Medicare

Medicare Consultant - Field Based in Quad Cities - IA, IL - UnitedHealth Group - Davenport, IA | 1/4/2020

Share Description The Medicare Consultant is responsible for providing expertise in the area of quality and risk adjustment coding for provider clients. A Medicare Consultant will interface with operational and clinical leadership to assist in identification of operational and clinical best practices in maximizing recapture rates, understanding clinical suspects and monitoring of appropriate clinical documentation and quality coding. Medicare Consultant will also coordinate implementation of programs designed to ensure all …

Director, Medicare Advantage Risk Adjustment Data Modeling & Analytics. - Telecommute - UnitedHealth Group - Minnetonka, MN | 12/23/2019

… Make yourself at home with us and start doing your life’s best work.(sm) Lead a team that is accountable for the development and execution of analytical and reporting of risk adjustment data for Medicare Advantage Plans. The Director is responsible to work collaboratively with financial planning & analysis, actuarial, accounting, and office of the controller to ensure data collection and reporting of risk adjustment revenues meet the needs of all …

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Congressman Panetta Votes to Pass the Lower Drug Costs Now Act | 12/13/2019

WASHINGTON, DC – On Thursday, December 12, Congressman Jimmy Panetta (CA-20) voted to pass H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act, to lower drug prices, expand Medicare coverage to include dental, vision, and hearing services, and invest in research for treatment and cures. “The costs of prescription drugs have been an increasing burden on seniors and families on the Central Coast. No one should feel forced …

The increasingly important role of caregivers | 12/13/2019

… but their well-being should be evaluated just as would the person they are caring for. Alzheimer’s Policy Two important pieces of policy are actively being discussed. 1. TheCHANGE Actwould direct the Centers for Medicare and Medicaid Services to identify a uniform, reliable cognitive impairment detection tool. This policy is important because doctors miss a dementia diagnosis about half of the time. Early detection allows for better access to care …

Do You Know What Medicare Means to You? Insurance Branch Can Guide You | 12/13/2019

Disability Benefits Advocates of Murray, UT rolled out a new name just in time for the Medicare Open Enrollment Period in January. “Insurance Branch” will still deliver the same great customer service under the same ownership as before. Vice President of Operations, Paula Muschler explains, ”Our new name defines what we do and identifies better with our clients.” For those not familiar, Insurance Branch assists those struggling to understand their …

Crwe World | Doctor And Occupational Therapist Sentenced To Prison For Participating In $30 Million Scheme To Defraud Medicare And Medicaid | 12/13/2019

… New York, announced that physician PAUL J. MATHIEU was sentenced yesterday evening by U.S. District Judge Lorna G. Schofield to 48 months in prison for his participation in a $30 million scheme to defraud Medicare and the New York State Medicaid Program. Between 2007 and 2013, MATHIEU falsely posed as the owner of three medical clinics, which were actually owned a by corrupt businessman, and falsely claimed that he had …

Eyeing 2020, House empowers Medicare to negotiate drug costs | 12/13/2019

WASHINGTON (AP) — Sharpening their 2020 election message, House Democrats on Thursday pushed through legislation that would empower Medicare to negotiate prescription drug prices and offer new benefits for seniors. The vote along party lines was 230-192. Speaker Nancy Pelosi’s bill would cap Medicare recipients’ out-of-pocket costs for medicines at $2,000 a year. It would use about $360 billion of its projected 10-year savings from lower drug costs …

In The Battlegrounds: Democrats Praise HR 3, Slam Trump’s Broken Promises on Health care | 12/13/2019

… slashes Medicare,’ said David Bergstein, DNC battleground state communications director. In Florida: FDP Chair Rizzo Statement on the House Passing H.R. 3 : “Today, Democrats put Floridians first by passing H.R. 3 which will allow Medicare to negotiate lower drug prices and make care more accessible and affordable for hard-working Florida families. This important move demonstrates that Democrats are committed to improving health care for millions of Floridians - unlike President …

Healthfirst Opens Its First Retail Location In The Mid-Hudson Valley | PR Newswire | 12/12/2019

… community for top-quality products and services New Yorkers can depend on. It has grown significantly to serve the needs of members, offering market-leading products to fit every life stage, including Medicaid plans, Medicare Advantage plans, long-term care plans, qualified health plans, and individual and small group plans. Healthfirst serves members in New York City , on Long island, and in Westchester , Sullivan , and Orange counties. For more information …

Interim HealthCare Home Care named as a top agency of the 2019 ABILITY HomeCare Elite | 12/12/2019

Interim HealthCare Home Care announced that it has been named a Top Agency of the 2019 HomeCare Elite®, a recognition of the top-performing home health agencies in the U.S. For 14 years, HomeCare Elite has annually identified the top 25 percent of Medicare -certified agencies and highlighted the top 100 and top 500 agencies overall. The ranking is developed by ABILITY® Network, a leading information technology company helping providers …

Union Protesters Against Medicare-for-All | 12/12/2019

AP Photo/Jacquelyn Martin Bernie Sanders’s pitch on “Medicare for all” was partially drowned out by protesters during a speech at a union event. On Tuesday, after the Vermont senator, 77, received a question from a Frontier Communications employee about if his plan would change her healthcare coverage, members of the audience began cheering and clapping in support. In the middle of his response, roughly a dozen members of the …

Warren Isn’t Serious About Winning Medicare for All | 12/12/2019

… After all, Warren famously called herself a “capitalist to my bones.” But after months of cryptic rhetoric, she has reconciled this inconsistency with a health care plan that won’t get us closer to achieving Medicare for All. Warren’s recently unveiled health care plan asks us to park the demand for Medicare for All for three years in favor of pushing for a public option. Instead of replacing private insurers with …

The Media’s Disingenuous Narrative om Medicare for All | 12/12/2019

The Media’s Disingenuous Narrative om Medicare for All Libby Watson , The New Republic December 11, 2019 The consensus among wonks is that Democratic politicians who support Medicare for All are saddling themselves with an unpopular policy. Never mind whether they’re supporting an effective policy; it’s considered gauche for savvy pundit types to evince concern over the hoi polloi. No, the tried and true know that the electoral fortunes of political …

KHN’s ‘What The Health?’: Legislate-A-Palooza | Kaiser Health News | 12/12/2019

… in the Senate to address the issue through another measure, this one drafted by Senate Finance Committee Chairman Chuck Grassley (R-Iowa) and ranking member Ron Wyden (D-Ore.). The feud between Centers for Medicare & Medicaid Services Administrator Seema Verma and Health and Human Services Secretary Alex Azar continues. The two officials were called this week for White House meetings, but the battle has been open, public and vituperative, and …

Federal bill that seeks to lower drug costs heading for vote in House | 12/12/2019

A bill aimed at lowering drug prices and expanding benefits is heading for a vote in the U.S. House of Representatives Thursday. The legislation, known as the Elijah E. Cummings Lower Drugs Costs Now Act (H.R. 3) would give Medicare the power to negotiate directly with drug companies to bring down the price of certain costly drugs. Medicare is currently not allowed to do this. The legislation would also make …

Midwestern Republicans and Democrats struggle for common ground on rising prescription costs | 12/12/2019

… seem to agree how to fix it. U.S. House Democrats took a shot in September when they introduced House Resolution 3 , or the Elijah E. Cummings Lower Drug Costs Now Act, which would allow Medicare to negotiate drug prices directly with companies and make those lower prices available to privately insured Americans as well. The bill would also limit out-of-pocket drug costs for Medicare recipients to $2,000 and …

Ready to Rumble: How Pelosi’s Drug Bill Sets Up Dems for 2020 | 12/12/2019

After making a deal with liberal Democrats Tuesday, House Speaker Nancy Pelosi appears to have cleared the way for a vote this week on a sweeping bill that would empower Medicare to negotiate drug prices. To appease progressives who had complained that the bill wasn’t strong enough, Pelosi agreed to increase the minimum number of drugs whose prices would be negotiated by the federal government to 50, up from 25 …

Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) Letter of Support | 12/12/2019

On behalf of the Medicare Rights Center (Medicare Rights), thank you for your work to improve coverage and lower costs for people with Medicare, including the Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3). We are pleased to strongly support this landmark bill. The Medicare Rights Center is a national, nonprofit organization that works to ensure access to affordable health care for older adults and people with disabilities …

Nancy Pelosi’s Prescription Drug Price Plan To Get A Vote : Shots - Health News : NPR | 12/12/2019

Enlarge this image The House voted to pass Speaker Nancy Pelosi’s prescription drug bill. The plan proposes, among other things, allowing Medicare to negotiate prices with drugmakers for some drugs. Drew Angerer/Getty Images hide caption toggle caption Drew Angerer/Getty Images The House voted to pass Speaker Nancy Pelosi’s prescription drug bill. The plan proposes, among other things, allowing Medicare to negotiate prices with drugmakers for some drugs. Drew …

How The House Prescription Drug Plan Would Try To Lower Drug Prices | KPBS | 12/12/2019

… Selena Simmons-Duffin / NPR Photo by Michael Brochstein Echoes Wire/Barcroft Media/Getty Images House Speaker Nancy Pelosi is the sponsor of a bill proposing to lower prescription drug prices in part by allowing Medicare some leeway in negotiating prices with drugmakers. Practically everyone is frustrated by high prescription drug prices. Voters have made clear they want Congress to do something about them. The House of Representatives is voting Thursday …

Medicare Risk Adjustment

Medicare Consultant - Field Based in Quad Cities - IA, IL - UnitedHealth Group - Davenport, IA | 1/4/2020

Share Description The Medicare Consultant is responsible for providing expertise in the area of quality and risk adjustment coding for provider clients. A Medicare Consultant will interface with operational and clinical leadership to assist in … improved healthcare outcomes Utilizes analytics and identifies targeted providers for Medicare Risk Adjustment training and documentation / coding resources Assist providers in understanding the MCAIP incentive program, Medicare Stars quality and CMS -HCC Risk Adjustment driven …

Executive Director of Risk Adjustment & Coding - Ontario, CA - UnitedHealth Group - Ontario, CA | 12/30/2019

Medicare Risk adjustment Intermediate Excel skills, PowerPoint (MS Suite) Preferred Qualifications: Experience with Strategic analysis and direction Vendor Relationship Management experience Work experience with physicians within an IPA or a Medical Group Business Process Improvement a plus Data mining and data-driven analysis experience Careers with Optum. We built an entire organization around one giant objective; make the health system work better for everyone. Optum, part of the UnitedHealth Group …

Clinical Best Practices

Medicare Consultant - Field Based in Quad Cities - IA, IL - UnitedHealth Group - Davenport, IA | 1/4/2020

Share Description The Medicare Consultant is responsible for providing expertise in the area of quality and risk adjustment coding for provider clients. A Medicare Consultant will interface with operational and clinical leadership to assist in identification of operational and clinical best practices in maximizing recapture rates, understanding clinical suspects and monitoring of appropriate clinical documentation and quality coding. Medicare Consultant will also coordinate implementation of programs designed to ensure all …

(USA-FL-Daytona Beach) Clinical Manager- Home Health | 12/8/2019

… Senior Living Clinical Manager- Home Health in Daytona Beach , Florida Overview Nurse on Call - Home Healthcare by Brookdale, is a Medicare certified agency providing home healthcare services.We take pride in our strong reputation for furnishing … health care services, ensuring compliance to federal/state standards and clinical best practices. Supervises, monitors, and ensures competencies and performance of assigned home health care team(s) and ensures the delivery of quality home health …

Mental Health

Sanders endorses Young Turks founder Cenk Uygur for Katie Hill’s former House seat | 12/13/2019

… Pelosi endorses Christy Smith in bid to replace Katie Hill Katie Hill pens op-ed about Congress resignation, toxic marriage, mental health and resilience Young Turks founder: Past remarks on women were attempt ‘to be … been “a strong advocate” for his signature health care proposal, “Medicare for all,” and believes that health care “is a human right and not a privilege.” The left-leaning commentator has long aligned himself with …

15 Companies with that Hire for Online Social Work Jobs | 12/12/2019

… plans for individuals with behavioral health needs. Serving specialty health plans, labor organizations, employers, and governments, Beacon Health Options provides mental health and substance abuse management, employee assistance programs, specialty programs for autism and depression … million members across the United States through its Medicaid and Medicare health plans for seniors, children, low-income adults, and disabled individuals. Its brands include Meridian, Missouri Care, Staywell, PeachCare for Kids, Ohana, TexanPlus, and …

Medical Research

Eyeing 2020, House empowers Medicare to negotiate drug costs | 12/13/2019

WASHINGTON (AP) — Sharpening their 2020 election message, House Democrats on Thursday pushed through legislation that would empower Medicare to negotiate prescription drug prices and offer new benefits for seniors. The vote along party lines was … subtracting for new Medicare benefits, that still leaves money for medical research, community health centers, and countering the opioid epidemic. Democrats have named the drug legislation after the late Rep. Elijah Cummings, D-Md., who …

Research Roundup: Charitable Food Assistance; Bias In Medical Research; Developmental Milestones; And More | Kaiser Health News | 12/12/2019

… care is not sufficient for residents in rural communities with complex chronic conditions, according to new research that revealed a lack of access to specialists has driven up mortality rates and preventable hospitalizations. Medicare beneficiaries who lived in rural areas had a 40% higher preventable hospitalization rate and a 23% higher mortality rate compared with their urban peers, according to a new study published in Health Affairs. (Kacik, 12/3 …

ACA

Report Assails Short Term Health Plans | 12/12/2019

… the insurance industry has stepped up marketing for such plans across the country, including in Wisconsin. “The intent of the ACA was to regulate these plans so short-term plans were a bridge between comprehensive … the report states. A report from the federal Centers for Medicare & Medicaid Services has stated that allowing insurance policies to discriminate against people with preexisting conditions could deny health coverage to one in two Americans …

How Ending an ACA Subsidy Was Worth its Weight in Silver | 12/11/2019

Analysis Health Health Dec 11, 2019 How Ending an ACA Subsidy Was Worth its Weight in Silver A A A When President Donald J. Trump published a 21-word tweet in the early hours of … Court of Appeals for the Federal Circuit . The Centers for Medicare and Medicaid Services (CMS), the federal agency that administers the ACA marketplace subsidies, could attempt to restrict silver loading by requiring insurance companies to …

Telehealth

15 Companies with that Hire for Online Social Work Jobs | 12/12/2019

… qualified medical professionals to meet their staffing needs. Recent online social work jobs: Medical Social Worker DotCom Therapy provides specialized telehealth services for speech therapy, mental health, and occupational therapy. The company was founded in … million members across the United States through its Medicaid and Medicare health plans for seniors, children, low-income adults, and disabled individuals. Its brands include Meridian, Missouri Care, Staywell, PeachCare for Kids, Ohana, TexanPlus, and …

Media: Article: How 8 Massachusetts Companies Shaped the 4 Most Disruptive Digital Health Trends of 2019 | 12/12/2019

… of digital health in 2019. But four trends stand above the rest as the most disruptive this year: artificial intelligence; telehealth and the internet of medical things; care delivery for underserved populations; and value-based … Health is a healthcare company serving seniors, aiming to launch Medicare Advantage plans. The firm’s mission is to help users navigate the healthcare system with personal guides. The Devoted Health solution puts the focus back …

Population Health

15 Companies with that Hire for Online Social Work Jobs | 12/12/2019

… therapy services more accessible to people everywhere. Recent remote social work jobs: Licensed Clinical Social Worker Evolent Health is a population health management services organization. Its services include population health model deployment support, case management … million members across the United States through its Medicaid and Medicare health plans for seniors, children, low-income adults, and disabled individuals. Its brands include Meridian, Missouri Care, Staywell, PeachCare for Kids, Ohana, TexanPlus, and …

My View: A.I. can lead to biased health choices | 12/12/2019

… to artificial intelligence (AI), to organize and optimize the complex choices they must make each day. The federal Centers for Medicare & Medicaid Services (CMS), which administers the nation’s major health care programs, and commercial health … Technology holds great promise in addressing these issues and improving population health. However, if it is not applied thoughtfully and with acknowledgement of the risk for biases, it can also worsen them. I am pleased …

Digital Health

After urging from AMA, Walmart pharmacies will continue to accept paper prescriptions for controlled substances | FierceHealthcare | 12/12/2019

… for controlled substances, the AMA said in a letter to Walmart. Webinar Today Curating a Higher Level of Personalized Care: Digital Health + Mom A long-term digital health strategy is needed to respond to the … or e-prescriptions for controlled substances, according to USA Today. Medicare Part D will require controlled substances prescriptions to be submitted electronically starting in January 2021. In the letter to Walmart, Madara urged Walmart to …

What’s behind smart-pill maker Proteus’ funding woes? Lack of evidence to convince payers of value, says one expert | 12/12/2019

Print Proteus Digital Health’s CEO once confidently proclaimed that in a couple of decades, “every medicine will have a chip in it.” At a time when many companies are trying to break into the airy … seen anything to suggest they’re slowing down. The Centers for Medicare and Medicaid Services is behind the FDA in that regard. They have not put in the amount of thinking, have not engaged stakeholders in …

Patient Satisfaction

Letter to the editor: Nurse practitioners are not ‘mid-level’ providers | Becker’s Hospital Review | 12/12/2019

… Medicare-Medicaid patients. Readmission rates are one of the quality indicators CMS uses to gauge the safety and efficacy of hospitals. A 2012 study from Australia demonstrated similar patient outcomes between physicians and nurse practitioners in a fast-track emergency department, although the nurse practitioners had higher patient satisfaction rates. Similarly, in critical care settings, nurse practitioners have demonstrated improved time to consultation/treatment, mortality, cost savings and patient satisfaction

VA improves health care facility performance transparency | 12/12/2019

… is drawn from quality-of-care measures provided by industry-standard sources including, but not limited to the Centers for Medicare and Medicaid Services, National Committee for Quality Assurance and the Agency for Healthcare Research … metrics in areas such as death rates, complications, safety and patient satisfaction, as well as overall efficiency and physician capacity at individual VA Medical Centers. In accordance with Government Accountability Office recommendations, in 2017 and …

ACA Marketplace

Report Assails Short Term Health Plans | 12/12/2019

… up for coverage under the Affordable Care Act. The report says 8 in 10 Wisconsinites who buy insurance through the ACA marketplace are likely to be eligible for discounts based on income, getting better coverage … the report states. A report from the federal Centers for Medicare & Medicaid Services has stated that allowing insurance policies to discriminate against people with preexisting conditions could deny health coverage to one in two Americans …

How Ending an ACA Subsidy Was Worth its Weight in Silver | 12/11/2019

Medicare and Medicaid Services (CMS), the federal agency that administers the ACA marketplace subsidies, could attempt to restrict silver loading by requiring insurance companies to spread the cost of CSRs among all plan types. Experts predict that this solution would lead to “significant changes in the lived experience of the ACA for subsidized buyers in most states.” CMS opted against prohibiting the practice of silver loading for the year 2020 …

CVS Health

How to Profit From the Massive Aging-in-Place Healthcare Trend | The Motley Fool | 12/12/2019

… seniors living independently longer, including LHC Group ( NASDAQ:LHCG ) , Teladoc ( NYSE:TDOC ) , Livongo Health ( NASDAQ:LVGO ) , ADT Inc. ( NYSE:ADT ) , CVS Health ( NYSE:CVS ) , and Amazon.com ( NASDAQ:AMZN ) . To catch full episodes of all The … work out of are four-star rated or higher by Medicare. Medicare is a major payer of these home healthcare services. According to the CMS Medicare national health expenditures report last year, there was about …

U.S. Watchdog Finds $6.7 Billion in Questionable Medicare Payments to Insurers | U.S. News & World Report | 12/12/2019

U.S. Watchdog Finds $6.7 Billion in Questionable Medicare Payments to Insurers Dec. 12, 2019 More By Chad Terhune (Reuters) - A U.S. government watchdog is raising fresh concerns that health insurers are exaggerating how sick Medicare … not identify specific insurers. UnitedHealth Group Inc, Humana Inc and CVS Health Corp through its ownership of Aetna, are among the biggest sellers of Medicare Advantage plans. Together, the three companies have 54% of the …

CVS

How to Profit From the Massive Aging-in-Place Healthcare Trend | The Motley Fool | 12/12/2019

… seniors living independently longer, including LHC Group ( NASDAQ:LHCG ) , Teladoc ( NYSE:TDOC ) , Livongo Health ( NASDAQ:LVGO ) , ADT Inc. ( NYSE:ADT ) , CVS Health ( NYSE:CVS ) , and Amazon.com ( NASDAQ:AMZN ) . To catch full episodes of all The … work out of are four-star rated or higher by Medicare. Medicare is a major payer of these home healthcare services. According to the CMS Medicare national health expenditures report last year, there was about …

U.S. Watchdog Finds $6.7 Billion in Questionable Medicare Payments to Insurers | U.S. News & World Report | 12/12/2019

U.S. Watchdog Finds $6.7 Billion in Questionable Medicare Payments to Insurers Dec. 12, 2019 More By Chad Terhune (Reuters) - A U.S. government watchdog is raising fresh concerns that health insurers are exaggerating how sick Medicare … not identify specific insurers. UnitedHealth Group Inc, Humana Inc and CVS Health Corp through its ownership of Aetna, are among the biggest sellers of Medicare Advantage plans. Together, the three companies have 54% of the …

McKesson

AAPS News December 2019 – The Definition of Insanity | 12/12/2019

… waste, and deadweight losses would add some $33 trillion to the estimated $52 trillion 10-year cost of the Warren Medicare-for-All plan, writes Chris Conover . [Follow http://www.liberato.us/single-payer-news.html .] Death in … alleged role in opioid overdose deaths. Large distribution companies AmerisourceBergen, McKesson, and the Ohio-based Cardinal Health, which together distribute 90% of U.S. pharmaceuticals, and Israel-based drugmaker Teva Pharmaceuticals reached an agreement without admitting …

340B Hospitals Oppose Drug Acquisition Cost Survey from CMS | RevCycle Intelligence | 12/11/2019

… Health urges CMS to withdraw its plan to survey 340B hospitals on drug acquisition costs, saying it’s a violation of Medicare statute and too burdensome. Source: Thinkstock Hospitals are fed up with CMS’ plan to … 340B hospitals typically purchase their 340B drugs through wholesalers, like McKesson, Pharmaceuticals, or directly from the drug manufacturer,” the association wrote.”The wholesaler contracts, in particular, typically have strict non-disclosure provisions. It is our …

Amarin

There’s more upside for biotech even after 24% gains in two months - MarketWatch | 12/12/2019

… very focused on impeachment and trade talks,” says Jefferies biotech analyst Michael Yee. “It doesn’t seem like drug pricing or Medicare for All are going to be in the near-term picture. If that’s the … a big pharmaceutical company with a large sales force are Amarin AMRN, +0.79% and Acadia Pharmaceuticals ACAD, -1.09% . The sweet spot for takeover candidates is companies like these which have a few approved therapies so …

Pulse8

Pulse8 Presenting on the Shift to Digital HEDIS® Measures during the RISE Star Ratings Master Class in Carlsbad, CA | Business Wire | 12/12/2019

CHICAGO- Back for its 10 th year, the RISE Star Ratings Master Class offers a deep dive for Medicare Advantage health plans seeking actionable strategies to boost their Star Rating. This conference focuses on key trends and knowledge sharing from leading innovators including Pulse8. This year’s Master Class includes Pulse8’s Sharalee Johnson , Director of Quality Solutions, presenting to attendees on how to prepare for the shift to digital HEDIS …

ABILITY Network

Interim HealthCare Home Care named as a top agency of the 2019 ABILITY HomeCare Elite | 12/12/2019

… Medicare-certified agencies and highlighted the top 100 and top 500 agencies overall. The ranking is developed by ABILITY® Network, a leading information technology company helping providers and payers simplify the administrative and clinical complexities of healthcare. It is sponsored by DecisionHealth, part of the H3.Group. “We’re pleased to recognize Interim HealthCare for exemplifying best practice in patient care,” said Christine Lang, senior director for ABILITY Network. “Interim HealthCare …

Community News and Notes | 12/10/2019

… Medicare-certified agencies in a list of the top 100 and 500 agencies overall. The ranking is developed by the ABILITY Network, sponsored by DecisionHealth, part of the H3Group. Rankings are determined by an analysis of performance measures in quality outcomes, best practices implementation, patient experience, quality improvement and consistency and financial health. Out of 8,818 agencies considered, only 2,207 were named to the Elite list. Historical society honoring law …

Compulink

Compulink Announces New Capability to Connect to Multiple Specialty Registries | 12/12/2019

Blog This Compulink Healthcare Solutions , the creator of Advantage SMART Practice ® , an all-in-one, specialty-specific EHR, and practice management solution, today announced a partnership with FIGmd, the leading developer of clinical data registries. This partnership will provide Compulink’s clients with the capability to connect to multiple specialty registries and/or directly report on Quality Payment Program (QPP) data to the Center for Medicare and Medicaid Services (CMS). FIGmd …

Compulink Showcases Best-of-Breed EHR Technology for Ophthalmology at AAO 2017 | Business Wire | 11/9/2017

THOUSAND OAKS, Calif.- Compulink Business Systems, Inc. , a recognized leader in EHR and Practice Management solutions for ophthalmology will demonstrate the latest enhancements to its Ophthalmology Advantage™ system at this week’s American Academy of Ophthalmology … successful participation in CMS payment and incentive programs including the Medicare Quality Payment Program (QPP) and the Medicaid EHR Incentive Program. “This new certification continues our long tradition of delivering software well ahead of compliance …

Lumeris

(USA-MO-St. Louis) Sr. Business Systems Analyst-1 | 12/11/2019

Job Information Lumeris Sr. Business Systems Analyst-1 in St. Louis , Missouri In order to apply for a position at Lumeris, you must create an account using your email address and a password of your … Claims or Healthcare related experience (preferably Medicaid Managed Care or Medicare) 3+ years experience working in Information Systems (software installation, system configuration, SQL/Oracle platforms) 3+ years experience writing TSQL or SQL queries 3+ years …

Strategic Opportunity in Direct Contracting | 12/4/2019

Dec 4 2019 Thought Leadership By Lumeris Strategic Opportunity in Direct Contracting CMS recently announced the “ Request for Applications ” for its new Direct Contracting (DC) program. As currently proposed, the program offers a potentially market share-shifting opportunity that could change how FFS Medicare is delivered. While this is not a mandatory program, this is a key time to consider competitor actions that could impact your future Medicare business and …

Medline

TRSA’s 8th Annual Healthcare Conference And Exchange: Insights On Future Of Healthcare, Long-Term Care, Labor And More | 12/11/2019

… difficile spores in a tunnel washer. Healthcare Benchmarking: Rick Kislia, retired COO, Crescent Laundry, and Chuck Rossmiller, director – laundry programs, Medline Industries Inc., reviewed findings of a survey of linen, uniform and facility services companies … based on a misguided comment made by a Center for Medicare and Medicaid Services (CMS) surveyor. TRSA’s Executive Committee has allocated funds to clarify the issue and ensure this action is not carried over to …

Envision Healthcare

Tuesday, December 10, 2019 | Kaiser Health News | 12/10/2019

… equity firms.” Private equity firms own many doctor staffing companies that employ emergency room physicians. Two such companies, TeamHealth and Envision Healthcare, provided financial backing for ads this fall promoting arbitration. “These providers will exploit … the claim. The New York Times: Trump Stands By Embattled Medicare And Medicaid Chief White House aides said President Trump stood by his embattled Medicare and Medicaid chief, Seema Verma, amid reports that she had …

Providers get win in surprise billing compromise, but they’re not happy | FierceHealthcare | 12/9/2019

Medicare charges spike for specialties most associated with surprise bills The national hospital-based physician group Envision Healthcare also blasted the benchmark rate. “While this proposal is an improvement, it continues to use a benchmark that would not apply to the majority of facility-based providers,” said Bob Kneeley, senior vice president of government affairs at Envision. “Without an arbitration mechanism that applies to a reasonable number of claims, the …

RA Capital Management

Wednesday, December 11, 2019 | Kaiser Health News | 12/11/2019

… day after the firm released him from a nondisclosure agreement. (Pager, 12/10) In other news from the elections — The Hill: ‘Medicare For All’ Backers Notch Win With High-Profile Hearing “Medicare for All” supporters scored … companies. A group of venture capitalists, including Peter Kolchinsky of RA Capital Management, Johannes Fruehauf of BioInnovation Capital and Sara Nayeem of New Enterprise Associates, met with Pelosi’s staff as well as moderate House and …

Investors fear Pelosi’s drug price plan will kill small biotech firms | CNBC | 12/10/2019

… that the plan would dry up financing for small biotech companies. A group of venture capitalists, including Peter Kolchinsky of RA Capital Management, Johannes Fruehauf of BioInnovation Capital and Sara Nayeem of New Enterprise Associates … preliminary analysis from CBO also showed Pelosi’s plan would save Medicare $345 billion over the decade . In the Senate, lawmakers are working on their own drug pricing bill, seen as a more “moderate” alternative to …

Morgan Stanley

CVS Health (NYSE:CVS) Receiving Extremely Negative Media Coverage, Analysis Shows | 12/5/2019

… NYSE:CVS) Earns Strong-Buy Rating from Raymond James (americanbankingnews.com) A number of analysts recently issued reports on CVS shares. Morgan Stanley raised their price objective on CVS Health from $74.00 to $77.00 and gave … pharmacy network management, mail order pharmacy, specialty pharmacy and infusion, Medicare Part D, clinical, disease management, and medical spend management services. Receive News & Ratings for CVS Health analysts’ ratings for CVS Health and related companies …

Man Group plc Sells 48,003 Shares of Cigna Corp (NYSE:CI) | 12/5/2019

… a “buy” rating and set a $240.00 price target on shares of Cigna in a report on Monday, November 25th. Morgan Stanley upped their price target on shares of Cigna from $207.00 to $208.00 and … 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

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

… the company’s “toxic” environment. Since the scandal, Anthony Noto — former chief operating officer of Twitter and former managing director at Goldman Sachs — has taken over and shown interest in SoFi entering the cryptocurrency game . Scooter … 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

… the company’s “toxic” environment. Since the scandal, Anthony Noto - former chief operating officer of Twitter and former managing director at Goldman Sachs - has taken over and shown interest in SoFi entering the cryptocurrency game . Scooter … 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 …

Citigroup

Lobbying world | 12/4/2019

… He has worked at the Cleveland Clinic for more than two years and before that worked at the Centers for Medicare and Medicaid Services for more than six years. Brendan Parets has rejoined Covington & Burling … N.Y.), is leaving his post to be a lobbyist for Citigroup . Brian Barnard will be senior manager of federal affairs for Uber , based in Washington, D.C. He previously was a senior adviser to Transportation Secretary …

Barack Obama and the Ruling Class Target the Black Vote to Smother Sanders | 12/2/2019

… the Black left. By targeting the very diverse , and significantly Black , Sanders base, Obama is striking two targets at once. Medicare for All and similar universal policies are “crazy” only to rich white Americans and … subprime mortgages in the U.S. before it was sold to Citigroup in 2007. This career blemish alone has rendered Patrick’s campaign dead upon arrival. “The ruling class has every reason to be nervous over how …

Blackstone Group

Health Care Reform Articles - December 3, 2019 | 12/4/2019

We can afford Medicare for All… … and it could even deliver a huge pay raise to the middle class. By EMMANUEL SAEZ and GABRIEL ZUCMAN - Politico - November 25, 2019 The current debate over “Medicare for … them off as bad debt. TeamHealth is owned by the Blackstone Group , a private equity firm. In 2017, Blackstone acquired TeamHealth and its subsidiary Southeastern in a $6.1 billion deal . It was just one in …

First Edition: December 2, 2019 | Kaiser Health News | 12/2/2019

… Warren — And Reshaped The Democratic Presidential Race In mid-November, a few dozen of the country’s most influential advocates of Medicare-for-all were reviewing details of Sen. Elizabeth Warren’s plan to finance the proposed … opioid users. (Bebinger, 11/27) NPR/ProPublica: Why TeamHealth, Owned By Blackstone Group, Stopped Suing Poor Patients After nine visits to the emergency room at Baptist Memorial Hospital in Memphis, Tenn., in 2016 and 2017, Jennifer …

Index Ventures

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

… Vlad Tenev told Business Insider. Some of Robinhood’s flashier investors include Snoop Dogg and San Francisco-based venture capital firm Index Ventures. Robinhood’s rise didn’t come without some roadblocks . Earlier this year, the company had … 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

… Vlad Tenev told Business Insider. Some of Robinhood’s flashier investors include Snoop Dogg and San Francisco-based venture capital firm Index Ventures. Robinhood’s rise didn’t come without some roadblocks . Earlier this year, the company had … 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 …

Bain Capital

Kamala Harris drops out of 2020 Democratic presidential race | 12/3/2019

… he was raised with Jewish and Christian heritage; no known adherence Views on key issues: Moderate who does not endorse Medicare for all or – so far – Green New Deal. Strongly pro-choice and pro-gay … on November 13, 2019 Career: Currently a managing director of Bain Capital. Awarded scholarship in eighth grade to Massachusetts boarding school Milton Academy, becoming first in his family to go to college. Harvard law grad …

Barack Obama and the Ruling Class Target the Black Vote to Smother Sanders | 12/2/2019

… the Black left. By targeting the very diverse , and significantly Black , Sanders base, Obama is striking two targets at once. Medicare for All and similar universal policies are “crazy” only to rich white Americans and … Black people, during his time in prominent positions at Texaco, Bain Capital, and Ameriquest Mortgages. Ameriquest Mortgages was the largest retailer of subprime mortgages in the U.S. before it was sold to Citigroup in 2007 …

JP Morgan

Do You Trust Jeff Bezos With Your Life? Tech Giants Like Amazon Are Getting into the Health Care Business | 12/3/2019

… The reason: in January 2018, Amazon announced a non-profit joint venture with Warren Buffett’s Berkshire Hathaway and financial giant JP Morgan aimed at coming up with health care solutions for the three companies’ combined … into the office is health care rationing by inconvenience.” Even Medicare currently won’t reimburse for most telehealth services. And yet almost all doctors and experts agree that getting people to check in more often, more …

ICER Will Take Different Approach to Assess Short-Term, High-Impact Products | 12/2/2019

… in SMA, it seems that ICER was criticized for their high valuation of this treatment, which Novartis’s CEO used at JP Morgan last January. So the tone of the initiative changed to one of optimistic … value-based contracting or the Affordable Care Act or even Medicare for all. We’re seeing mergers and acquisitions around the fundamentals. Bigger is better: It gives you scale. In life sciences, it may be life …

Leukemia & Lymphoma Society

Cassidy introduces bipartisan bill to help senior citizens pay for prescription drugs | 12/3/2019

… sponsored S. 2911 with bill cosponsor U.S. Sen. Bob Menendez (D-NJ) to provide a monthly out-of-pocket cost-sharing maximum for enrollees who incur a significant portion of costs for covered Medicare Part D drugs toward the annual out-of-pocket threshold during a month, according to the text of the bill. A drug legislative package recently passed out of the U.S. Senate Finance Committee would set a …

Nearly 60 Percent Of Blood Cancer Patients Covered By Medicare Delay Or Forgo Treatment; One Factor Could Be The High Cost Of Cancer Care | PR Newswire | 10/22/2019

RYE BROOK, N.Y. Survival of older patients with blood cancers continues to improve as more effective, less toxic therapies are introduced. However, these lifesaving treatments often are expensive and many cancer patients face financial burdens caused by ever-increasing healthcare costs. In fact, according to a new study released today by The Leukemia & Lymphoma Society (LLS), 59 percent of surviving blood cancer patients enrolled in traditional Medicare do not begin …

Veritas Capital

GE Healthcare bulks up in 3D printing, robotics, patient monitoring | 12/3/2019

… cycle, ambulatory care and workforce management assets, as well as its Centricity electronic medical records business​, to private equity firm Veritas Capital. The biopharma business GE is in the process of unloading now sells instruments … drag on market growth next year are continued reductions in Medicare reimbursement payments and hospital consolidation that is resulting in slower decision making and increased purchasing power. In Europe, GE anticipates growth in digital and …

Perspecta - Building Scale And Momentum In Government IT Contracting - Perspecta Inc. (NYSE:PRSP) | Seeking Alpha | 9/16/2019

… greatest success for EDS was with enterprise clients, the first government contracts were “facilities management” and claims payment services for Medicare and Medicaid, dating from the early years of the Medicare system. Look on the … equity fund that put the rest of Perspecta together is Veritas Capital, starting from 2010, now almost 10 years ago. Perspecta’s 2019 proxy reveals that Veritas Capital still owns 14.3% of Perspecta, controlled by Ramzi …

Kaiser Permanente

What’s behind smart-pill maker Proteus’ funding woes? Lack of evidence to convince payers of value, says one expert | 12/12/2019

… and had raised a total of $487 million in funding over 11 rounds from backers including Novartis Venture Fund and Kaiser Permanente Ventures. That promising start made this week’s news all the more surprising. Which … seen anything to suggest they’re slowing down. The Centers for Medicare and Medicaid Services is behind the FDA in that regard. They have not put in the amount of thinking, have not engaged stakeholders in …

WEDI Announces Slate of New Board of Directors for 2020 | PRWeb | 12/9/2019

… Vendor) Robert Bowman, CAQH CORE (Standards/Operating Rules) Laura Darst, Mayo Clinic (Provider) & Immediate Past Chair Lorraine Doo, Centers for Medicare and Medicaid Services (Government) Jay Eisenstock, JEConsulting (Vendor) Board Chair Doreen Espinoza, X12 (Standards … Council for Prescription Drug Programs (Standards/Operating Rules) Sandra Stuart, Kaiser Permanente (Health Plan) For more information on the WEDI Board of Directors, visit the WEDI website . About WEDI WEDI is the leading authority on …

Mercy Health

Blue Cross, health providers create plan aimed at lowering costs | 12/12/2019

… to make health care more affordable.” Organizations signing on to the plan are Michigan Medicine; Trinity Health, including Saint Joseph Mercy Health System, Mercy Health, Mercy Health Physician Partners and Integrated Healthcare Associates; Henry Ford … Cross’s membership in our commercial PPO (preferred provider organization) and Medicare Advantage PPO lines of business — that represents $4 billion in health care spending,” he added. “This is a significant start, deeply impacting our shared …

Blue Cross Blue Shield of Michigan and seven health organizations will share financial risk for patient care and health | BioSpace | 12/12/2019

… 11, 2019 /PRNewswire/ – Together with seven major Michigan health organizations representing roughly 30 percent of our total Commercial PPO and Medicare Advantage market, Blue Cross Blue Shield of Michigan today announced a transformative new payment … Southfield Physicians The Physician Alliance Trinity Health – Michigan (Saint Joseph Mercy Health System, Mercy Health, Mercy Health Physician Partners, IHA) United Physicians “Health systems and physician organizations that sign risk-sharing contracts will be reimbursed …

Rush University Medical Center

Seattle Genetics Announces Multiple ADCETRIS® (Brentuximab Vedotin) Presentations at the ASH Annual Meeting | 12/12/2019

… Stage II-IV HIV-Associated Classical Hodgkin Lymphoma: Results of the Phase 2 Study, AMC 085Abstract: 130 Presenter: P. Rubinstein, Rush University Medical Center, Chicago, Ill. Session: Oral presentation Hodgkin Lymphoma and T/NK Cell … Hall B Real-World Treatment Patterns and Overall Survival Among Medicare Fee-for-Service Beneficiaries Newly Diagnosed with Peripheral T-Cell Lymphoma (PTCL)Abstract: 3492 Date and Time: Sunday, December 8, 6:00-8:00 p.m. ET Location …

16 hospitals, health systems seeking Allscripts, Cerner, Epic, Meditech talent | Becker’s Hospital Review | 12/5/2019

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 … RWJBarnabas Health (Oceanport, N.J.): Seeks an applications analyst. Epic 1. Rush University Medical Center (Chicago): Seeks a decision support analyst. 2. Children’s Hospital of Wisconsin (Milwaukee): Seeks an applications analyst. 3. Centura Health (Centennial, Colo …

Rush University Medical Center, Chicago IL

Seattle Genetics Announces Multiple ADCETRIS® (Brentuximab Vedotin) Presentations at the ASH Annual Meeting | 12/12/2019

… Stage II-IV HIV-Associated Classical Hodgkin Lymphoma: Results of the Phase 2 Study, AMC 085Abstract: 130 Presenter: P. Rubinstein, Rush University Medical Center, Chicago, Ill. Session: Oral presentation Hodgkin Lymphoma and T/NK Cell … Hall B Real-World Treatment Patterns and Overall Survival Among Medicare Fee-for-Service Beneficiaries Newly Diagnosed with Peripheral T-Cell Lymphoma (PTCL)Abstract: 3492 Date and Time: Sunday, December 8, 6:00-8:00 p.m. ET Location …

Where Can Fixes Be Made to the CMS Hospital Star Ratings System? | Patient Engagement HIT | 12/5/2019

… quality measures, it’s hard for hospitals to anticipate their quality rating for a given year. Such was the case at Rush University Medical Center in Chicago. As reported in a new paper out of the … invest. READ MORE: One-Third of Beneficiaries Aware of CMS Medicare Star Ratings “While giving hospitals their own measure weights may seem to give them unfair advantage, our approach does not choose the weights arbitrarily …

Bridgeport Hospital, Bridgeport CT

Inspection Reports: Hospitals Cited For Testing Error That Resulted In Unnecessary Surgery, Patient Deaths, Failure To Investigate Complaint Of Patient Abuse | 12/12/2019

… C-HIT’s Data Mine Section , cover state inspections that took place at hospitals last year and earlier this year. At Bridgeport Hospital , a patient underwent a total hysterectomy after her biopsy results were contaminated by … the hospital was sanctioned by the Centers for Medicaid and Medicare Services and ordered to cease all histopathology at its lab, said hospital spokeswoman Dana Marnane. The sanction began in early February and was lifted …

Loyola University Medical Center

Seattle Genetics Announces Multiple ADCETRIS® (Brentuximab Vedotin) Presentations at the ASH Annual Meeting | 12/12/2019

… Plus Rituximab (R) as Frontline Therapy for Patients with Immunosuppression-Associated CD30+ and/or EBV+ LymphomasAbstract: 351 Presenter: W. Pearse, Loyola University Medical Center, Maywood, Ill. Session: Oral presentation Aggressive Lymphoma (Diffuse Large B-Cell … Hall B Real-World Treatment Patterns and Overall Survival Among Medicare Fee-for-Service Beneficiaries Newly Diagnosed with Peripheral T-Cell Lymphoma (PTCL)Abstract: 3492 Date and Time: Sunday, December 8, 6:00-8:00 p.m. ET Location …

Choosing a hospital? Ratings help provide info on quality as Glenbrook, Resurrection get ‘A’; Lutheran gets ‘C’ from one rater, five stars from another | Chicago Tribune | 12/11/2019

… hospital ratings systems, such as the nonprofit Leapfrog Group’s Hospital Safety Grade , U.S. News and World Report and the federal Medicare.gov provide more information about hospital quality. Their results can vary because they use different … Health System’s Glenbrook, Skokie, Evanston and Highland Park Hospitals and Loyola University Medical Center in Maywood each received “A” grades this fall from the Leapfrog Group, which releases grades for United States hospitals twice a …

Medical Center, Macon GA

Community Calendar for December 12, 2019 | 12/12/2019

… Cancer Support Group’s annual Christmas Party will be held on Thursday, Dec. 12, 7 p.m. in the cafeteria of Angel Medical Center, Riverview St. Bring your favorite finger food and an inexpensive gift to exchange … diabetes education. Services are covered by many private insurances including Medicare/Medicaid. All insurance accepted and income based sliding scale fee available to Macon County residents. For more information, call April Innis at (828)349-2455 …

Community Calendar November 26, 2019 | 11/26/2019

… to all ages. The center is located at 108 Wayah St. For more information, call (828)349-2058. Volunteer at Angel Medical Center Enjoy the reward of making someone else’s day brighter by sharing your talents … diabetes education. Services are covered by many private insurances including Medicare/Medicaid. All insurance accepted and income based sliding scale fee available to Macon County residents. For more information, call April Innis at (828)349-2455 …

Hahnemann University Hospital

COMMUNITY VOICES: How do we save our health care system? | 12/11/2019

… human cost of delay in wellness and health care services. I am just not sure, however, that going directly to Medicare for All is the best plan. What happens to the financial system when an … I know that is not true for the public hospitals. Hahnemann University Hospital, which was a safety net teaching hospital in Philadelphia with 496 beds, recently declared bankruptcy and closed its doors. There have been …

Residencies for Sale | 12/11/2019

Residencies for Sale Managed Care Magazine ) – As Philadelphia hospitals go, Hahnemann University Hospital has stood in the shadow of three more prestigious academic research centers—Thomas Jefferson University, the largest health system in the region … attention, becoming the front line in the battle over how Medicare oversees medical residency programs it pays for …

Boston Medical Center

Diabetes | 12/11/2019

… Diabetes and Digestive Kidney Diseases (NIDDK) provides basic information on good nutrition for preventing or dealing with diabetes (NIDDK, 2016). Medicare and some insurance plans cover medical nutrition therapy with a registered dietitian, who can … VIRTUAL REALITY FOR WOMEN Suzanne Mitchell, MD, MS, at the Boston Medical Center is overseeing a study called Women in Control: A Virtual World Study of Diabetes Self-Management . Face-to-face group medical visits …

Centers Health Care opening Brooklyn facility on site of closed hospital | Crain’s New York Business | 12/9/2019

… investment from Andy Slavitt’s Town Hall Ventures and Define Ventures. Slavitt is the former acting administrator of the Centers for Medicare and Medicaid Services. The company now has seven offices in the U.S., including its … to an opinion piece published in STAT by leaders of Boston Medical Center-based Children’s HealthWatch. “The research is clear: food insecurity and hunger are linked to negative health outcomes across the lifespan, like anemia …

Hahnemann University Hospital, Philadelphia PA

COMMUNITY VOICES: How do we save our health care system? | 12/11/2019

… human cost of delay in wellness and health care services. I am just not sure, however, that going directly to Medicare for All is the best plan. What happens to the financial system when an … I know that is not true for the public hospitals. Hahnemann University Hospital, which was a safety net teaching hospital in Philadelphia with 496 beds, recently declared bankruptcy and closed its doors. There have been …

Residencies for Sale | 12/11/2019

Residencies for Sale Managed Care Magazine ) – As Philadelphia hospitals go, Hahnemann University Hospital has stood in the shadow of three more prestigious academic research centers—Thomas Jefferson University, the largest health system in the region … attention, becoming the front line in the battle over how Medicare oversees medical residency programs it pays for …

Alignment Health Plan

AHIP Addresses Universal Healthcare, Upholds Current System | HealthPayer Intelligence | 12/12/2019

… Medicaid population in southern Virginia. UnitedHealthcare made a sizable contribution toward affordable housing in 80 communities, building over 4,500 homes. Alignment Health Plan and other payers established “grandkids on demand” benefits to help seniors struggling … rural healthcare, specifically rural hospitals, would be endangered—or else Medicare would have to raise reimbursements astronomically—and overall healthcare spending would nearly quadruple from three percent in 2023 to 11 percent in 2032, the …

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 … Alignment’s ACCESS On-Demand Concierge program is available to all Alignment Health Plan members, which includes exclusive concierge-level services ranging from 24/7 access to a doctor by phone or video to point-of-sale …

Peach State Health Plan

Ambetter from Peach State Health Plan Is Making it Easier Than Ever to Get Health Insurance Coverage | PR Newswire | 12/11/2019

… Dec. 11, Open enrollment is underway for health insurance coverage through the Health Insurance Marketplace, and this year Ambetter from Peach State Health Plan is providing a simpler, easier way for new and renewing consumers … individuals through its federal insurance marketplace plan, Ambetter, and its Medicare Advantage and Medicare Advantage Special Needs Plan. Peach State Health Plan is a wholly owned subsidiary of Centene Corporation, a leading multi-national healthcare …

CareSource

How Much Is Urgent Care Without Insurance? | 12/10/2019

CareSource (any CareSource plan) Buckeye Medicaid or Buckeye Medicare UnitedHealthcare Medicaid Humana Military/Tricare So, it’s best to know if the urgent care near you accepts the insurance plan that you have and if your insurance will accept the center that you’ll be going to. Usually, when a center accepts the insurance that you have your insurance will authorize the coverage. But, it’s better to check it with them as …

Why West Virginia Wins With Medicare for All - Troy N. Miller - Medium | 12/8/2019

Private insurers & big pharma are spending a fortune to scare folks about “Medicare for All”. Here’s the truth. Troy N. Miller Follow Dec 8 · 8 min read Medicare For All would save West Virginians money … private insurers in the entire state : Highmark BlueCross BlueShield, and CareSource. In 11 counties, including the entire Eastern Panhandle, Highmark is the only private insurer. These private insurers limit your choices, including your choice of …

Cenpatico

Enhanced My Health Pays Member Rewards Program Helps Ambetter from Arizona Complete Health Members Take Charge of Their Health | PR Newswire | 12/10/2019

Medicare and dual eligible programs. Formerly known as Health Net of Arizona and Cenpatico Integrated Care, Arizona Complete Health offers Medicare Advantage coverage through its Allwell program and Marketplace coverage through Ambetter. For more information on Arizona Complete Health, please visit the company’s website at www.azcompletehealth.com . SOURCE Arizona Complete Health Related Links https://ambetter.azcompletehealth.com …

Absolute Total Care

Enhanced My Health Pays Member Rewards Program Helps Ambetter from Absolute Total Care Members Take Charge of Their Health | PR Newswire | 12/10/2019

COLUMBIA, S.C. , Dec. 10, 2019 /PRNewswire/ – Consumers that enroll or renew their coverage in 2020 with Ambetter from Absolute Total Care that motivates from Absolute Total Care “At Absolute Total Care, we recognize that health … Corporation, a leading multi-national healthcare enterprise offering core Medicaid, Medicare and specialty services. Information regarding Absolute Total Care is available at www.absolutetotalcare.com . SOURCE Absolute Total Care Related Links https://ambetter.absolutetotalcare.com …

Ambetter from Absolute Total Care Is Making it Easier Than Ever to Get Health Insurance Coverage | PR Newswire | 12/5/2019

… COLUMBIA, S.C. Open enrollment is underway for health insurance coverage through the Health Insurance Marketplace, and this year Ambetter from Absolute Total Care is providing a simpler, easier way for new and renewing consumers to … Corporation, a leading multi-national healthcare enterprise offering core Medicaid, Medicare and specialty services. Information regarding Absolute Total Care is available at www.absolutetotalcare.com . SOURCE Absolute Total Care Related Links https://www.absolutetotalcare.com …

Fallon Health

UMass CEO Eric Dickson backs Medicare for All, calls plan ‘bold, courageous’ - News - telegram.com - Worcester, MA | 12/8/2019

UMass CEO Eric Dickson backs Medicare for All, calls plan ‘bold, courageous’ Cyrus Moulton Telegram & Gazette Staff @MoultonCyrus Saturday Dec 7, 2019 at 7:29 PM WORCESTER - Many hospitals hate the idea. Pharmaceutical companies, health insurance … of our stakeholders,” said Christine Cassidy, chief communications officer at Fallon Health. “As always, Fallon advocates for health care solutions that offer affordability and access to high-quality medical care, and that are in the …

(USA-MA-Worcester) Executive Assistant to C-Suite - Health Care Insurance and Services! | 11/15/2019

Fallon Health Executive Assistant to C-Suite - Health Care Insurance and Services! in Worcester , Massachusetts Overview ABOUT FALLON HEALTH: Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide …

Neighborhood Health Plan

Neighborhood Health Plan hits quarter-century mark | 12/8/2019

The health insurer has grown from serving 1,490 members in 1994 to 195,000 today. SMITHFIELD — Neighborhood Health Plan of Rhode Island marked a quarter-century of providing services to state residents with a celebration this … children’s Medicaid health-care quality by the federal Centers for Medicare and Medicaid Services. Neighborhood Health Plan of Rhode Island employs some 500 people …

Payer-Provider Partnership, Data Management Promote Population Health | HealthPayer Intelligence | 11/7/2019

… president of care management information systems and business support at Mercy and Amanda Davis, MPH, vice president of analytics at Neighborhood Health Plan of Rhode Island, discussed the challenges of effective data management at Xtelligent … outcomes. Mercy focuses on its risk-based populations, which include Medicare Advantage, Medicare accountable care organizations, co-workers, and direct-to-employer contracts. “Within those populations, we employ all of our data strategies to really …

Inland Empire Health Plan

Inland Empire Health Plan (IEHP) Passes CMS Formulary Review | PR Newswire | 12/6/2019

RANCHO CUCAMONGA, Calif. , Dec. 6, Inland Empire Health Plan (IEHP) participated in the 2019 Centers for Medicare and Medicaid Services (CMS) Formulary Review, where no discrepancies were found between IEHP’s approved CMS Formulary and the Formulary published to the plan’s website. The Formulary lists Part D prescription drugs covered by IEHP DualChoice Cal MediConnect Plan (Medicare-Medicaid Plan). IEHP DualChoice is the largest not-for-profit Medicare-Medicaid plan in …

L.A. Care Health Plan

California tries to boost dwindling doctor supply with med school free rides, loan repayments | 12/5/2019

… possibility of having loans forgiven because they are working in a medically underserved area.” Bringing residency slots to communities is a strategy that costs money. These slots are usually paid for by the Medicare program but the federal government has not created new residency positions in years. So the program at MLK and other new training sites are being funded by the host institutions or insurers like LA Care Health …

Med School Free Rides and Loan Repayments: California Tries to Boost Dwindling Doctor Supply | 11/29/2019

… possibility of having loans forgiven because they are working in a medically underserved area.” Bringing residency slots to communities is a strategy that costs money. These slots are usually paid for by the Medicare program but the federal government has not created new residency positions in years. So the program at MLK and other new training sites are being funded by the host institutions or insurers like LA Care Health …

Sunshine Health

Ambetter from Sunshine Health Makes it Easier than Ever to Get Health Insurance Coverage | PR Newswire | 12/5/2019

… SUNRISE, Fla. Open enrollment is underway for health insurance coverage through the Health Insurance Marketplace, and this year, Ambetter from Sunshine Health is providing a simpler, easier way for new and renewing consumers to shop … care through Medicaid, Long Term Care, Ambetter (Marketplace) and Allwell (Medicare). Additionally, we offer a specialty Medicaid health plan for children in or adopted from Florida’s Child Welfare system and a full pay Healthy Kids …

Divvying up Medicaid patients could spark debate | 11/5/2019

… Medicaid beneficiaries who require “specialty” plans because of health conditions. Another consideration involves Medicaid patients who are also enrolled in Medicare managed-care plans. The algorithm also is designed to promote continuity of care, which … percent of enrollment statewide. Centene, which operates in Florida as Sunshine Health Plan, announced this year that it was purchasing WellCare. Centene has the second-largest market share in the main part of Florida’s Medicaid …

Elijah E. Cummings

Congressman Panetta Votes to Pass the Lower Drug Costs Now Act | 12/13/2019

WASHINGTON, DC – On Thursday, December 12, Congressman Jimmy Panetta (CA-20) voted to pass H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act, to lower drug prices, expand Medicare coverage to include dental, vision, and hearing services, and invest in research for treatment and cures. “The costs of prescription drugs have been an increasing burden on seniors and families on the Central Coast. No one should feel forced …

Federal bill that seeks to lower drug costs heading for vote in House | 12/12/2019

A bill aimed at lowering drug prices and expanding benefits is heading for a vote in the U.S. House of Representatives Thursday. The legislation, known as the Elijah E. Cummings Lower Drugs Costs Now Act (H.R. 3) would give Medicare the power to negotiate directly with drug companies to bring down the price of certain costly drugs. Medicare is currently not allowed to do this. The legislation would also make …

Pete Buttigieg

Efforts To Stop Bernie Including Moving California Primary to Boost Kamala Are Backfiring! | 12/12/2019

… not all the other high profile candidates are also clearly Wall Street puppets! Perhaps the most ironic candidate is now Pete Buttigieg, who’s clearly a favorite of Wall Street as well; but when he was … the former president of “not yet” opposing major changes including Medicare for all, Barack Obama and the Politics of Not Yet 12/11/2019, which supposedly Elizabeth Warren supports, some of the time. There were signs that …

Lots of like, but little love for Cory Booker (opinion) - CNN | 12/12/2019

… Harry Enten ranked him as more likely to be the nominee than Elizabeth Warren, Bernie Sanders and a then unknown Pete Buttigieg. Read More It appears that Booker’s problem is that he is well-liked … Booker was a co-sponsor with Bernie Sanders on the Medicare for All Act, which would have eliminated private insurance in favor of universal healthcare, yet, he has also indicated that, if elected, he would …

Amy Klobuchar

Efforts To Stop Bernie Including Moving California Primary to Boost Kamala Are Backfiring! | 12/12/2019

… as soon as he got in office and is now the former president of “not yet” opposing major changes including Medicare for all, Barack Obama and the Politics of Not Yet 12/11/2019, which supposedly Elizabeth … 189 Pete Buttigieg - 158 Beto O’Rourke - 144 Cory Booker - 257 Amy Klobuchar - 40 Andrew Yang - 69 Julian Castro - 28 09/29/2019 Elizabeth Warren Isn’t Serious About Winning Medicare for All 12/07/2019 How Biden Helped Strip Bankruptcy …

Bloomberg comes to House Democrats’ rescue - POLITICO | 12/12/2019

… his bundlers, but others in the field won’t. HuffPost’s Kevin Robillard and Paul Blumenthal asked the Biden, Cory Booker and Amy Klobuchar campaigns if they would release their bundlers, and “none indicated they had a … ad hitting Sen. Gary Peters (D-Mich.), saying he supports “Medicare for All” (Peters supports a public option but does not support a national single payer system) and the Green New Deal (he said he …

Tulsi Gabbard

Efforts To Stop Bernie Including Moving California Primary to Boost Kamala Are Backfiring! | 12/12/2019

… a larger audience at the debate in late July or early August as reported in ‘You owe them an apology’: Tulsi Gabbard ripped into Kamala Harris at the Democratic debate over her controversial record on … the former president of “not yet” opposing major changes including Medicare for all, Barack Obama and the Politics of Not Yet 12/11/2019, which supposedly Elizabeth Warren supports, some of the time. There were signs that …

Bloomberg comes to House Democrats’ rescue - POLITICO | 12/12/2019

… three points of each other at 18 percent, 17 percent and 15 percent respectively. Warren is at 12 percent and Tulsi Gabbard and Yang are each at 5 percent (442 likely Democratic primary voters; Dec … ad hitting Sen. Gary Peters (D-Mich.), saying he supports “Medicare for All” (Peters supports a public option but does not support a national single payer system) and the Green New Deal (he said he …

Joe Grogan

Trump health promises thwarted by feuding aides, shifting orders - GreenwichTime | 12/12/2019

… law in federal court. In recent days, the conflicts between Health and Human Services Secretary Alex Azar and Centers for Medicare and Medicaid Services Administrator Seema Verma have spilled into view with a series of … this year, Verma and White House Domestic Policy Council Director Joe Grogan argued to Trump that the nearly $200 billion price tag on Azar’s signature drug rebate proposal, which had called for ending drugmakers’ rebates …

Azar, Verma battle for Trump’s favor amid White House showdown | Politico | 12/12/2019

Seema Verma oversees Medicare, Medicaid and Obamacare. Evan Vucci/AP Photo Some colleagues of Azar and Verma are hoping they ultimately mend fences. “I don’t think it’s sustainable to go on like this,” said Tom … increasingly teaming up with White House officials like Mulvaney and Joe Grogan, Bremberg’s successor, to stymie Azar’s agenda. Building to a confrontation Tensions reached a breaking point this fall, after Verma and Azar feuded over …

Bill de Blasio

Stephen Colbert Finds a Sexy Angle to the Trump Impeachment Hearings That You Can’t Un-See (Video) | 12/12/2019

… wrote. Schultz is a co-founder of the venture capital firm Maveron, which is an investor in TheWrap. Getty Images Bill De Blasio – Democratic Party Entered Race: May 16, 2019 Dropped Out: Sept. 20, 2019 … rated single presidential candidate town hall ever . Harris is pro Medicare-for-all and raising teacher pay. Harris came out of the gate strong with a solid showing at the first debate, but failed to …

Samantha Bee Trolls Stephen Miller With Fake Wedding Registry to Raise Money for Refugees | 12/12/2019

… wrote. Schultz is a co-founder of the venture capital firm Maveron, which is an investor in TheWrap. Getty Images Bill De Blasio – Democratic Party Entered Race: May 16, 2019 Dropped Out: Sept. 20, 2019 … rated single presidential candidate town hall ever . Harris is pro Medicare-for-all and raising teacher pay. Harris came out of the gate strong with a solid showing at the first debate, but failed to …

Richard Neal

First Edition: December 12, 2019 | Kaiser Health News | 12/12/2019

… deputies couldn’t resist competing for his attention — and undermining each other on Twitter and cable TV. Seema Verma, who runs Medicare, Medicaid and Obamacare, last Tuesday heaped praise on Trump’s recent order that requires hospitals … protect patients from surprise medical bills. The proposal from Reps. Richard Neal (D-Mass.) and Kevin Brady (R-Texas), the chairman and ranking member of the panel, comes on top of the deal announced by …

Thursday, December 12, 2019 | Kaiser Health News | 12/12/2019

… Speaker Nancy Pelosi’s sweeping drug pricing package, which is set for a House vote this week. The bill would direct Medicare to negotiate the price of certain high cost drugs. STAT counted nearly 20 ads … protect patients from surprise medical bills. The proposal from Reps. Richard Neal (D-Mass.) and Kevin Brady (R-Texas), the chairman and ranking member of the panel, comes on top of the deal announced by …

Elijah Cummings

House passes Pelosi drug bill along largely partisan lines, faces likely defeat in Senate | FierceHealthcare | 12/12/2019

… to a reluctant Senate. The Elijah E. Cummings Lower Drug Costs Now Act would give the Department of Health and Human Services the power to negotiate prices for the priciest drugs offered on Medicare. The drug companies would also be required to offer that rate to commercial health plans. The House passed the bill by a vote of 230-192, with only two Republicans joining Democrats to pass it. Webinar Today …

House passes Democrats’ government drug-price negotiation bill | Modern Healthcare | 12/12/2019

… the Congressional Budget Office to estimate that the price negotiation mechanism would save the federal government $456 billion over the next 10 years. Other provisions would cap seniors’ out-of-pocket costs in Medicare Part D at $2,000 per year and would make drugmakers pay back Medicare, and potentially private payers, for hiking prices at a rate higher than inflation. The CBO estimated that the inflationary rebates would save the …

Jamie Dimon

Doubts creep in as analysts pick apart Warren’s big ideas - CNNPolitics | 12/12/2019

… would use these funds to pay for her education and universal child care initiatives, as well as part of her Medicare for All plan . For Elizabeth Warren, government can fix society’s problems A wealth tax … proposals have rankled the nation’s wealthy, including JPMorgan Chase CEO Jamie Dimon and hedge fund billionaire Leon Cooperman , who called Warren a “superficial, nasty hater.” Even Microsoft co-founder Bill Gates , who has said he …

Devin Nunes

Senate Republicans increasingly favor short impeachment trial with no witnesses | 12/12/2019

… hearings? Same thing. He was just as animated in there,” said GOP Sen. Mike Braun of Indiana, who said Rep. Devin Nunes, R-Calif., the top Republican on the House Intelligence Committee, was also supposed … even as the president has been criticized Feuding Cabinet secretary, Medicare administrator summoned to White House to resolve long-running conflict: Sources December 11, 2019 Politics Alex Wong/Getty Images(WASHINGTON) — President Donald Trump’s health …

Latest News, News Headlines, Amazon Coupons, Amazon Offers | 12/9/2019

… Why You Can Never Open A Plane Door Mid-Flight The Forgotten Pixel Art Masterpieces Of The PlayStation 1 Era Devin Nunes Is Confronted About Ukraine And Instead Of Answering, He Starts To Film The … Microbe Might Explain How Life Emerged On Earth The Democrats’ Medicare Mess Who Is Really Sick: The Individual Or Society? Sexual Abuse At Florida Prison Was Systemic, Brazen, Lawsuit Says What It’s Like Riding In …