1. Alignment will begin using Uber Health’s dashboard to schedule nonemergency pickup and drop-off services to plan-approved locations for members in select areas of California early next year. 2. The Uber Health partnership …

Walgreens Healthcare

Walgreens, UnitedHealth Partner on Medicare Centers | 12/3/2019

Walgreens, UnitedHealth Partner on Medicare Centers December 3, 2019 UnitedHealthcare®, the health benefits business of UnitedHealth Group, and Walgreens will open 14 UnitedHealthcare Medicare services centers within Walgreens stores in five metropolitan areas as part … to discuss UnitedHealthcare plan benefits and enroll in plans. UnitedHealthcare Medicare Advantage members can also make an appointment for an in-store annual wellness visit. Walgreens and UnitedHealthcare are also collaborating on the new AARP …

UnitedHealthcare opening centers in Walgreens stores | National and International | azdailysun.com | 12/1/2019

UnitedHealthcare is launching new service centers for Medicare beneficiaries in more than a dozen Walgreens stores — a second partnership in as many years between the pharmacy giant and Minnetonka, Minn.-based UnitedHealth Group, which is … provides in-home visits to seniors enrolled in the company’s Medicare Advantage health plans. “Walgreens collaboration with UnitedHealthcare helps people navigate their health care options and provides convenient access to affordable care,” said Rick Gates …

TPG Capital

WellSky Partners with Leading Post-Acute Care Providers to Launch WellSky REACH — a Groundbreaking Technology and Services Platform Powering Payer-Provider Collaboration | Malvern Daily Record | 11/19/2019

… coordination across historically siloed healthcare stakeholders. “Today, 1 out of every 3 post-acute patients is a member of a Medicare Advantage plan. That number is expected to increase to 1 in 2, which will … individuals’ unique health and social circumstances. A portfolio company of TPG Capital, WellSky serves more than 10,000 client sites around the world — including the largest hospital systems, blood banks and labs, home health and hospice …

William Blair

FY2019 Earnings Estimate for Tivity Health Inc (NASDAQ:TVTY) Issued By William Blair | 11/17/2019

Tivity Health Inc (NASDAQ:TVTY) – Analysts at William Blair decreased their FY2019 earnings per share (EPS) estimates for Tivity Health in a research report issued on Wednesday, November 13th. William Blair analyst R. Daniels now … company offers SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers. Read More: Channel Trading Receive News & Ratings …

Tivity Health Inc (NASDAQ:TVTY) Forecasted to Earn FY2019 Earnings of $2.21 Per Share - Zolmax | 11/15/2019

Tivity Health Inc (NASDAQ:TVTY) – Investment analysts at William Blair reduced their FY2019 earnings estimates for Tivity Health in a research report issued to clients and investors on Wednesday, November 13th. William Blair analyst R … company offers SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers …

Morgan Stanley

Edmp Inc. Increases Position in Cigna Corp (NYSE:CI) | 11/9/2019

… 254.00 target price on Cigna and gave the stock a “buy” rating in a research report on Tuesday, September 10th. Morgan Stanley boosted their target price on Cigna from $207.00 to $208.00 and gave the … other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers …

Cigna (NYSE:CI) Given New $222.00 Price Target at UBS Group | 11/9/2019

… currently has a buy rating on the health services provider’s stock.Several other equities analysts have also commented on the company. Morgan Stanley upped their target price on Cigna from $207.00 to $208.00 and gave the … other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers …

Goldman Sachs

Kidney hormone replacement recovery, order estradiol pharmacy canada | 11/9/2019

… sometimes combined with other hormones. Is estradiol covered by Medicare? Does Medicare cover estradiol ? 99% of Medicare Part D and Medicare Advantage plans cover this drug. EXCLUSIVE The 90-second clip from Boots plays on … it flourish, becoming its flinty public face in ads. The Goldman Sachs board of directors is supposed to keep management in check, but Reuters’ blogger Felix Salmon says it is stacked with company insiders, conflicting …

CNO Financial Group, Inc. (CNO) CEO Gary Bhojwani on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/7/2019

… Call Participants Daniel Bergman - Citi Randy Binner - B. Riley FBR Erik Bass - Autonomous Research Humphrey Lee - Dowling & Partners Alex Scott - Goldman Sachs Alex Scott - Goldman Sachs Thomas Gallagher - Evercore ISI Operator Ladies and gentlemen, thank … franchise profitably launching new products and services including a new Medicare advantage pilot with Humana in our direct-to-consumer channel expanding to the right to slightly younger wealthier consumers within the middle income market …

BlackRock

Tivity Health (NASDAQ:TVTY) Stock Rating Upgraded by BidaskClub | 11/8/2019

… A number of hedge funds and other institutional investors have recently added to or reduced their stakes in the business. BlackRock Inc. lifted its holdings in Tivity Health by 4.8% in the 2nd quarter. BlackRock … company offers SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers …

Louisiana State Employees Retirement System Sells 1,900 Shares of Tivity Health Inc (NASDAQ:TVTY) | 11/7/2019

… the end of the most recent reporting period. Several other hedge funds have also modified their holdings of the business. BlackRock Inc. boosted its holdings in shares of Tivity Health by 4.8% in the 2nd … company offers SilverSneakers senior fitness program to the members of Medicare advantage, Medicare supplement; and Prime fitness, a fitness facility access program through commercial health plans and employers. Featured Story: What is the return on …

Cambia Health Solutions

Scott Powers Appointed as New CEO for Elara Caring | 11/6/2019

On September 27, Elara Caring announced, effective immediately, that Scott Powers has been appointed as Chief Executive Officer. Scott Powers received both his undergraduate and graduate degrees from Arizona State University. He was most recently the President and Chief Operating Officer at Alignments Healthcare, a company focused on providing senior citizens with Medicare Advantage plans. Powers has also served in senior executive roles and Intel Corporation, Cambia Health Solutions, Regence …

Livongo inks deal with Federal Employee Health Benefits Program, stock jumps | MobiHealthNews | 10/7/2019

Medicare Advantage members. Another big deal came in 2018 when it signed a deal with nonprofit health insurance company Cambia Health Solutions. ON THE RECORD “This win highlights two of our competitive advantages,” Dr. Jennifer Schneider, president of Livongo, “First, government entities and large plans want to see multi-year, clinically validated results at scale, and only Livongo has that independently validated data. Second, our AI+AI engine, which aggregates …

Citigroup

Cigna (NYSE:CI) Releases Quarterly Earnings Results, Beats Estimates By $0.17 EPS - Transcript Daily | 11/3/2019

… Cigna from $207.00 to $208.00 and gave the stock an “overweight” rating in a research report on Thursday, September 26th. Citigroup reissued a “buy” rating on shares of Cigna in a research report on Wednesday … other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers …

Cigna (NYSE:CI) Posts Quarterly Earnings Results, Beats Expectations By $0.17 EPS | 11/3/2019

… ratio of 0.90 and a beta of 0.72. Get Cigna alerts: Several equities research analysts recently commented on CI shares. Citigroup reiterated a “buy” rating on shares of Cigna in a research report on Wednesday … other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers …

SVB Leerink

HMS Holdings Corp. (HMSY) CEO Bill Lucia on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/1/2019

… Suisse Jamie Stockton - Wells Fargo Richard Close - Canaccord Genuity Donald Hooker - KeyBanc David Windley - Jefferies Charlie Strauser - CJS Daniel Grosslight - SVB Leerink Stephanie Demko - Citi Vikram Kesavabhotla - Guggenheim Securities Operator Ladies and gentlemen thank you … to expand COB and PI services to both commercial and Medicare advantage plans. Recent data from Kaiser Family Foundation highlighted that the uninsured rate has been rising since 2017 and now approximately 15 million uninsured …

Livongo inks pacts with Doctor on Demand, MDLive | Healthcare Dive | 10/29/2019

Medicare Advantage members, giving it access to a large and growing pool of potential members. SVB Leerink, which has been consistently bullish on Livongo, hailed the partnerships with Doctor on Demand and MDLive. “We see this as particularly impactful for behavioral health where LVGO can navigate members through a tiered network starting with a digital first approach (e.g., recorded meditations), working up to coaches, and then, if necessary, escalating members …

RBC Capital Markets

Chemed Corp (CHE) Q3 2019 Earnings Call Transcript | 10/31/2019

… Thank you so much. Operator Thank you. And our next question will come from the line of Frank Morgan from RBC Capital Markets. You may begin. Frank Morgan — RBC Capital Markets — Analyst Good morning. I … could result in by including the hospice benefit within the Medicare Advantage, and it’s kind of the most simple things on the face of that actually is fairly complex. So we’re actually encouraged that CMMI …

Chemed Corp (CHE) Q3 2019 Earnings Call Transcript | The Motley Fool | 10/30/2019

… Thank you so much. Operator Thank you. And our next question will come from the line of Frank Morgan from RBC Capital Markets. You may begin. Frank Morgan – RBC Capital Markets – Analyst Good morning. I … could result in by including the hospice benefit within the Medicare Advantage, and it’s kind of the most simple things on the face of that actually is fairly complex. So we’re actually encouraged that CMMI …

Merrill Lynch

Molina Healthcare Inc. (MOH) CEO Joe Zubretsky on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/30/2019

… Stephens Inc. Peter Costa - Wells Fargo Securities Josh Raskin - Nephron Research Justin Lake - Wolfe Research Kevin Fischbeck - Bank of America/Merrill Lynch Stephen Tanal - Goldman Sachs Cal Sternick - Cowen and Company Steven Valiquette - Barclays Matthew … particularly Medicaid, high acuity and duals and probably not traditional Medicare advantage. So we’re going to stay very disciplined to our core product line. We really do seek out underperforming businesses because of our proven …

Community Health Systems, Inc. (CYH) CEO Wayne Smith on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/30/2019

… Officer Conference Call Participants A.J. Rice - Credit Suisse Josh Raskin - Nephron Research Ralph Giacobbe - Citi Kevin Fischbeck - Bank of America Merrill Lynch Anthony Makdessi - JPMorgan Steve Tanal - Goldman Sachs Operator Ladies and gentlemen, thank you … quarter of 2018 shows managed care and other, which includes Medicare Advantage increased 80 basis points; Medicare Fee-for-Service decreased 30 basis points; Medicaid decreased 10 basis points; and self-pay decreased 40 basis …

Ascension

Home health agencies expanding, rolling out more telehealth services | Healthcare Dive | 12/3/2019

… baby boomers. CMS also is enabling the industry’s growth and diversity of service offerings. For example, the agency began allowing Medicare Advantage plans to offer non-skilled, in-home support to their chronically ill beneficiaries … recovering from non-life-threatening conditions, has inked contracts with Ascension, CommonSpirit Health, and Highmark Health …

WellDoc and Japanese pharma firm Astellas strike a $15 million deal to codevelop a digital therapeutics tool for diabetes in Asia | Business Insider | 11/25/2019

Medicare Advantage members in 2018 by transitioning to value-based agreements Google and Ascension assured doubters their data-sharing venture is HIPAA compliant, but lawmakers still want more details Vodafone is leaning on Google AI for an operations revamp …

Highmark Health

Home health agencies expanding, rolling out more telehealth services | Healthcare Dive | 12/3/2019

… baby boomers. CMS also is enabling the industry’s growth and diversity of service offerings. For example, the agency began allowing Medicare Advantage plans to offer non-skilled, in-home support to their chronically ill beneficiaries … threatening conditions, has inked contracts with Ascension, CommonSpirit Health, and Highmark Health

LHC Group Adds Density in Texas; Highmark Health Turns to Contessa | 11/24/2019

… Highmark Health,” Dr. Monique Reese, senior vice president of home and community care for Highmark Health, said in a statement. “Through the Home Recovery Care Model, Allegheny Health Network will provide high-quality in-home services such as home care, home infusion and durable medical equipment.” Currently, Home Recovery Care is available to select Highmark Inc. commercial health plan members and will be available to all Medicare Advantage (MA) members …

HCA Healthcare

State Highlights: Worried About Homelessness In Big Cities, Boise Court Case Would Test ‘Policing’; Georgia Waits For Public To Comment On Plans To Overhaul Health Care | Kaiser Health News | 12/3/2019

… approval for its proposed merger with WellCare Health Plans. Centene said its sale of IlliniCare Health Plan includes Medicaid and Medicare Advantage, but Centene will keep its Medicare-Medicaid Alignment Initiative business and a statewide … earlier this year in the Southern District of Florida against HCA Healthcare Inc., which does business as HCA Florida in hospitals across the state. (Conarck, 12/3) Milwaukee Journal Sentinel: Armor Correctional Faces Criminal Trial In …

Google Alert - care plan | 11/19/2019

… Inpatient Quality to MA Home Health HealthPayerIntelligence.com “Through the Home Recovery Care Model, Allegheny Health Network will … The health plan’s Medicare Advantage members and all members in … Flag as irrelevant Take the holidays to talk … York-based hedge fund recently boosted positions in Cigna Corp., HCA Healthcare Inc., Tenet Healthcare Corp., and WellCare Health Plans … Flag as irrelevant WEB How to design a daycare center Casino de Vernet That’s why …

Boston Medical Center

Alignment Healthcare Expands Its ACCESS On-Demand Concierge Program for Seniors With Uber Health Agreement | Malvern Daily Record | 12/3/2019

Alignment Healthcare, a mission-based Medicare Advantage insurance company founded in 2013, today announced an agreement with Uber Health, a HIPAA-secure solution that allows health care providers to arrange rides for those who need … solutions. Over 1,000 health care organizations like ALC Solutions, Cerner, Boston Medical Center, and MedStar trust Uber Health to provide reliable transportation to those they care for. For more, visit uberhealth.com . ABOUT ALIGNMENT HEALTHCARE Alignment …

Most seniors have not embraced ride-hailing services | 11/5/2019

… care systems, for instance. In the past 18 months, more than 1,000 — including MedStar, in the Washington area, and the Boston Medical Center — have signed on with Uber Health for “nonemergency medical transportation,” the company … wouldn’t continue using ride-hailing, mostly because of cost. Some Medicare Advantage programs now cover rides to medical appointments and pharmacies; Lyft expects to partner with most Advantage plans by next year, Renwick said. But …

CommonSpirit Health

Home health agencies expanding, rolling out more telehealth services | Healthcare Dive | 12/3/2019

… baby boomers. CMS also is enabling the industry’s growth and diversity of service offerings. For example, the agency began allowing Medicare Advantage plans to offer non-skilled, in-home support to their chronically ill beneficiaries … from non-life-threatening conditions, has inked contracts with Ascension, CommonSpirit Health, and Highmark Health …

2019 Forbes Healthcare Summit in NYC Features the Top Leaders in the $4 Trillion Healthcare Industry | 9/11/2019

… Personalized Medicine, specific topics of discussion will include brain health; top strategies for addressing social determinants of health; improving the Medicare Advantage experience; technology that’s transforming how we prevent, detect and diagnose disease; biopharma breakthroughs … University and Jefferson Health Kevin E. Lofton , Chief Executive Officer, CommonSpirit Health (CSH) Nancy Lublin , Cofounder & Chief Executive Officer, Crisis Text Line Michael F. Neidorff , Chairman & Chief Executive Officer, Centene Avik Roy , President, The Foundation …

Meridian Health

Centene to sell Illinois plan to CVS Health | Modern Healthcare | 12/2/2019

… approval for its proposed merger with WellCare Health Plans. Centene said its sale of IlliniCare Health Plan includes Medicaid and Medicare Advantage, but Centene will keep its Medicare-Medicaid Alignment Initiative business and a statewide … in Illinois, should the WellCare merger ultimately close. WellCare owns Meridian Health Plan, the largest provider of Medicaid managed-care services in the state, covering 774,000 enrollees. Without the divestiture, a combined Centene and WellCare …

Hackensack Meridian Health Mountainside Medical Center Launches Helpline to Assist Medicare Beneficiaries | 11/12/2019

The new toll-free helpline connects callers with local licensed agents who can assist in comparing Medicare Advantage, Supplement and Prescription plans and then facilitate enrollment in the plan selected. Through this program it will be easier for Medicare beneficiaries to find a plan that is accepted by Mountainside Medical Center and its affiliated doctors, thus assuring continuity of care and preserving the trusted bond built up over time with …

Gundersen Health System

QUARTZ HEALTH SOLUTIONS / SHINE UNITED - Ad from 2019-12-01 | Medical Care | lacrossetribune.com | 12/1/2019

QUARTZ HEALTH SOLUTIONS / SHINE UNITED - Ad from 2019-12-01 5 hrs ago 202 NORTH HENRY STREET, MADISON, WI 53703 608-442-7373 Medicare Annual Enrollment Period runs October 15 - December 7. Medicare Plans That Work to Your Advantage Choose the 5-Star Medicare Advantage plan that gives you Benefits include: access to personalized customer service and high-quality care from the hospitals and clinics of Gundersen Health System. For For the las lastt …

QUARTZ HEALTH SOLUTIONS / SHINE UNITED - Ad from 2019-10-20 | Medical Care | lacrossetribune.com | 10/20/2019

QUARTZ HEALTH SOLUTIONS / SHINE UNITED - Ad from 2019-10-20 6 hrs ago 202 NORTH HENRY STREET, MADISON, WI 53703 608-442-7373 Medicare Annual Enrollment Period runs October 15 - December 7. Medicare Plans That Work to Your Advantage Choose the 5-Star Medicare Advantage plan that gives you Benefits include: access to personalized customer service and high-quality care from the hospitals and clinics of Gundersen Health System. For For the las lastt …

LHC Group

Teladoc (TDOC) Up 73% Year to Date: Will the Rally Continue? - November 29, 2019 - Zacks.com | 11/29/2019

… markets, the aging U.S. population, which is likely to drive demand for telehealth services and its efforts to grow in Medicare advantage business. Factors to Drive Growth Teladoc posted a positive EBITDA for the first … Inc. ( AMEH - Free Report ) , HealthEquity, Inc. ( HQY - Free Report ) and LHC Group, Inc. ( LHCG - Free Report ) . Each of these stocks carries a Zacks Rank 2 (Buy). You can see the complete list of today’s Zacks …

Allegheny Health Network

Health Care Reform Articles - November 25, 2019 | 11/26/2019

… saturated Pittsburgh’s health care market, with the iconic UPMC brand operating a health insurance arm, and Highmark BCBS running the Allegheny Health Network system of hospitals and clinics. Both companies declined to comment on the … improving the health of millions of Medicare beneficiaries. Stop private Medicare Advantage plans from bilking taxpayers. Roughly one-third of Medicare beneficiaries get coverage through a private Medicare Advantage plan. Medicare payments to these plans …

LHC Group Adds Density in Texas; Highmark Health Turns to Contessa | 11/24/2019

Allegheny Health Network will provide high-quality in-home services such as home care, home infusion and durable medical equipment.” Currently, Home Recovery Care is available to select Highmark Inc. commercial health plan members and will be available to all Medicare Advantage (MA) members starting on Jan. 1, 2020. Additionally, plans to expand this service to all Highmark Health plan members in western and central Pennsylvania and the company’s other …

Genesis Healthcare

Humana, Epione Tie Up to Aid Medicare Advantage Members | Zacks | 11/26/2019

Humana, Epione Tie Up to Aid Medicare Advantage Members Zacks Equity Research You follow Analyst Blog - edit You follow Zacks Equity Research - edit What would you like to follow? Zacks Equity Research Cancel Read More … Free Report ) , WellCare Health Plans, Inc. ( WCG - Free Report ) and Genesis Healthcare, Inc. ( GEN - Free Report ) . You can see the complete list of today’s Zacks 1 Rank (Strong Buy) stocks here. Select Medical Holdings operates …

Humana, Epione Tie Up to Aid Medicare Advantage Members - November 26, 2019 - Zacks.com | 11/26/2019

… Report ) recently reached a value-based agreement with Epione Health of Oklahoma, LLC to provide coordinated, enriched healthcare for Humana Medicare Advantage members in the state. With this unique partnership, the local Humana Medicare Advantage … Free Report ) , WellCare Health Plans, Inc. ( WCG - Free Report ) and Genesis Healthcare, Inc. ( GEN - Free Report ) . You can see the complete list of today’s Zacks 1 Rank (Strong Buy) stocks here. Select Medical Holdings operates …

Humana

Philips and Humana team up to improve care for at-risk Medicare Advantage members | Globe Newswire | 12/4/2019

Humana care managers deliver interventions for their members with congestive heart failure Amsterdam, the Netherlands – Royal Philips (NYSE: PHG, AEX: PHIA), a global leader in health technology, today announced a collaboration with Humana Inc. (NYSE: HUM), one of the leading health and well-being companies in the U.S., to help improve care and health outcomes for select high-risk Medicare Advantage members. Through an integrated approach, Humana has implemented two …

Cigna

Stifel Financial Corp Lowers Stock Holdings in Cigna Corp (NYSE:CI) | 12/4/2019

Stifel Financial Corp reduced its stake in Cigna Corp (NYSE:CI) by 24.5% during the third quarter, according to the company in its most recent 13F filing with the Securities & Exchange Commission. The institutional investor … other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers …

Stifel Financial Corp Sells 18,546 Shares of Cigna Corp (NYSE:CI) | Daily Political | 12/4/2019

Stifel Financial Corp lowered its position in Cigna Corp (NYSE:CI) by 24.5% during the 3rd the company in its most recent Form 13F filing with the SEC. The institutional investor owned 57,265 shares of … other products and services to insured and self-insured clients; Medicare Advantage, Medicare Supplement, and Medicare Part D plans to Medicare-eligible beneficiaries, as well as Medicaid plans; and health insurance coverage to individual customers …

UnitedHealthcare

Medicare Sales Representative - New York, NY - UnitedHealth Group - New York, NY | 12/4/2019

… than three million people. Make a difference in the lives of those in your own community and a career with UnitedHealthcare Community Plan will allow you to do just that! Your performance will be rewarded … Outlook, Word, Excel and Power Point) Bilingual Prior experience selling Medicare Advantage or Dual Eligible Special Needs Plan (D-SNP) Established professional contacts or active within the community (i.e. non - profits, health providers, community or …

UnitedHealth Group: 2020 Revenues To Eclipse $260B | Forbes | 12/3/2019

UnitedHealth Group said its 2020 revenues will surpass $260 billion next year as the company prepares to unveil its business strategy Tuesday. Already the nation’s largest health insurance company, UnitedHealth is poised to grow its top line by about 9%. UnitedHealth operates commercial, Medicaid and Medicare Advantage plans via its UnitedHealthcare health insurance unit and is also expanding its medical care provider business across the country under its fast-growing …

Aetna

CVS Health to buy Illinois insurance unit | Seeking Alpha | 12/4/2019

Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. Centene is selling its Illinois Medicaid and … Lynch, executive vice president of CVS Health and president of Aetna. Crain’s Chicago Business (12/02/19) Goldberg, Stephanie Article URL …

UnitedHealth Group: 2020 Revenues To Eclipse $260B | Forbes | 12/3/2019

… largest health insurance company, UnitedHealth is poised to grow its top line by about 9%. UnitedHealth operates commercial, Medicaid and Medicare Advantage plans via its UnitedHealthcare health insurance unit and is also expanding its medical … retail health clinics and a larger pharmacy benefit manager, acquired Aetna, the nation’s third-largest health insurer. And the health insurer Cigna a year ago completed its merger with Express Scripts, a larger pharmacy benefit …

Wellcare

WellCare Selected to Continue Serving Kentucky’s Medicaid Managed Care Program, Awarded Sole Contract for New Kentucky SKY Program | PR Newswire | 12/4/2019

LOUISVILLE, Ky. and TAMPA, Fla. WellCare Health Plans, Inc. (NYSE: WCG ) announced today the Kentucky Cabinet for Health and Family Services selected WellCare of Kentucky (“WellCare”) to continue serving the Commonwealth’s Medicaid managed care program … Sept. 30, 2019 , WellCare serves approximately 438,000 Medicaid members, 14,000 Medicare Advantage plan members and 33,000 Medicare Prescription Drug Plan members in Kentucky . About WellCare Health Plans, Inc. Headquartered in Tampa, Fla. , WellCare Health Plans …

Wellcare Health Plans

CVS Health to buy Illinois insurance unit | Seeking Alpha | 12/4/2019

Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. Centene is selling its Illinois Medicaid and Medicare Advantage business lines to CVS Health in order to facilitate its more than $15 billion purchase of WellCare Health Plans. The Centene unit is one of six private insurers awarded contracts to administer Medicaid …

WellCare Selected to Continue Serving Kentucky’s Medicaid Managed Care Program, Awarded Sole Contract for New Kentucky SKY Program | PR Newswire | 12/4/2019

LOUISVILLE, Ky. and TAMPA, Fla. WellCare Health Plans, Inc. (NYSE: WCG ) announced today the Kentucky Cabinet for Health and Family Services selected WellCare of Kentucky (“WellCare”) to continue serving the Commonwealth’s Medicaid managed care program … Sept. 30, 2019 , WellCare serves approximately 438,000 Medicaid members, 14,000 Medicare Advantage plan members and 33,000 Medicare Prescription Drug Plan members in Kentucky . About WellCare Health Plans, Inc. Headquartered in Tampa, Fla. , WellCare Health Plans …

Clover Health

30 companies worth at least $1 billion that didn’t exist 10 years ago | Business Insider | 12/4/2019

… underwriting profit of $128 million. This past summer, CEO Mario Schlosser announced Oscar’s marketplace would start selling Obamacare plans, including Medicare Advantage plans, in 12 new markets starting in 2020 . Additional reporting by Lydia Ramsey … is a ripe industry to disrupt, and San Francisco-based Clover Health knows it. The company, founded in 2014, is valued at $1.2 billion. Clover Health Clover Health’s incentive is to do away with paperwork …

30 companies worth at least $1 billion that didn’t exist 10 years ago | Markets Insider | Business Insider | 12/3/2019

… underwriting profit of $128 million. This past summer, CEO Mario Schlosser announced Oscar’s marketplace would start selling Obamacare plans, including Medicare Advantage plans, in 12 new markets starting in 2020 . Additional reporting by Lydia Ramsey … is a ripe industry to disrupt, and San Francisco-based Clover Health knows it. The company, founded in 2014, is valued at $1.2 billion. Clover Health Clover Health’s incentive is to do away with paperwork …

Oscar Health

30 companies worth at least $1 billion that didn’t exist 10 years ago | Business Insider | 12/4/2019

… likes — a move that some praised and others threatened to quit the app over. New York-based health insurance startup Oscar Health was founded in 2012 and is worth $3.2 billion. Mario Schlosser, CEO and … Schlosser announced Oscar’s marketplace would start selling Obamacare plans, including Medicare Advantage plans, in 12 new markets starting in 2020 . Additional reporting by Lydia Ramsey and Clarrie Feinstein. Robotic food-preparation company Zume, known for …

30 companies worth at least $1 billion that didn’t exist 10 years ago | Markets Insider | Business Insider | 12/3/2019

… likes - a move that some praised and others threatened to quit the app over. New York-based health insurance startup Oscar Health was founded in 2012 and is worth $3.2 billion. Eduardo Munoz/Reuters Oscar … Schlosser announced Oscar’s marketplace would start selling Obamacare plans, including Medicare Advantage plans, in 12 new markets starting in 2020 . Additional reporting by Lydia Ramsey and Clarrie Feinstein. Robotic food-preparation company Zume, known for …

Centene Corp

State Highlights: Worried About Homelessness In Big Cities, Boise Court Case Would Test ‘Policing’; Georgia Waits For Public To Comment On Plans To Overhaul Health Care | Kaiser Health News | 12/3/2019

… Centene Corp. announced plans on Monday to sell its Illinois health plan subsidiary to CVS Health to help secure state approval for its proposed merger with WellCare Health Plans. Centene said its sale of IlliniCare Health Plan includes Medicaid and Medicare Advantage, but Centene will keep its Medicare-Medicaid Alignment Initiative business and a statewide foster-care contract set to begin in February. (Livingston, 12/2) Los Angeles Times: Peter Lynn …

UPDATE 1-Centene to sell Illinois health plan unit to CVS to aid merger with WellCare | Yahoo News | 12/2/2019

Health insurer Centene Corp said on Monday it would divest its Illinois unit, IlliniCare Health Plan Inc, to CVS Health Corp, as it looks to close its $15.27 billion deal to buy smaller rival WellCare … Inc. The transaction entails the sale of Centene’s Medicaid and Medicare Advantage lines of business in Illinois, the company said. “We are continuing to make progress towards completing our transaction with WellCare and the divestiture …

Tufts Health Plan

Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans | HealthPayer Intelligence | 12/3/2019

… Payers News Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans Centene will sell its Illinois Medicaid and Medicare Advantage plans to CVS Health for an undisclosed amount due to Centene-WellCare merger … health plans seeking federal and state blessing for their future. Tufts Health Plan and Harvard Pilgrim have been defending their potential merger this week. When the announcement was first released, local news outlets emphasized the …

Google Alert - care plan | 11/19/2019

… faced a barrage of criticism regarding its decision to have the school district offer a pre-school … Flag as irrelevant Tufts Health Plan Expands Alternative Care Options with Unlimited Acupuncture Coverage PRNewswire (press release) WATERTOWN … Health Plan , one of the nation’s largest not-for-profit Medicare Advantage plans, will … Flag as irrelevant Housing First Minnesota Launches Association Health Plan for Housing Industry Southernminn.com Association health plans are a category of …

Bernie Sanders

What you need to know about Medicare for All | 12/3/2019

POLITICS By VTD Editor Dec 3 2019, 2:20 PM no reader footnotes Sens. Bernie Sanders and Elizabeth Warren at the July 19, 2019, Democratic presidential debate on CNN. Photo by CNN This article by Jon … on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care system — where the government foots the bill for people’s health …

Comment on What you need to know about Medicare for All by Bob Schwartz | 12/3/2019

… in out-of-pocket costs. Nursing home care effectively would continue as it exists today under the Medicaid program. Sen. Bernie Sanders, I-Vt., introduced his Medicare for All bill flanked by Democratic cosponsors. in … on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care system — where the government foots the bill for people’s health …

Seema Verma

Value-based primary care provider accelerates growth and physician recruitment | PRWeb | 12/3/2019

Medicare Advantage Summit 2019. Plus, ChenMed continues to educate physicians about the tremendous promise of value- over volume-based primary care. During 2019 alone, ChenMed has hosted or presented at more than 50 invitation only events for primary care doctors interested in learning about the viable pathways to risk as encouraged by Alex Azar, United States Secretary of Health and Human Services (HSUS), and by Seema Verma, administrator for the …

Value-based primary care provider accelerates growth and physician recruitment | The Wapakoneta Daily News | 12/3/2019

Medicare Advantage Summit 2019. Plus, ChenMed continues to educate physicians about the tremendous promise of value- over volume-based primary care. During 2019 alone, ChenMed has hosted or presented at more than 50 invitation only events for primary care doctors interested in learning about the viable pathways to risk as encouraged by Alex Azar, United States Secretary of Health and Human Services (HSUS), and by Seema Verma, administrator for the …

Elizabeth Warren

What you need to know about Medicare for All | 12/3/2019

POLITICS By VTD Editor Dec 3 2019, 2:20 PM no reader footnotes Sens. Bernie Sanders and Elizabeth Warren at the July 19, 2019, Democratic presidential debate on CNN. Photo by CNN This article by Jon … on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care system — where the government foots the bill for people’s health …

As Buttigieg Rises, Insurers Offer More Medicare Benefits | Forbes | 11/29/2019

… they offer more benefits and services heading into 2020. And that may help Pete Buttigieg more than Bernie Sanders or Elizabeth Warren. It’s as if the health insurance industry is upping its game headed into … alone, insurers have unveiled perhaps their richest benefit packages for Medicare Advantage, the privatized coverage for seniors subsidized by federal tax dollars. These changes come amid Medicare’s open enrollment, which runs through Dec. 7. Insurers …

Alex Azar

Value-based primary care provider accelerates growth and physician recruitment | PRWeb | 12/3/2019

Medicare Advantage Summit 2019. Plus, ChenMed continues to educate physicians about the tremendous promise of value- over volume-based primary care. During 2019 alone, ChenMed has hosted or presented at more than 50 invitation only events for primary care doctors interested in learning about the viable pathways to risk as encouraged by Alex Azar, United States Secretary of Health and Human Services (HSUS), and by Seema Verma, administrator for the …

Value-based primary care provider accelerates growth and physician recruitment | The Wapakoneta Daily News | 12/3/2019

Medicare Advantage Summit 2019. Plus, ChenMed continues to educate physicians about the tremendous promise of value- over volume-based primary care. During 2019 alone, ChenMed has hosted or presented at more than 50 invitation only events for primary care doctors interested in learning about the viable pathways to risk as encouraged by Alex Azar, United States Secretary of Health and Human Services (HSUS), and by Seema Verma, administrator for the …

Kamala Harris

What you need to know about Medicare for All | 12/3/2019

… for All would cover medical bills completely, with no burden on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care … most full-throated support for Medicare for All. Four others — Kamala Harris, Cory Booker, Julian Castro and Tulsi Gabbard — endorse variations on Medicare for All that don’t quite as far or get there as quickly …

Comment on What you need to know about Medicare for All by Bob Schwartz | 12/3/2019

… for All would cover medical bills completely, with no burden on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care … most full-throated support for Medicare for All. Four others — Kamala Harris, Cory Booker, Julian Castro and Tulsi Gabbard — endorse variations on Medicare for All that don’t quite as far or get there as quickly …

Pete Buttigieg

What you need to know about Medicare for All | 12/3/2019

… that he “wrote the damn bill,” and Elizabeth Warren from Massachusetts. Most vocally on the other side are Joe Biden, Pete Buttigieg and Amy Klobuchar. They argue that this single-payer health care program would … on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care system — where the government foots the bill for people’s health …

As Buttigieg Rises, Insurers Offer More Medicare Benefits | Forbes | 11/29/2019

… payer versions of “Medicare for All” as they offer more benefits and services heading into 2020. And that may help Pete Buttigieg more than Bernie Sanders or Elizabeth Warren. It’s as if the health insurance … alone, insurers have unveiled perhaps their richest benefit packages for Medicare Advantage, the privatized coverage for seniors subsidized by federal tax dollars. These changes come amid Medicare’s open enrollment, which runs through Dec. 7. Insurers …

Cory Booker

What you need to know about Medicare for All | 12/3/2019

… for All would cover medical bills completely, with no burden on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care … throated support for Medicare for All. Four others — Kamala Harris, Cory Booker, Julian Castro and Tulsi Gabbard — endorse variations on Medicare for All that don’t quite as far or get there as quickly. Harris, for …

Comment on What you need to know about Medicare for All by Bob Schwartz | 12/3/2019

… for All would cover medical bills completely, with no burden on the patient. There would be no Medigap insurance or Medicare Advantage. If Medicare for All sounds a lot like a single-payer health care … throated support for Medicare for All. Four others — Kamala Harris, Cory Booker, Julian Castro and Tulsi Gabbard — endorse variations on Medicare for All that don’t quite as far or get there as quickly. Harris, for …

Michael F. Neidorff

Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans | HealthPayer Intelligence | 12/3/2019

… Payers News Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans Centene will sell its Illinois Medicaid and Medicare Advantage plans to CVS Health for an undisclosed amount due to Centene-WellCare merger … Health plan is the next step in that process,” explained Michael F. Neidorff, Centene’s chairman, president and chief executive officer. “Our employees in Illinois have done an exceptional job serving our communities in the state …

Centene and CVS Health Announce Agreement for CVS Health to Acquire IlliniCare Health | PR Newswire | 12/2/2019

… acquire Centene’s Illinois health plan subsidiary, IlliniCare Health Plan, Inc. (“IlliniCare”). The transaction entails the sale of Centene’s Medicaid and Medicare Advantage lines of business in Illinois . Centene will retain IlliniCare’s Medicare-Medicaid Alignment Initiative … Health plan is the next step in that process,” said Michael F. Neidorff , Centene’s Chairman, President and Chief Executive Officer. “Our employees in Illinois have done an exceptional job serving our communities in the state …

Andrew Parker

MA Insurers Tap Papa Pals to Provide Companionship for Seniors | 12/3/2019

… CVS Health Corp., is partnering with a company called Papa to offer “grandkid-on-demand” services to the health insurer’s Medicare Advantage (MA) members. Robert Mirsky, M.D., chief medical officer for Medicare at Aetna, says … It helps them keep up with social engagement,” Papa CEO Andrew Parker says. Papa Pals are the “eyes and ears” of the payer, he adds. Once a Pal enters the senior’s home, they can communicate …

Papa Inc. and Aetna Announce Florida Collaboration for Medicare Advantage Members | 11/15/2019

Papa Inc. and Aetna Announce Florida Collaboration for Medicare Advantage Members Papa Inc. and Aetna Announce Florida Collaboration for Medicare Advantage Members By 263 SHARE MIAMI, Fla., Nov 13, Papa Inc., a leading provider for … associated with the lack of transportation,” said Founder and CEO Andrew Parker. “We are excited to work with Aetna in areas of Florida to help more seniors with companionship. We are happy to continue our …

Michael Carson

Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans | HealthPayer Intelligence | 12/3/2019

… Payers News Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans Centene will sell its Illinois Medicaid and Medicare Advantage plans to CVS Health for an undisclosed amount due to Centene-WellCare merger … the CEOs—Tom Croswell, the chief executive of Tufts, and Michael Carson, the chief executive officer at Harvard Pilgrim— explained to the Boston Globe why the merger would be a positive change for the region …

Tufts Health Plan and Harvard Pilgrim Announce Merger | HealthPayer Intelligence | 8/15/2019

… president and CEO of Tufts Health Plan, as chief executive officer of the organization. The new company’s president will be Michael Carson, the current president and CEO of Harvard Pilgrim Health Care. “Our communities and … Tufts Health Plan saw success in its five-star rated Medicare Advantage plans. The payer earned its stars through effective chronic disease care, preventive care, and member engagement with drug plans. The only area in …