Medicare

Scams heat up during Medicare open enrollment | 11/12/2019

… chief communications and strategy officer for the Area Agency on Aging 1-B in Southfield, Michigan. Fortunately, after talking with counselors at the agency, he was able to switch his coverage back to a Medicare Part D plan and he retained his Medigap plan since it was still in the open enrollment window. The open enrollment window is ripe for scam artists, Jarvis warns, as scammers often claim to be …

Medicare vs. Medicaid: Differences and Costs - TheStreet | 11/11/2019

… the similarity ends. Both government-backed health care insurance programs deliver coverage to U.S. individuals, but under different plan funding, different plan management, and different plan products. How can you tell the difference between Medicare and Medicaid? Start by understanding what each program does, and how each program works, and go from there. Medicare vs. Medicaid: Key Differences Though they sound similar and are both government programs, medicare and medicaid …

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2020 Medicare Advantage Plans Options Up for the Third Straight Year | 11/11/2019

A new MedicareWire report offers a brief overview of the Medicare Advantage program, including Special Needs Plans, and plan availability for 2020. Prescott, United States - November 11, 2019 / PressCable / — A new MedicareWire report shows that Medicare Advantage plan offerings are up for the third straight year. More than 22 million Medicare beneficiaries enrolled in a Medicare Advantage plan in 2019, a full 34% of those eligible for the health insurance …

LHC Group, Inc. (LHCG) CEO Keith Myers on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/11/2019

… to 4.36%, a reduction of approximately half from their original proposed adjustment in the proposed rule earlier this year. By doing so, CMS has lessened the burden on the industry and the risk to Medicare beneficiaries who depend on home health services during the transition to a drastically new model that represents the most significant change in reimbursement methodology in more than 20 years since the Balanced Budget Act of …

Susan Tompor: Scams heat up during Medicare open enrollment - The Morning Call | Chicago Tribune | 11/11/2019

… Others are trying to get your Social Security number or other information to use in identity fraud. Advertisement Locally, consumers have been reporting fast-talking, door-to-door sales pitches for signing up for Medicare Advantage Plans. “One gentleman signed up for a plan through a high pressure insurance agent and as a result he would have lost his Medigap coverage,” said said Jenny Jarvis, chief communications and strategy officer …

Telehealth: Medicare Finalizes New Services for 2020 in Physician Fee Schedule | 11/11/2019

Telehealth: Medicare Finalizes New Services for 2020 in Physician Fee Schedule Monday, November 11, 2019 CMS just released the 2020 final rule with changes to its virtual care codes. The new provision, officially titled “Communication Technology-Based Services,” introduces three new covered Telehealth Services. These changes were proposed as part of the 2020 Physician Fee Schedule earlier this year and continue CMS’ efforts to reduce administrative burden and cover more …

WellCare to Offer Medicare Advantage Plans in New Hampshire in 2020 | 11/11/2019

Today : Monday 11 November 2019 CONCORD, N.H. and TAMPA, Fla. , Nov. 11, 2019 /PRNewswire/ – WellCare Health Plans, Inc. (NYSE: WCG) has expanded its presence in New Hampshire , and during this year’s Medicare Annual Election Period (AEP), running now through Dec. 7, 2019 , Medicare-eligible beneficiaries in Carroll , Hillsborough , Rockingham and Strafford counties can enroll in one of three WellCare Health Maintenance Organization (HMO) or Preferred Provider Organization (PPO) plans. All …

WellCare to Offer Medicare Advantage Plans in Southwest Missouri in 2020 | 11/11/2019

WellCare to Offer Medicare Advantage Plans in Southwest Missouri in 2020 By WellCare Health Plans, Inc. Nov 11, 2019 By WellCare Health Plans, Inc. TownNews.com Content Exchange Save ST. LOUIS and TAMPA, Fla. , Nov. 11, 2019 /PRNewswire/ – WellCare Health Plans, Inc. (NYSE: WCG) has expanded its presence in the state of Missouri , and during this year’s Medicare Annual Election Period (AEP), running now through Dec. 7, 2019 , Medicare-eligible beneficiaries …

It would take at least a decade to transition to Medicare for All | 11/11/2019

Today’s Managing Health Care Costs Number is 10 (years) Elizabeth Warren in Lawrence, MA February 9, 2019 I wrote last Monday about Elizabeth Warren’s plan to pay for an exceptionally generous Medicare for All (M4A), including dental, vision, and long term care, with virtually no out of pocket payment. Warren has said she’ll lay out transition plans in the coming weeks- so a few thoughts. I’m entering a theoretical world …

Medicare Part B premium 2020: Rates and deductibles rising 7% | 11/11/2019

https://www.usatoday.com/story/money/2019/11/09/medicare-part-b-2020-deductibles-premiums-increasing/2541901001/” data-host=”www.usatoday.com” data-pending=”false” Medicare Part B premiums and deductibles are increasing 7% in 2020, which is a $9.10 monthly increase for 70% of Medicare beneficiaries. www.usatoday.com Medicare Part B premiums and deductibles for outpatient care will increase in 2020. The Centers for Medicare and Medicaid Services announced the new 2020 rates Friday. For about …

Medicare’s outpatient ‘Part B’ premium going up to $144.60 | 11/11/2019

… living raise for 2020 that works out to about $24 a month for the average retired worker. “People who are really counting on that Social Security (raise) will lose some of that to this Medicare increase,” said Fred Riccardi, president of the Medicare Rights Center, a group that advocates on health care issues. “For people who live with little to no savings, any increase in Medicare premiums or drug costs …

Medicare Open Enrollment Help Available Throughout Period | 11/11/2019

The Open Enrollment Period continues for those under Medicare plans for the next 4 weeks. The period allows those with previous medicare plans to evaluate those plans and potentially make changes for another plan which may be more beneficial. Julie Brookhart is the Public Affairs Specialist with the Kansas City Centers for Medicare and Medicaid Services. She says both health and prescription drug plans should be evaluated. She says there …

Dec. 7: Deadline for Medicare Open Enrollment | 11/11/2019

Dec. 7: Deadline for Medicare Open Enrollment Uploaded: , Monday, Nov 11, 2019 By Press Release The Medicare annual Open Enrollment period for 2019 for eligible seniors ends on Dec. 7, 2019, and the government’s health care provider has streamlined the process. Open Enrollment is the one time of year for seniors to review their current Medicare Advantage or Part D prescription coverage and see if they have better options based …

Oak Street Health Brings Value-Based Primary Care to Adults in North Carolina | PRWeb | 11/11/2019

… deserve.” The Greensboro center is located at 1007 Summit Avenue and the Charlotte center located at 3250 Freedom Drive. A third center in development will be located in East Charlotte. Patients enrolled in Humana Medicare Advantage plans and UnitedHealthcare Medicare Advantage plans will have access to Oak Street Health’s first three patient care centers in the state. “We are expanding Oak Street Health’s model to a new region to answer …

5 questions and answers about choosing a Medicare plan | 11/11/2019

… it’s important to understand coverage options when selecting your health plan for 2020. Research can take time, and many people find working with a licensed health insurance agent helpful when deciding between Original Medicare, Medicare Advantage plans, prescription drug plans, and Medicare supplement plans. Answering these five questions can help you make an informed choice during the Medicare annual election period Oct. 15 to Dec. 7: Are my doctors, hospitals …

Not So Fast: Right at Home, Homewatch CareGivers Temper 2020 Medicare Advantage Expectations | 11/11/2019

… domestic franchise locations and another 100 or so outside the U.S. Doug Robertson, the in-home care franchise company’s health care regulation and compliance manager, called the recent study from Milliman and the Better Medicare Alliance “interesting,” but noted that there’s room for growth, especially when it comes to in-home support services. “As a home care provider, we are specifically interested in plans that offer in-home support services …

Is Original Medicare Enough to Get By? | 11/11/2019

Is Original Medicare Enough to Get By? Newtown Sq, PA – ( SBWIRE ) – 11/11/2019 – Many Americans think that the original Medicare is enough to get by, but it may not be enough. Many older Americans feel that Medicare is a one-stop health insurance solution for their medical care, but the reality today is that with rising health care expenses and people living longer, Medicare just does not cover everything. Moreover, the …

Medicare Podiatry Billing Guidelines | 11/11/2019

… diabetes and other systemic medical conditions like Peripheral Arterial Disease (PAD) and Advanced Arterial Ischemia. Certain services are reimbursable. Podiatry medical billing and coding is a complex area for many practices. Many insurers including Medicare cover certain podiatry treatments. Medicare Part A, Part B, or Part C plan will provide coverage only if the podiatry care meets two basic requirements – the care must be “medically necessary” and the care must …

Tips to Navigate Medicare Advantage Plans’ New Supplemental Benefits in 2020 | 11/11/2019

Tips to Navigate Medicare Advantage Plans’ New Supplemental Benefits in 2020 Tips to Navigate Medicare Advantage Plans’ New Supplemental Benefits in 2020 November 11, 11, 2019 in Medicare Advantage When people consider their Medicare coverage choices, it’s important to understand the differences and pros and cons of Original Medicare and Medicare Advantage (MA) plans. For years, one of the main differences to highlight has been that with Original Medicare, you …

WCG: WellCare Health Plans, Inc. Press Release: WellCare to Offer Medicare Advantage Plans in Southwest Missouri in 2020 | 11/11/2019

New alert via PocketInfo for WCG: WellCare Health Plans, Inc. Press Release: WellCare to Offer Medicare Advantage Plans in Southwest Missouri in 2020 Press Releases: http://ir.wellcare.com/phoenix.zhtml?c=176521&p=irol-news&nyo=0 SEC Filings: http://ir.wellcare.com/phoenix.zhtml?c=176521&p=irol-sec Stock News Alerts by Pocket Info - the app Our free iPhone and iPad app lets you choose just the tickers you care about from over …

Medicaid

Ballad Health reports first quarter results: Continued quality, capital investment and operating performance | Globe Newswire | 11/12/2019

Medicare and Medicaid Services (CMS) as one of only 18 in the nation to have achieved savings in each of the 6 years of the federal program, while at the same time achieving quality scores in excess of 90 percent. The health system improved screening rates for cancer, diabetes and hypertension. Ballad Health expanded the infusion center at Russell County Hospital. 3D mammography is now available for the region served …

SHAREHOLDER ALERT: Pomerantz Law Firm Investigates Claims on Behalf of Investors of Omeros Corporation - OMER | Globe Newswire | 11/12/2019

Medicare and Medicaid Services (“CMS”) had not included Omidria in the non-opioid exclusion from packaged payment in CMS’s final rule related to its outpatient prospective payment system published on November 1, 2019. On this news, Omeros’s stock price fell sharply during intraday trading on November 4, 2019. Los Angeles, and Paris, . CONTACT …

Patient Safety

Ballad Health reports first quarter results: Continued quality, capital investment and operating performance | Globe Newswire | 11/12/2019

… throughout the organization. Engaging team members from throughout the region on a daily basis regarding issues ranging from staffing to patient safety and quality of care is contributing to a systemwide journey toward becoming a … organization, AnewCare Collaborative, was named by the U.S. Centers for Medicare and Medicaid Services (CMS) as one of only 18 in the nation to have achieved savings in each of the 6 years of the …

KORU Medical Systems (KRMD) CEO Don Pettigrew on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/11/2019

… following core values will drive everything that we do at KORU medical. First is the patient experience; we’re committed to patient safety and product efficacy, with enhanced patient outcomes as our top priority. Integrity, we … reach $6 trillion by 2027, according to the Centers for Medicare and Medicaid Services. Specialty Pharmaceuticals are a large component of the spend. In fact, since 2013 annual growth in per capita spending on administered …

Electronic Health Records

Ballad Health reports first quarter results: Continued quality, capital investment and operating performance | Globe Newswire | 11/12/2019

… the nation for interventional carotid care. Ballad Health’s accountable care organization, AnewCare Collaborative, was named by the U.S. Centers for Medicare and Medicaid Services (CMS) as one of only 18 in the nation to have … of patient beds. Examples of investments included: Transition to Epic electronic health records system Laboratory and microbiology equipment …

2 new definitive healthcare surveys show use of inpatient telehealth is outpacing outpatient telehealth services | 11/11/2019

… 20% of physician practice respondents are “satisfied with the practice’s current solutions and services,” and though telehealth reimbursement is improving, 13% are unsure they will be reimbursed for telehealth services. The Centers for Medicare and Medicaid Services (CMS) states that Medicare Part B covers “certain telehealth services,” and that patients may be responsible for paying 20% of the Medicare approved amount. CMS also states that, effective in 2020, Medicare Advantage …

ACA

Pulse8 Presenting as a Panelist on Provider-Health Plan Relationships During the RISE Risk Adjustment Forum in Scottsdale, AZ - Business Wire | 11/11/2019

Medicare Advantage, Medicaid, and ACA Commercial markets as well as with Value-Based Payment models for Medicare. Our advanced analytic methodologies and flexible business intelligence tools offer real-time visibility into member behavior and provider performance. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning to deliver the most cost-effective and appropriate interventions for closing …

Department of Health and Human Services

Veterans’ Healthcare Protections and Animal Therapy Services to be Expanded | 11/11/2019

Source: Veterans Administration.gov The U.S. Department of Veterans Affairs (VA) and Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) recently announced the two agencies will compare information on questionable Veteran health care providers both in VA treatment facilities and through purchased care programs in their communities. VA and CMS expect the first Medicare Sanction data exchange to occur by the end of the year and …

5 Strategies for Training Your Clinic Staff on Compliance | 11/11/2019

… that goes for everyone on your team: front-office staff, clinical staff, billers, administrators, and executives should all receive regular Medicare and HIPAA compliance training and updates. After all, the reputation (and financial solvency) of … you—and that includes the free resources available from the Department of Health and Human Services Office of Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS). According to Collmer, you can …

Home Health

Medicare vs. Medicaid: Differences and Costs - TheStreet | 11/11/2019

Medicare and Medicaid are two government health care insurance programs created in 1965 as part of President Johnson’s “Great Society” to help older Americans and impoverished Americans get good health insurance, but that’s where the … services, inpatient stays at professional nursing centers, and hospice and home health care services. By and large, most Americans don’t pay a premium for Medicare Part A, but for those who do, the standard premium …

LHC Group, Inc. (LHCG) CEO Keith Myers on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/11/2019

… the new PDGM model. So turning to PDGM. Last week’s final ruling by CMS was a significant improvement for the home health industry compared to where we started in the early stages of their rule … lessened the burden on the industry and the risk to Medicare beneficiaries who depend on home health services during the transition to a drastically new model that represents the most significant change in reimbursement methodology …

Home Care

LHC Group, Inc. (LHCG) CEO Keith Myers on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/11/2019

… proposed rule earlier this year. By doing so, CMS has lessened the burden on the industry and the risk to Medicare beneficiaries who depend on home health services during the transition to a drastically new … families and hospital partners know is best met through in-home care. And we’re ready for what we believe will be a historic opportunity for market share gain and consolidation that even us has not …

Google Alert - Provider | 11/11/2019

Provider As-it-happens update ⋅ November 11, 2019 NEWS Aetna Medicare CMO: Home-Based Care Now Critical Part of Health Care Ecosystem Home Health Care News The approach from payers has become so widespread that home care providers have spent the past several months trying to get a piece of the action. Flag as irrelevant Confidence in service providers critical to open banking adoption - survey Finextra Source: Mobey Forum. The …

Telehealth

2020 Medicare Advantage Plans Options Up for the Third Straight Year | 11/11/2019

A new MedicareWire report offers a brief overview of the Medicare Advantage program, including Special Needs Plans, and plan availability for 2020. Prescott, United States - November 11, 2019 / PressCable / — A new MedicareWire report shows that … will have a UHC plan option. UHC is also making telehealth (virtual doctor visits) available on most of its plans, giving Medicare patients access to care providers through a smartphone or computer for minor health …

2 new definitive healthcare surveys show use of inpatient telehealth is outpacing outpatient telehealth services | 11/11/2019

… Nov 4, 2019 Laboratory Management and Operations , Laboratory News , Laboratory Operations , Laboratory Pathology Medical laboratories may find opportunities guiding hospital telehealth service physicians in how clinical lab tests are ordered and how the test results … they will be reimbursed for telehealth services. The Centers for Medicare and Medicaid Services (CMS) states that Medicare Part B covers “certain telehealth services,” and that patients may be responsible for paying 20% of the …

Population Health

2 new definitive healthcare surveys show use of inpatient telehealth is outpacing outpatient telehealth services | 11/11/2019

… by hospitals and health networks since 2016 are: Two-way video/webcam between physician and patient (70%, up from 47%); Population health management tools, such as SMS text (19%, up from 12%); Remote patient monitoring … they will be reimbursed for telehealth services. The Centers for Medicare and Medicaid Services (CMS) states that Medicare Part B covers “certain telehealth services,” and that patients may be responsible for paying 20% of the …

Are Value-Based, Whole-Person Healthcare Reforms Working? | 11/10/2019

… Commons Signed by Barack Obama in March 2010, the Patient Protection and Affordable Care Act (PPACA) tasked the Centers for Medicare and Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (CMMI) with … changes that better reward value over volume, incentivize advancements in population health strategies, and improve both the quality of health care and the experience of patients. Clinics implementing small, targeted changes are often pleasantly surprised …

ACOs

LHC Group, Inc. (LHCG) CEO Keith Myers on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/11/2019

… proposed rule earlier this year. By doing so, CMS has lessened the burden on the industry and the risk to Medicare beneficiaries who depend on home health services during the transition to a drastically new … of preferred provider agreements that we have entered into with ACOs across the country up to now around 40 of those. So we’ve got a lot of activity going on in that area. Operator Our …

Viemed Healthcare, Inc. (VMD) CEO Casey Hoyt on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/10/2019

… begin with our ongoing geographical expansion. The compliance department finished the quarter having us license new business in 47 states, Medicare approved in 46 and with the addition of Utah and Illinois, now conducting business … Payors are more engaged than ever to form relationships with ACOs who are truly set up to save money. We are positioned with our data and service to be the value-based provider that these …

UnitedHealth

RN Case Manager Inpatient Services - Houston, TX - UnitedHealth Group - Houston, TX | 11/11/2019

… situations Participates in the development of appropriate QI processes, establishing and monitoring indicators Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations Performs all other related duties as assigned This position will be located out of our office in NW Houston (I-10 Beltway area) and will require travel approximately 80% of the …

Nurse Practitioner House Calls California Statewide Traveler Sign On Bonus and Loan Repayment Options Available for External Candidates and Eligible Employees - UnitedHealth Group - Los Angeles, CA | 11/11/2019

Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family. We’re also the career home for Nurse Practitioners who bring compassion and passion, energy and focus to their work every day. If you want more meaning in your career - as a clinician or a business professional - take this opportunity and apply. It’s the first step in a …

UnitedHealth Group

RN Case Manager Inpatient Services - Houston, TX - UnitedHealth Group - Houston, TX | 11/11/2019

… situations Participates in the development of appropriate QI processes, establishing and monitoring indicators Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations Performs all other related duties as assigned This position will be located out of our office in NW Houston (I-10 Beltway area) and will require travel approximately 80% of the …

Nurse Practitioner House Calls California Statewide Traveler Sign On Bonus and Loan Repayment Options Available for External Candidates and Eligible Employees - UnitedHealth Group - Los Angeles, CA | 11/11/2019

Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family. We’re also the career home for Nurse Practitioners who bring compassion and passion, energy and focus to their work every day. If you want more meaning in your career - as a clinician or a business professional - take this opportunity and apply. It’s the first step in a …

Pfizer

Treat generalized thyroid disorder naturally strong, hyperthyroidism drug targets cu | 11/10/2019

… ORDER NOW! CLICK HERE - BUY Vidalta NOW Our professional pharmacists are ready to answer your questions! Is Dupixent covered by Medicare? Does Medicare cover Dupixent ? 39% of Medicare Part D and Medicare Advantage plans cover … Generic Viagra Tablets Now Available in U.S. Sildenafil citrate (Viagra, Pfizer), the little blue pill with big annual sales, has gone generic. But rather than lose most sales when the impotence pill gets its first …

Exact Sciences Presents Data On Blood-Based Test For Detection Of Hepatocellular Carcinoma, Earns FDA Breakthrough Device Designation – Company Announcement - FT.com | Financial Times | 11/8/2019

… AFP blood test v . Combined, US and AFP have demonstrated 63% sensitivity for early stage cancers vi . Nearly half of Medicare patients tested for HCC receive only the AFP test vii , which in Exact Sciences … effectively utilize strategic partnerships, such as our Promotion Agreement with Pfizer, Inc. , and acquisitions; our success establishing and maintaining collaborative, licensing and supplier arrangements; our ability to maintain regulatory approvals and comply with applicable regulations …

Novartis

Behind the Scenes of a Radical New Cancer Cure | 11/9/2019

… Ludwig, at a cancer conference anyway. From there, the money poured in. Based on the results, the Swiss pharmaceutical company Novartis licensed the rights of the therapy. The next year, six-year-old Emily Whitehead … Logistics will be an issue, Gill conceded. The first national Medicare policy for covering CAR-T was announced in August 2019, two years after the first product was approved. The Centers for Medicare and Medicaid …

How A Computer Model Prices the Value Of Good Health and Moderates Drug Costs | 11/7/2019

… prices , including from the Trump administration and Democratic presidential candidates such as Elizabeth Warren, pharmaceutical companies have started paying attention. Novartis AG set the price of its lifesaving gene therapy Zolgensma at the limit suggested … long have opposed such pricing systems, arguing they could lead Medicare to refuse to pay for expensive drugs and cut patients off from new treatments. American insurance companies, however, have begun embracing the approach, and …

Gilead Sciences

Behind the Scenes of a Radical New Cancer Cure | 11/9/2019

… later, in October 2017, the FDA approved a second CAR-T formulation called Yescarta from Kite Pharma, a subsidiary of Gilead Sciences, to treat an aggressive blood cancer in adults called diffuse large B-cell … Logistics will be an issue, Gill conceded. The first national Medicare policy for covering CAR-T was announced in August 2019, two years after the first product was approved. The Centers for Medicare and Medicaid …

Must-Reads Of The Week From Brianna Labuskes | Kaiser Health News | 11/8/2019

… lots of pundits, rivals, and others have had lots of thoughts on Massachusetts Sen. Elizabeth Warren’s plan to pay for “Medicare for All,” mostly landing on: It’s just not realistic . For her numbers to add … the CDC any royalties. The Washington Post: U.S. Sues Drugmaker Gilead Sciences Over Patent On Truvada For HIV Prevention And in case you’re interested in the background of it all (you should be! It’s a …

Merck

The Zacks Analyst Blog Highlights: LHC, Retrophin, Dermira and Merck & Co | 11/8/2019

… the blog include: LHC Group, Inc. ( LHCG - Free Report ) , Retrophin, Inc. ( RTRX - Free Report ) , Dermira, Inc. ( DERM - Free Report ) and Merck & Co., Inc. ( MRK - Free Report ) . Here are highlights from Thursday’s Analyst Blog: Trade Deal … that specializes in post-acute continuum of care primarily for Medicare beneficiaries in the United States. The company’s expected earnings growth rate for the current year is 22.3%, which is above the Medical Services industry’s …

Budget Impact Of Including Avelumab As A Second-Line Treatment For Locally Advanced Or Metastatic Urothelial Cancer In The United States: Commercial And Medicare Payer Perspectives | 11/8/2019

… Evidence Synthesis, Modeling and Communication, Evidera, London, UK; 2 Global Evidence and Value Development, EMD Serono, Inc. (A business of Merck KGaA, Darmstadt, Germany), Rockland, MA, USA; 3 Global Evidence and Value Development, Merck KGaA … the perspective of a US third-party payer (commercial and Medicare). Methods: A budget impact model (BIM) with a three-year time horizon was developed for avelumab. Efficacy and safety data were sourced from published …

Biogen

Biogen hit back at whistleblowing sales manager, jury finds, levying $6M in damages | FiercePharma | 11/8/2019

Former Biogen sales manager Danita Erickson reported a colleague’s misconduct and got fired a few months later. Now, she’s won nearly $6 million in damages from a jury that determined she’d been wrongfully terminated for … an Olympia hematologist was prescribing Zinbryta for an aplastic anemia Medicare patient.” So, the colleague used a Zinbryta start form to take credit for that prescription to get a commission and bonus. RELATED: Ex-Biogen …

STAT Plus: Former Biogen sales rep, who says she was fired for complaining about off-label marketing, is awarded $6 million | 11/8/2019

November 8, 2019 AP/Biogen A federal jury in Seattle has awarded nearly $6 million to a former Biogen ( BIIB ) sales rep who claimed she was fired after complaining about being pressured to pursue off … not produce enough blood cells — and who was also on Medicare. However, the medicine was only approved for treating relapsing multiple sclerosis patients. Unlock this article by subscribing to STAT Plus and enjoy your first …

GlaxoSmithKline

NY Healthcare Network Pays $12.3 Mill. To Settle Claims Alleging False Medicare Billing; Case Relates To Prominent Urologist | PR Newswire | 11/8/2019

… has agreed to pay $12.3 million to resolve claims that it engaged in false or fraudulent billing to the Federal Medicare system. Northwell operates 23 hospitals and 700 outpatient centers. The settlement covers three alleged … the government; one of several whistleblowers bringing FCA cases against GlaxoSmithKline in 2012, which resulted in the recovery of $1.04 billion ( U.S. ex rel. Graydon v. GSK ); one of the whistleblowers bringing FCA cases against …

Need This Vaccine? Here’s Why You’ll Have to Wait | 11/8/2019

Medicare Does Not Cover However, there are steps you can take to boost your odds of finding Shingrix. They include: Use the Shingrix website. British pharmaceutical company GlaxoSmithKline — which makes Shingrix — has set up a website to help you find providers in your area that have the vaccine. Use the Vaccine Finder tool. Use the Healthmap Vaccine Finder tool. This site can help you find Shingrix — or any other vaccine …

Celgene

The Zacks Analyst Blog Highlights: LHC, Retrophin, Dermira and Merck & Co | 11/8/2019

… basis. Furthermore, a spate of healthcare mergers in the pipeline has also boosted the space. Bristol-Myers Squibb merged with Celgene in a $74 billion deal in January. Further, the $8 billion merger of Eli … that specializes in post-acute continuum of care primarily for Medicare beneficiaries in the United States. The company’s expected earnings growth rate for the current year is 22.3%, which is above the Medical Services industry’s …

NY Healthcare Network Pays $12.3 Mill. To Settle Claims Alleging False Medicare Billing; Case Relates To Prominent Urologist | PR Newswire | 11/8/2019

… has agreed to pay $12.3 million to resolve claims that it engaged in false or fraudulent billing to the Federal Medicare system. Northwell operates 23 hospitals and 700 outpatient centers. The settlement covers three alleged … including $280 million recovery in a non-intervened case against Celgene Corporation on the brink of trial ( U.S. ex rel. Brown v. Celgene ); a settlement against Humana Inc. achieved on the brink of trial ( U.S …

GSK

NY Healthcare Network Pays $12.3 Mill. To Settle Claims Alleging False Medicare Billing; Case Relates To Prominent Urologist | PR Newswire | 11/8/2019

… has agreed to pay $12.3 million to resolve claims that it engaged in false or fraudulent billing to the Federal Medicare system. Northwell operates 23 hospitals and 700 outpatient centers. The settlement covers three alleged … the recovery of $1.04 billion ( U.S. ex rel. Graydon v. GSK ); one of the whistleblowers bringing FCA cases against Pfizer which resulted in the recovery of $2.3 billion ( U.S. ex rel. DeMott v. Pfizer ); the …

Clovis Oncology (CLVS) Q3 2019 Earnings Call Transcript | The Motley Fool | 11/8/2019

… and peers to drive that higher. It looks to us, as I interpret and do a currency change to the GSK number in Europe, that they’re doing on an annualized basis around $135 million. So … So some additional support has been available to patients with Medicare and ovarian cancer. Andrew Berens – SVB Leerink – Analyst OK. And I did just have one more question, if you’ll allow me. You mentioned the …

William Blair

LHC Group, Inc. (LHCG) CEO Keith Myers on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/11/2019

… Call Participants Brian Tanquilut - Jefferies Joanna Gajuk - Bank of America Scott Fidel - Stephens Inc. Justin Bowers - Deutsche Bank Matt Larew - William Blair Frank Morgan - RBC Capital Markets Benjamin Mayo - UBS Operator Ladies and gentlemen, thank … lessened the burden on the industry and the risk to Medicare beneficiaries who depend on home health services during the transition to a drastically new model that represents the most significant change in reimbursement methodology …

Guardant Health Inc (GH) CEO Helmy Eltoukhy on Q3 2019 - Earnings Call Transcript | Seeking Alpha | 11/9/2019

… and Chief Executive Officers AmirAli Talasaz – President and Co-Founder Derek Bertocci – Chief Financial Officer Conference Call Participants Andrew Brackmann – William Blair Tycho Peterson – JPMorgan Doug Schenkel – Cowen Derik De Bruin – Bank of America Mark … Guardant360 to the FDA. We also believe that a final Medicare Pan-Cancer LCD could be issued by the end of the year. As a reminder this LCD could potentially expand Medicare coverage of the …

SunTrust Bank

Humana (NYSE:HUM) PT Raised to $335.00 | 11/11/2019

… Posted by Eileen French on Nov 10th, 2019 Humana (NYSE:HUM) had its price objective upped by research analysts at SunTrust Banks to $335.00 in a research note issued to investors on Thursday, The Fly … plans to individuals. It also has contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual …

SunTrust Banks Boosts Humana (NYSE:HUM) Price Target to $335.00 | 11/11/2019

SunTrust Banks Boosts Humana (NYSE:HUM) Price Target to $335.00 Posted by Brian Wu on Nov 10th, 2019 Humana (NYSE:HUM) had its target price increased by SunTrust Banks to $335.00 in a research note … plans to individuals. It also has contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual …

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 …

SVB Leerink

Guardant Health Inc (GH) CEO Helmy Eltoukhy on Q3 2019 - Earnings Call Transcript | Seeking Alpha | 11/9/2019

… William Blair Tycho Peterson – JPMorgan Doug Schenkel – Cowen Derik De Bruin – Bank of America Mark Massaro – Canaccord Genuity Puneet Souda – SVB Leerink Operator Good afternoon, ladies and gentlemen, and welcome to the Guardant Health Q3 … Guardant360 to the FDA. We also believe that a final Medicare Pan-Cancer LCD could be issued by the end of the year. As a reminder this LCD could potentially expand Medicare coverage of the …

Clovis Oncology (CLVS) Q3 2019 Earnings Call Transcript | The Motley Fool | 11/8/2019

… and Chief Executive Officer You bet. Operator [Operator instructions] Your next question is from the line of Andrew Berens with SVB Leerink. Please go ahead. Andrew Berens – SVB Leerink – Analyst Thanks. Hi, Pat. I just … So some additional support has been available to patients with Medicare and ovarian cancer. Andrew Berens – SVB Leerink – Analyst OK. And I did just have one more question, if you’ll allow me. You mentioned the …

Merrill Lynch

GenMark Diagnostics Inc (GNMK) Q3 2019 Earnings Call Transcript | The Motley Fool | 11/7/2019

… updates to the reimbursement landscape and GenMark’s status. As a reminder, late last year and earlier this year sales in Medicare administrative contractors used local coverage determinations which restrict coverage of large respiratory testing panels … from the line of Derik De Bruin Bank of America Merrill Lynch. Your line is now open. Derik De Bruin – Bank of America Merrill Lynch – Analyst Hi. Good afternoon. Hany Massarany – President and Chief Executive …

DaVita (DVA) Q3 2019 Earnings Call Transcript | The Motley Fool | 11/6/2019

… Bank of America. Your line is now open. Joel Ackerman – Chief Financial Officer Hey, Kevin. Kevin Fischbeck – Bank of America Merrill Lynch – Analyst Thanks. Hey. So, I just wanted to clarify the 2020 guidance change … tends to be seasonally a little bit weaker because of Medicare open enrollment, but nothing significant. Whit Mayo – UBS – Analyst Ending share count? Joel Ackerman – Chief Financial Officer So, the ending share count at the …

Goldman Sachs

Capture the Flag - 8VC News - Medium | 11/6/2019

… as a “Wall Street-treasury complex.” Revolving door hiring is rampant. During the writing of Dodd-Frank, 47 of 50 Goldman Sachs lobbyists, 42 of 46 JPMorgan Chase lobbyists, and 35 of 46 Citigroup lobbyists … attention to the insurance industry. Next, consider the case of Medicare, which insures elderly or disabled Americans. Medicare Part B sets rates for all services provided by physicians, on which the federal government spends over …

Terminator Dark Fate scored an opening weekend win at the box office | 11/6/2019

… in Lisbon. Its proof that money order terramicina mastercard chocolate has the power to heal. A Texas retirement system and Goldman Sachs Group Inc pulled a combined $584 million from Fisher Investments on Friday, after … deaths ruled homicides. Pete Wells on Peter Luger. Elizabeth Warrens Medicare for all purchase combigan australia online plan. Greta Gerwigs Little Women. Thom Yorke. And more …

Citigroup

Yorktown Management & Research Co Inc Lowers Holdings in CVS Health Corp (NYSE:CVS) | 11/6/2019

… a research note on Thursday, September 12th. They issued a “buy” rating and a $91.00 price target for the company. Citigroup boosted their price target on CVS Health from $68.00 to $72.00 and gave the … pharmacy network management, mail order pharmacy, specialty pharmacy and infusion, Medicare Part D, clinical, disease management, and medical spend management services …

Markel Corp Boosts Position in CVS Health Corp (NYSE:CVS) | 11/6/2019

… price on shares of CVS Health and gave the stock a “buy” rating in a report on Monday, October 21st. Citigroup increased their target price on shares of CVS Health from $68.00 to $72.00 and … pharmacy network management, mail order pharmacy, specialty pharmacy and infusion, Medicare Part D, clinical, disease management, and medical spend management services. Featured Article: How is inflation measured? Want to see what other hedge funds are …

RBC Capital Markets

The Ensign Group, Inc. (ENSG) CEO Barry Port on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/3/2019

… Investor Relations Barry Port - Chief Executive Officer Suzanne Snapper - Chief Financial Officer Conference Call Participants Chad Vanacore - Stifel Frank Morgan - RBC Capital Markets Operator Ladies and gentlemen, thank you for standing by and welcome to … to consistently drive results across all payor types, including Medicaid, Medicare managed care and private pay. We are especially grateful to our service center partners who worked tirelessly to prepare for and complete our recent …

SS&C Technologies Holdings, Inc. (SSNC) CEO Bill Stone on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/1/2019

… Chief Executive Officer Rahul Kanwar - President and Chief Operating Officer Patrick Pedonti - Chief Financial Officer Conference Call Participants Dan Perlin - RBC Capital Markets Rayna Kumar - Evercore ISI Andrew Schmidt - Citi Mayank Tandon - Needham & Company Surinder … Blue Shield client chose SS&C Health Solutions for their Medicare operations. A $9 billion AUA hedge fund who is a Geneva client, one is a consolidated operational process under one roof and chose SS …

JP Morgan

‘Saturday Night Live’ Dissects Elizabeth Warren’s “Medicare For All” Plan | 11/3/2019

… was going to do?” she asked. “Hold up a gas station? Come on, they’re gonna pay for it and not one penny from the middle class. All we have to do is convince JP Morgan to operate like a nonprofit.” Still, a female voter complained that she was happy with her current medical plan, but under Warren’s proposal she’d have to give it up. “I hear this from a lot …

‘Saturday Night Live’ Dissects Elizabeth Warren’s “Medicare For All” Plan - news - GVTC | 11/3/2019

… was going to do?” she asked. “Hold up a gas station? Come on, they’re gonna pay for it and not one penny from the middle class. All we have to do is convince JP Morgan to operate like a nonprofit.” Still, a female voter complained that she was happy with her current medical plan, but under Warren’s proposal she’d have to give it up. “I hear this from a lot …

Fidelity Investments

Buy progestogel online london spill, buy progestogel legally online class | 11/2/2019

… with Wolves after boss Unai Emery admitted the wounds from his fallout with Gunners fans need more time to heal. Fidelity Investments has dropped Fisher Investments as a money manager, a Fidelity spokesman said on … no reporter narration). Pete Wells on Peter Luger. Elizabeth Warrens Medicare for all plan. Greta Gerwigs Little Women. Thom Yorke. And more. The midfielder was left raging at fans during last weekend’s 2-2 draw with …

Thursday, October 31, 2019 | Kaiser Health News | 10/31/2019

… headquartered, to restrict e-cigarettes to various degrees. (Telford, 10/30) Bloomberg: Fidelity Fund Says Value Of Juul Stake Declined 48% Fidelity Investments slashed the estimated value of its stake in Juul Labs Inc. amid a … made it into the 2018 Bipartisan Budget Act. They allow Medicare Advantage plans to offer telehealth coverage as a basic benefit, and remove some geographic restrictions for telestroke and end-stage renal disease treatment. (Ravindranath …

Harvard Medical School

A Fiscal Analysis of Elizabeth Warren’s Health Care Plan | 11/12/2019

Without rosy scenarios, ‘Medicare for All’ could increase the federal deficit by $15 trillion through 2029. Executive Summary On November 1, 2019, presidential candidate Elizabeth Warren (D., Mass.) published a lengthy monograph describing how she … Sen. Warren relied on two policy advisers, Donald Berwick of Harvard Medical School and Simon Johnson of the MIT Sloan School of Management, to identify ways to reduce the $34 trillion cost of establishing a …

Viemed Healthcare, Inc. (VMD) CEO Casey Hoyt on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 11/10/2019

… begin with our ongoing geographical expansion. The compliance department finished the quarter having us license new business in 47 states, Medicare approved in 46 and with the addition of Utah and Illinois, now conducting business … quarter to produce a poster presentation at the Precision and Harvard Medical School study and he presented at the world’s largest pulmonary conference, CHEST. The results he presented were similar to clinical results for our …

Kaiser Permanente

Google Alert - care plan | 11/11/2019

… York Post Elizabeth Warren has a plan — to annoy union members who work for state and local governments. With her “Medicare for All” plan , the top-tier … Flag as irrelevant Readers React: Warren’s health care … old Tinslee Lewis. Flag as irrelevant Bernard Tyson, CEO of Kaiser Permanente, passes away ‘unexpectedly’ in his sleep at age 60 USA TODAY Bernard J. Tyson, the chairman and CEO of the health plan provider …

Google Alert - Provider | 11/11/2019

… The company is the third major web hosting firm this year … Flag as irrelevant Bernard Tyson, CEO of healthcare provider Kaiser Permanente, dies at 60 Los Angeles Times Bernard J. Tyson, chairman and chief executive … the Virginia Office of … Flag as irrelevant Inside the New Medicare Advantage Push from 10 Senior Living Providers Senior Housing News As more senior housing and care providers get in the Medicare Advantage (MA) game …

Massachusetts General Hospital

Post-Market Price Changes Alone Account for Most Recent Spending Growth for Biologics, and Rebates Have Little Impact | 11/10/2019

Medicare and Medicaid and quantified the major sources of spending increases on biologics for public programs and their beneficiaries. Rising drug costs were the main reason for the new study. “ The potential drivers of biologic spending increases have different implications for patient and taxpayer expenditures, and ways to control costs, ” says Natalie McCormick, PhD, post-doctoral fellow at Massachusetts General Hospital and Harvard Medical School, and the study’s lead author …

Geisinger

Geisinger, Highmark Health break ground on new medical clinic in Lock Haven | | standard-journal.com | 11/9/2019

LOCK HAVEN — Geisinger and Highmark Health hosted a groundbreaking ceremony recently for the Geisinger Medical Clinic Lock Haven building. To be constructed at Spring and West Fourth streets in Lock Haven, the building is part … both Highmark and Geisinger Health Plan members – including those in Medicare Advantage Plans.” The two-story medical clinic is expected to open in early 2021. Chris Brady is managing editor at The Standard-Journal and …

From telehealth to ‘Medicare for All’: takeaways from HLTH19 | Healthcare Dive | 11/8/2019

… an incoming innovation official and touted their healthcare record at HLTH, but (despite repeated warnings) failed to fully stamp out “Medicare for All” interest in the private sector. Read the biggest stories from Las Vegas … beyond ‘data clerks’ By Rebecca Pifer • Oct. 29, 2019 Former Geisinger chief David Feinberg laid out the search giant’s health vision at HLTH on Monday, including pushing the movement to outpatient care. Read the full …

Mayo Clinic

Health Care Utilization and Pain Outcomes Following Early Imaging for Low Back Pain in Older Adults | 11/8/2019

… jabfm.2019.06.190103 Adam C. Powell From HealthHelp, Houston, TX (ACP, UUD); Humana Inc., Louisville, KY (TLR, SWE, SEP, JWL, MWS); Mayo Clinic, Rochester, MN (MHM) Search for this author on this site Teresa L. Rogstad … elderly population. Methods: Patients were included if they had a Medicare Advantage plan, had claims-based evidence of low back pain in 2014, and lacked conditions justifying early imaging. The outcomes examined were short-term …

16 hospitals, health systems seeking Allscripts, Cerner, Epic, Meditech talent | Becker’s Hospital Review | 11/6/2019

Four of the top vendors hospitals use to participate in the Medicare EHR Incentive Program are Allscripts, Cerner, Epic and Meditech, according to 2018 ONC data . Sixteen hospitals and health systems that posted job listings … Seeks a clinical informatics and IT clinical applications director. 4. Mayo Clinic (Rochester, Minn.): Seeks an IT applications analyst. Meditech 1. Emerson Hospital (Concord, Mass.): Seeks a financial applications analyst. 2. Regional One Health (Memphis …

HCA

A Million-Dollar Marketing Juggernaut Pushes 3D Mammograms | 11/7/2019

… Healthcare, Siemens Medical Solutions USA, and Fujifilm Medical Systems USA—have paid doctors and teaching hospitals more than $240 million, including more than $9.2 million related to 3D mammograms, according to a KHN analysis of the Medicare Open Payments database. Just over half of that money was related to research; other payments covered speaking fees, consulting, travel, meals, or drinks. The database shows that influential journal articles—those cited hundreds …

Elizabeth Warren’s single payer health care plan | 11/6/2019

… who botched the initial rollout of the Affordable Care Act, is now going around trashing the Sanders-Warren plans for Medicare for All because she thinks that the current private Medicare Advantage plans are good … writes that she “is a director at CVS Health and HCA Health Care, and works for a private equity firm that invests in the health care industry.” It appears that Joe Biden is recruiting Lawrence …

Cleveland Clinic

Neuronetics® to Present New Depression Research at 15th Annual Neuroscience Education Institute Congress | PR Newswire | 11/7/2019

… Depressive Disorder (MDD). Widely available across the United States , NeuroStar is reimbursed by most commercial and government health plans, including Medicare and Tricare. In the US, NeuroStar is indicated for the treatment of MDD in … jsf/pages/index.xhtml, accessed 1/16/2018 4 Gaynes BN et al. Cleveland Clinic Journal of Medicine, (2008) 5 Carpenter LL, et al. Depress Anxiety, (2012) 6 George MS, et al. Arch Gen Psychiatry, (2010) 7 O’Reardon …

UPMC

Innovative Biotechs Look to Tackle Ocular Ailments | PR Newswire | 11/6/2019

… drugs are also widely popular in the marketplace. Ian Conner , MD., Assistant Professor of Ophthalmology and Chief of Ophthalmology at UPMC Shadyside notes that this is “an exciting time in the treatment of glaucoma. There … for our products, with Rhopressa® now enjoying broad commercial and Medicare Part D coverage, and Rocklatan™ already under review by major payers.” Subscribe Now! Watch us report LIVE https://www.youtube.com/FinancialBuzzMedia Follow us on Twitter …

Why we need ‘Medicare for All’ (letter) | 11/6/2019

In the Nov. 1 Business section was a small article with the headline “ UPMC inks deal on China hospitals .” You remember, this is the wonderful company that closed UPMC Pinnacle Lancaster (formerly Lancaster Regional Medical … insurance groups, I don’t know what is. We really need “Medicare for All,” and to get these greedy health insurance companies out of our medical care. Cathryn Maloney …

Ascension

Kansans Have More Options Than Ever On The 2020 ACA Marketplace, But Read The Fine Print | 11/5/2019

… a 27-year-old is dropping $40 to an average premium of $412 in 2020, according to the Centers for Medicare and Medicaid Services . Ambetter rates in particular will drop more than 8% after the … a hotline (1-800-318-2596). Shannon Little-Haines, who oversees navigators at Ascension Via Christi in Wichita, recommends people bring plenty of specifics to the conversation. “We generally ask that they bring a list of their medications …

Rispone wrong about dead last, but not way off | 11/4/2019

… rough to reside in are things that the right-wingers don’t appear concerned about fixing. They want to take your medicare. They don’t want to protect pre-existing conditions. They don’t want to raise minimum … really need a Mississippi River bridge at Highway 30 between Ascension and Iberville Parish. And lastly, here’s to another 15 years of the same if that’s okay with everyone …

DaVita Medical Group

UnitedHealth Group: Solid Candidate For Dividend Growth Investors - UnitedHealth Group Incorporated (NYSE:UNH) | Seeking Alpha | 11/5/2019

… operating units: UnitedHealthcare and Optum. UnitedHealthcare consists of four business segments: UnitedHealthcare Employer & Individual that offers health benefit plans, UnitedHealthcare Medicare & Retirement that serves the health needs of those over the age of 50, UnitedHealthcare … acquisition front. The company recently closed on the acquisition of DaVita Medical Group in 2019 increasing revenue to $8.1B in OptumHealth. This acquisition was delayed since the 2017 announcement due to resistance from the Federal …

DaVita Inc. 3rd Quarter 2019 Results | PR Newswire | 11/5/2019

… in higher-paying commercial plans, or other material impacts to our business; a reduction in government payment rates under the Medicare End Stage Renal Disease program or other government-based programs and the impact of … of the equity purchase agreement for the sale of our DaVita Medical Group business, such as post-closing adjustments and indemnification obligations; noncompliance by us or our business associates with any privacy or security laws …

Humana

2020 Medicare Advantage Plans Options Up for the Third Straight Year | 11/11/2019

A new MedicareWire report offers a brief overview of the Medicare Advantage program, including Special Needs Plans, and plan availability for 2020. Prescott, United States - November 11, 2019 / PressCable / — A new MedicareWire report shows that … a fierce competitor for Medicare insurance giants United Healthcare and Humana. United Healthcare (UHC), which runs the nation’s largest Medicare Advantage network, is offering more than 100 new plans as it expands into 100 new …

LHC Group Revs Its JV Engine; Papa Teams Up with HomeThrive | 11/11/2019

Medicare Advantage (MA) plans. Last year, the company partnered with health insurance giant Humana Inc. (NYSE: HUM) on a pilot program that allowed Humana’s MA members to have access to Papa’s services. Papa has also partnered with the likes of Aetna and other large insurers. “We’ve partnered with really large health plans like Aetna, Priority Health, Capital BlueCross, Vibra Health Plan, Humana, Alignment [Healthcare] and others, which is essentially bringing …

Aetna

LHC Group Revs Its JV Engine; Papa Teams Up with HomeThrive | 11/11/2019

Medicare Advantage (MA) plans. Last year, the company partnered with health insurance giant Humana Inc. (NYSE: HUM) on a pilot program that allowed Humana’s MA members to have access to Papa’s services. Papa has also partnered with the likes of Aetna and other large insurers. “We’ve partnered with really large health plans like Aetna, Priority Health, Capital BlueCross, Vibra Health Plan, Humana, Alignment [Healthcare] and others, which is essentially bringing …

Google Alert - care plan | 11/11/2019

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Cigna

2020 Medicare Advantage Plans Options Up for the Third Straight Year | 11/11/2019

A new MedicareWire report offers a brief overview of the Medicare Advantage program, including Special Needs Plans, and plan availability for 2020. Prescott, United States - November 11, 2019 / PressCable / — A new MedicareWire report shows that … of all sizes are expanding their operations into new markets. Cigna expanded its Medicare Advantage plan lineup in dozens of new counties, making it a fierce competitor for Medicare insurance giants United Healthcare and Humana …

Cigna Corp (NYSE:CI) Position Boosted by Whitnell & Co. | 11/11/2019

Posted by ABMN Staff on Nov 10th, 2019 // No Comments Whitnell & Co. grew its holdings in shares of Cigna Corp (NYSE:CI) by 19.3% in the 3rd quarter, according to the company in its most … 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 …

Passport Health Plan

Evolent Health Inc (EVH) Q3 2019 Earnings Call Transcript | The Motley Fool | 11/6/2019

… payers to look for alternative arrangements with providers that drive value. The government moving rapidly to new payment models and Medicare and Medicaid and managed care payers are also delegating significant risk both in primary … John, I’d like to give an update on our partner Passport Health Plan. Since the beginning of the year, we’ve worked hand in hand with the leadership team at Passport, including Scott Bowers, the new …

Evolent Health Announces Third Quarter 2019 Results | PR Newswire | 11/5/2019

… created significant opportunities in our pipeline for our health plan services, specialty management services and population health services, particularly in Medicare and Medicaid. By serving as the bridge between providers and payers and delivering strong … This quarter, we also continued to work closely with the Passport Health Plan team to make meaningful progress in driving administrative efficiency, optimizing network performance, improving clinical outcomes and driving a strong service experience for …

Fidelis Care

Google Alert - care plan | 11/5/2019

… of $20.5 trillion, Pelosi made it clear that she thought this was political … Flag as irrelevant MSNBC praises Warren’s $52T Medicare-for-all plan as ‘ultimate clapback’ to critics Fox News “She is just out … the Massachusetts senator: comprehensive, data-driven yet … Flag as irrelevant Fidelis Care’s StreetSide RV Program Brings Health Insurance Enrollment to Local Neighborhoods Salamanca Press QUEENS, N.Y., Nov. 4, 2019 /PRNewswire/ – Fidelis Care today announced the …

As Open Enrollment Has Kicked Off, VisibleThread Report Shows Health Insurers Need to Communicate Better with Seniors | PR Newswire | 11/5/2019

… result is a loss of trust in the industry. And, an increase in operational costs for the insurer. VisibleThread evaluated Medicare documents from 30 of the top health insurers. Their findings show that the reading … Insurers who ranked low were: Manhattan Life American National Insurance Fidelis Care Insurers who scored high were: Amerigroup Kaiser Permanente AARP For a copy of the full report, including methodology, click here . ABOUT: VisibleThread helps …

Indian Health Service

Patients and Taxpayers Will Pay for ‘Medicare for All’ Failures | 11/5/2019

… she continues to insist that, “we don’t need to raise taxes on the middle class by one penny to finance Medicare for All.” As Reason editor Peter Suderman points out , Warren has avoided talking … by the Department of Health and Human Service (HHS), the Indian Health Service (IHS) administers healthcare in 330 Indian territories across the country. Similar to the “Medicare for All” approach, the service funds doctors and …

UnitedHealthcare

Tech giants like Google and Amazon are beefing up their healthcare strategies. Here’s how 7 tech titans plan to tackle the $3.5 trillion industry. | Business Insider | 11/3/2019

UnitedHealthcare . In the case of Aetna, the program is wagering that an app and an Apple Watch can keep its members healthier. Medicare Advantage upstart Devoted Health is covering the watch as a benefit. Apple also operates clinics for its employees, called AC Wellness Networks , which are run independently from Apple but are exclusively for its employees. Microsoft Microsoft Microsoft has historically had trouble cracking into the healthcare business. Most …

Ohio Medicaid CFO - Columbus, Ohio RELOCATION AVAILABLE - UnitedHealth Group - Columbus, OH | 11/3/2019

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Wellcare

Google Alert - care plan | 11/3/2019

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WellCare Health Plans, Inc. (NYSE:WCG) to Post Q4 2019 Earnings of $1.96 Per Share, Piper Jaffray Companies Forecasts | 11/3/2019

WellCare Health Plans, Inc. (NYSE:WCG) – Equities researchers at Piper Jaffray Companies reduced their Q4 2019 earnings estimates for shares of WellCare Health Plans in a research note issued on Wednesday, October 30th. Piper Jaffray … services. The company operates in three segments: Medicaid Health Plans, Medicare Health Plans, and Medicare Prescription Drug Plans (PDPs). The Medicaid Health Plans segment offers plans for beneficiaries of temporary assistance for needy families, supplemental …

Wellcare Health Plans

WellCare Health Plans, Inc. (NYSE:WCG) to Post Q4 2019 Earnings of $1.96 Per Share, Piper Jaffray Companies Forecasts | 11/3/2019

WellCare Health Plans, Inc. (NYSE:WCG) – Equities researchers at Piper Jaffray Companies reduced their Q4 2019 earnings estimates for shares of WellCare Health Plans in a research note issued on Wednesday, October 30th. Piper Jaffray … services. The company operates in three segments: Medicaid Health Plans, Medicare Health Plans, and Medicare Prescription Drug Plans (PDPs). The Medicaid Health Plans segment offers plans for beneficiaries of temporary assistance for needy families, supplemental …

Jefferies Financial Group Comments on WellCare Health Plans, Inc.’s Q1 2020 Earnings (NYSE:WCG) | 11/3/2019

WellCare Health Plans, Inc. (NYSE:WCG) – Investment analysts at Jefferies Financial Group issued their Q1 2020 earnings per share estimates for shares of WellCare Health Plans in a note issued to investors on Wednesday, October … services. The company operates in three segments: Medicaid Health Plans, Medicare Health Plans, and Medicare Prescription Drug Plans (PDPs). The Medicaid Health Plans segment offers plans for beneficiaries of temporary assistance for needy families, supplemental …

Anthem

Anthem Inc (NYSE:ANTM) Shares Purchased by CIBC Asset Management Inc | 11/3/2019

CIBC Asset Management Inc raised its position in shares of Anthem Inc (NYSE:ANTM) by 9.3% during the 3rd quarter, according to its most recent disclosure with the Securities & Exchange Commission. The institutional investor owned … benefit plans to large and small group, individual, Medicaid, and Medicare markets. Receive News & Ratings for Anthem analysts’ ratings for Anthem and related companies daily email newsletter …

Janney Montgomery Scott LLC Cuts Holdings in Anthem Inc (NYSE:ANTM) | 11/3/2019

Janney Montgomery Scott LLC trimmed its holdings in shares of Anthem Inc (NYSE:ANTM) by 11.3% during the 3rd quarter, according to the company in its most recent filing with the Securities and Exchange Commission … benefit plans to large and small group, individual, Medicaid, and Medicare markets. See Also: Growth Stocks Want to see what other hedge funds are holding ANTM? Visit HoldingsChannel.com to get the latest 13F filings and …

Elizabeth Warren

A Fiscal Analysis of Elizabeth Warren’s Health Care Plan | 11/12/2019

Without rosy scenarios, ‘Medicare for All’ could increase the federal deficit by $15 trillion through 2029. Executive Summary On November 1, 2019, presidential candidate Elizabeth Warren (D., Mass.) published a lengthy monograph describing how she would pay for her plan to replace the U.S. health care system with a single, federally-run insurance agency: what she describes as “Medicare for All.” In this paper, we analyze each of Warren’s proposals …

Google Alert - care plan | 11/11/2019

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Amy Klobuchar

Quick Hits (part II) | 11/10/2019

… But it would limit how much insurers have to pay when providers are “out of network.” The limit, double what Medicare pays them, would help patients who end up at a place that is not … part of the mainstream Obama wing of the party. And Amy Klobuchar is . . . not trying to demonstrate her DINO credentials, but she’s close. Bottom line: stop sweating the details. Candidate plans aren’t meant to pencil …

What about Julian Castro’s healthcare plan? | 11/9/2019

… Senators running for President also cosponsoring it. He’s since revised it further, mostly adding long-term services & supports (LTSS) after Medicare for America included it in their first version. Elisabeth Warren: I wrote a detailed … Sen. Cory Booker , former HUD Secretary Julian Castro , and Sen. Amy Klobuchar . I really should have gotten to all three of them earlier, for which I apologize….especially since at least one of them appears …

Joe Biden

What about Julian Castro’s healthcare plan? | 11/9/2019

… Senators running for President also cosponsoring it. He’s since revised it further, mostly adding long-term services & supports (LTSS) after Medicare for America included it in their first version. Elisabeth Warren: I wrote a detailed … only as long as it’s strictly regulated by the government. Joe Biden: Biden is the major candidate who’s been pushing improvement of the ACA itself the strongest in his actual campaign rhetoric. His proposal basically …

What about Cory Booker’s healthcare plan? | 11/9/2019

… Senators running for President also cosponsoring it. He’s since revised it further, mostly adding long-term services & supports (LTSS) after Medicare for America included it in their first version. Elisabeth Warren: I wrote a detailed … only as long as it’s strictly regulated by the government. Joe Biden: Biden is the major candidate who’s been pushing improvement of the ACA itself the strongest in his actual campaign rhetoric. His proposal basically …

Donald Trump

Bloomberg can help Democrats, but not by running | Yahoo News | 11/9/2019

… made billionaire was the sort of socially liberal pragmatist many analysts think would have the best shot of beating President Donald Trump in a general election. The problem for Bloomberg is winning the Democratic presidential … behalf, attacks competitors and educates voters about controversial programs like Medicare for all, the government-run health care program Warren and Sanders support. With nearly 20 serious candidates, the Democrats don’t really need another presidential …

Medicare’s outpatient ‘Part B’ premium going up to $144.60 - The Morning Call | Chicago Tribune | 11/9/2019

Medicare ‘s “Part B” premium for outpatient care will rise by nearly 7% to $144.60 a month next year, officials said Friday. They blamed rising spending on medications. The $9.10 monthly increase follows a smaller … bill that calls for Medicare to negotiate drug prices. President Donald Trump instead has thrown his support to a bipartisan Senate bill that would require drugmakers to pay rebates to Medicare if they increase prices …

Pete Buttigieg

What about Julian Castro’s healthcare plan? | 11/9/2019

… Senators running for President also cosponsoring it. He’s since revised it further, mostly adding long-term services & supports (LTSS) after Medicare for America included it in their first version. Elisabeth Warren: I wrote a detailed … and grafts a robust Public Option on top of it. Pete Buttigieg: Buttigieg’s plan is very similar to Biden’s , but with more focus brought on actually reducing hospital costs, among other differences. Beto O’Rourke: This …

What about Cory Booker’s healthcare plan? | 11/9/2019

… Senators running for President also cosponsoring it. He’s since revised it further, mostly adding long-term services & supports (LTSS) after Medicare for America included it in their first version. Elisabeth Warren: I wrote a detailed … and grafts a robust Public Option on top of it. Pete Buttigieg: Buttigieg’s plan is very similar to Biden’s , but with more focus brought on actually reducing hospital costs, among other differences. Beto O’Rourke: This …

Kamala Harris

What about Julian Castro’s healthcare plan? | 11/9/2019

… Senators running for President also cosponsoring it. He’s since revised it further, mostly adding long-term services & supports (LTSS) after Medicare for America included it in their first version. Elisabeth Warren: I wrote a detailed … proposes to fund it; I wrote about that last week. Kamala Harris: Harris was pushing Bernie’s M4All bill until late July, at which point she split off from his vision with her own variant (which …

What about Cory Booker’s healthcare plan? | 11/9/2019

… Senators running for President also cosponsoring it. He’s since revised it further, mostly adding long-term services & supports (LTSS) after Medicare for America included it in their first version. Elisabeth Warren: I wrote a detailed … proposes to fund it; I wrote about that last week. Kamala Harris: Harris was pushing Bernie’s M4All bill until late July, at which point she split off from his vision with her own variant (which …

Andrew Yang

Daily on Healthcare, presented by SBEC: White House wants Senate drug pricing bill wrapped up in next few weeks | 11/9/2019

… Finance Committee in July by a 19-9 vote, with only Republicans voting against. The bill would cap what people on Medicare pay for drugs at $3,100 a year beginning in 2022 and would cap drug … Campaign finance reports show Biden, Buttigieg, Kamala Harris , Elizabeth Warren , Andrew Yang , and Bernie Sanders have all accepted funds from employees at the embattled e-cigarette maker. RURAL DWELLERS ARE MORE VULNERABLE TO PREVENTABLE DISEASES …

2020 Democrat primaries | 11/8/2019

… 7] All the talk of health care naturally led to killing the unborn (“women’s health,” “reproductive justice,” etc.). All support Medicare for the Planet [8] courtesy of the U.S. taxpayers. [9] When asked about the … with 34.67% and the Heavy has her at 32.24%. [12] Andrew Yang won the second night with 28% of over 56.000 total votes cast, Harris 16%, Marianne Williamson 12%, Biden 10% and Sanders 6%. The …

Mitch McConnell

Overnight Health Care: CDC links vitamin E oil to vaping illnesses | White House calls Pelosi drug price plan ‘unworkable’ | Dem offers bill for state-based ‘Medicare for All’ | 11/9/2019

… current form,” Joe Grogan, head of the White House’s Domestic Policy Council, told reporters Friday. The Speaker’s bill would allow Medicare to negotiate prices with drug companies, a concept that is described as “socialist” and … in the Senate. But it’s not clear if Majority Leader Mitch McConnell

United States presidential election, 2020 | 11/8/2019

… turned into a woman by surgery and hormonal treatment, and by the science backing the Green New Deal that claims Medicare for All and slave reparations can solve the climate crisis . Democrats advocate for open … a way to standing up to Putin. Klubuchar thinks attacking Mitch McConnell and the people who pay for political ads is how to stand up to Putin. Beto wants to disarm Hispanics who were attacked …

Michael Bennet

Examining Conflicting Claims About ‘Medicare for all’ | 11/9/2019

Since Senator Bernie Sanders of Vermont drove the idea of “Medicare for all,” or a single-payer health system, to the center of the political debate, few other issues have so divided the Democratic presidential … with 16 of that $31 trillion, and that’s half.” — Senator Michael Bennet of Colorado, in an October interview on CNN The Medicare for all proposal released by Senator Elizabeth Warren of Massachusetts last week would …

Katy Tur Interviews Michael Bennet, Attacks Him From the Left | 11/9/2019

Katy Tur Interviews Michael Bennet, Attacks Him From the Left Listen to the Article! Reddit By Alex Christy November 8, 2019 6:45 PM EST Colorado Sen. Michael Bennet was on MSNBC Live on Friday for … more pragmatic members of the field by refusing to support Medicare for All did not sit well with Tur, who pressed the Democratic hopeful from the left on the issue. Towards the end of the …

Chuck Grassley

Overnight Health Care: CDC links vitamin E oil to vaping illnesses | White House calls Pelosi drug price plan ‘unworkable’ | Dem offers bill for state-based ‘Medicare for All’ | 11/9/2019

Medicare to negotiate prices with drug companies, a concept that is described as “socialist” and “price-setting” by Republicans. Instead, Grogan said he’s working with Sens. Chuck Grassley Ronald (Ron) Lee Wyden Overnight Health Care: CDC links vitamin E oil to vaping illnesses White House calls Pelosi drug price plan ‘unworkable’ Dem offers bill for state-based ‘Medicare for All’ White House says Pelosi plan to lower drug prices ‘unworkable …

The Lower Drug Costs Now Act of 2019 | 11/8/2019

… to pay for life-saving prescription medications. That’s why the government is looking for ways to curb medication costs for Medicare beneficiaries. While there is not always consensus politically-speaking, there have been many legislative … is not the first proposal to address inflation rates. Senators Chuck Grassley (R-Iowa) and Ron Wyden (D-Oregon) introduced a similar idea in a bill they passed in the U.S. Committee on Finance. 5 …