Medicare

HOSPITALS GO UNDER AS THE DEMOCRAT PARTY PLANS “FREE” MEDICARE FOR 40 MILLION ILLEGALS | 9/16/2019

… hour north to Steubenville for hospital services. Wheeling Hospital and Reynolds Memorial Hospital, both run by Morgantown-based West Virginia University, do not have the capacity to absorb patients from the centrally located OVMC. WVU Medicine CEO Albert Wright told MetroNews that Reynolds has already seen ER visits skyrocket to record numbers in the past week. Hillcrest, an in-patient psychiatric unit run by OVMC, is the only “crisis stabilization …

Why Medicare Advantage Will Lead the Way on Healthcare Consumerism | HIT Consultant | 9/16/2019

… on what it means create a healthcare system more focused on consumers, often with little impact to actual consumer experience or outcomes. One spot of genuinely consumer-centric innovation and execution is in the Medicare Advantage (MA) space, where select health plans can offer members greater flexibility, inventive care models, an increased emphasis on economic value and unique benefits options—often while still being more affordable than traditional fee-for …

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UnitedHealthcare’s specialized Medicare plan reduced ED visits for nursing home patients, study finds | Becker’s Hospital Review | 9/16/2019

When compared to fee-for-service Medicare beneficiaries, institutionalized UnitedHealthcare members with specialized Medicare Advantage coverage had lower emergency department use, according to a study published in The American Journal of Managed Care . UnitedHealthcare’s Medicare Advantage Institutional Special Needs Plans provide on-site, coordinated care for beneficiaries by linking them with advanced practice clinicians. For the study, researchers with the Department of Health Care Policy at Boston-based Harvard Medical …

Blue Shield of California Provides Medicare Beneficiaries More Benefits With New Medicare Supplement Plan G Extra | PR Newswire | 9/16/2019

LOS ANGELES Blue Shield of California today announced its new Medicare Supplement Plan G Extra, the latest addition to its Medicare Supplement plan portfolio that offers innovative services such as coverage for over-the-counter items, access to physicians via smartphones and a gym membership at no additional cost. Blue Shield’s Medicare Supplement Plan G Extra is available to Medicare beneficiaries throughout California that’s designed to be affordable. This new …

(USA-OR-Portland) Medicare Community Enrollment Specialist (Spokane County, WA / Field Role) | 9/16/2019

Providence Health & Services Medicare Community Enrollment Specialist (Spokane County, WA / Field Role) in Portland , Oregon Description: Providence St. Joseph Health is calling a Medicare Community Enrollment Specialist to our location in Portland, Oregon. In this position you will have the following responsibilities: Meet monthly sales goals. Prospect, initiate and build network/lead base & referrals to grow revenue. Deliver persuasive sales presentations to consumer groups & individuals. Achieve expected close ratio targets …

The Financial Advisor’s Guide to Helping Senior Clients Select Medicare Benefits | 9/16/2019

When was the last time you researched Medicare benefit options for your clients? Upon their 65th birthday, retirees must make critical choices regarding coverage that can impact the shape of their financial future. Selecting Original Medicare versus Medicare Advantage, adding a prescription plan, determining whether to obtain supplemental health insurance (and which kind) — must be all be decided. Costs, medical providers, and current health status are major factors when clients …

jacksonmacready:Sanders Says ‘Average People’ Will Pay More in Taxes to Fund Medicare… | 9/16/2019

jacksonmacready : Sanders Says ‘Average People’ Will Pay More in Taxes to Fund Medicare for All Sen. Bernie Sanders (I-Vt.), a Democratic presidential candidate, said that “average people” would be paying more in taxes to pay for his Medicare for all plan but predicted that it would amount to less than they are currently paying in health insurance premiums and out-of-pocket expenses. “See, that’s like a Republican talking …

Advantages of getting the Medicare Advantage Plan | 9/16/2019

Getting the Medicare Advantage Plan would be a smart move if you want to be covered by the Medicare Company with full services. The Medicare Advantage Plan, also known as the Part C of the Medicare plan, is the all in one package that contains all the basic Medicare services along with other benefits that you might need for your medical emergencies or general care. There are many advantages of …

Two Ways To Get Your Medicare In California | Patch | 9/16/2019

Two Ways To Get Your Medicare In California Do you know the difference between Original Medicare and Medicare Advantage? Sep 16, 2019 2:48 pm ET Reply Plans can charge different out-of-pocket amounts and they have different rules for how you get service. (Shutterstock) Column by Greg Dill, Medicare’s regional administrator for Arizona, California, Hawaii, Nevada, and the Pacific Territories. By Greg Dill Did you know that …

Almost time to review Medicare plans. Here’s some open enrollment tips - Consumer - omaha.com | 9/16/2019

The time to make those changes — known as Medicare open enrollment — starts Oct. 15 and runs through Dec. 7. But people can start viewing plan options on medicare.gov starting Oct. 1. A heads-up: Medicare has launched an upgrade of its plan finder, the online tool that allows enrollees to shop for and pick drug coverage. Some familiar features may have changed. Those who are enrolled in Medicare and have …

DOJ MIED: $150 Million Medicare Fraud In Michigan, What about Medicaid Fraud In Child Welfare | 9/15/2019

… tarmack at night… As the feds have now demonstrated a basic understanding of stealin’, I await actions of the Child Welfare System. $150 million is but a drop in the bucket when dealing with Medicaid Fraud in Child Welfare. Nursing home mogul Philip Esformes sentenced to 20 years for $1.3 billion Medicaid fraud I believe we shall start seeing significant movement as we are entering the 2020 campaign season. Michigan …

Letters to the Editor: Saving Medicaid is a bizarre reason to reject Medicare for all - Los Angeles Times | LA Times | 9/14/2019

To the editor: Sara Rosenbaum and Stephen Warnke pile on the fear campaign against Medicare for all by saying adopting a single-payer healthcare system would imperil Medicaid . These authors know that single-payer Medicare for all is not simply existing Medicare with enrollment expanded to all. Current Medicare has important coverage gaps and enrollment obstacles. Everything Medicaid does now, single payer will do better. Retroactive coverage and quick uptake …

AHIP Seems To Shift Position On Medicare Drug Price Negotiation | 9/14/2019

… debate say AHIP’s shift to a nuanced approach on government price negotiation is a significant development. Although insurers and brand drug makers have forever been at odds on many policies related to drug prices, AHIP at least provided pharma cover on government price …

Ohio hospital will keep Medicare contract after investigation into patient safety issues | Becker’s Hospital Review | 9/14/2019

Sequel Pomegranate, an acute care hospital and psychiatric facility in Columbus, Ohio, is no longer at risk of losing its Medicare contract, according to WBNS . CMS cited the facility earlier this year for patient safety issues, including failing to conduct physical assessments of some patients after an assault or injury and failing to conduct suicide risk assessments on patients within the first eight hours of being admitted. Sequel Pomegranate submitted …

The New Medicare Plan Finder Doesn’t Make Finding Your Best Drug Coverage Easy | Forbes | 9/14/2019

As of October 1, 2019, the new Medicare Plan Finder will be the only source of information about Part D and Medicare Advantage plans. This is 14 days before the very important Open Enrollment Period begins. Those who help enrollees and beneficiaries review their coverage and select plans are getting very nervous about being able to do their job. There are two reasons for that. In order to save information …

Elizabeth Warren’s ‘Medicare for All’ tightrope - CNNPolitics | 9/14/2019

… that she has no intention of authoring a comprehensive health care plan of her own during the Democratic primary contest. Warren has gone to considerable lengths in recent months to demonstrate unwavering support for Medicare for All, in one of the clearest signs of the political alliance forged between Warren and Sanders, even as they jockey for second place behind former Vice President Joe Biden. But there are early signs …

Elizabeth Warren’s ‘Medicare for All’ tightrope - CNNPolitics | 9/14/2019

… that she has no intention of authoring a comprehensive health care plan of her own during the Democratic primary contest. Warren has gone to considerable lengths in recent months to demonstrate unwavering support for Medicare for All, in one of the clearest signs of the political alliance forged between Warren and Sanders, even as they jockey for second place behind former Vice President Joe Biden. But there are early signs …

Medicare Coding Consultant - Field based in New Jersey - UnitedHealth Group - Ocean, NJ | 9/14/2019

Share Description The Medicare Consultant is responsible for providing expertise in the area of quality and risk adjustment coding for assigned provider groups. 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. He/She will also coordinate implementation of programs designed to ensure …

MSNBC’s Scarborough Blasts Debate Moderators for Not Pressing Sanders, Warren on Medicare for All Costs | 9/14/2019

MSNBC’s Scarborough Blasts Debate Moderators for Not Pressing Sanders, Warren on Medicare for All Costs by Don Irvine on September 13, 2019 Print: Share: MSNBC’s Morning Joe co-host Joe Scarborough on Friday lashed out at debate moderators for not pressing the Democratic presidential candidates Elizabeth Warren and Bernie Sanders on exactly how much their Medicare for All plan will cost Americans. Former Democratic Sen.Claire McCaskill, now an MSNBC political …

Scarborough: Warren, Sanders Not Being Pressed on Cost of Medicare for All Is a ‘Failure’ | 9/14/2019

in General MSNBC’s Morning Joe co-host Joe Scarborough on Friday castigated the debate moderators for not pressing the Democratic presidential candidates on being specific about how much Medicare for All will cost Americans.MSNBC political analyst and former Democratic senator Claire McCaskill said Sen. Elizabeth Warren (D., Mass.) is going to have to “answer the question what people are going to pay for this and she is really being very …

Medicaid

Letters to the Editor: Saving Medicaid is a bizarre reason to reject Medicare for all - Los Angeles Times | LA Times | 9/14/2019

To the editor: Sara Rosenbaum and Stephen Warnke pile on the fear campaign against Medicare for all by saying adopting a single-payer healthcare system would imperil Medicaid . These authors know that single-payer Medicare for all is not simply existing Medicare with enrollment expanded to all. Current Medicare has important coverage gaps and enrollment obstacles. Everything Medicaid does now, single payer will do better. Retroactive coverage and quick uptake …

Top Health and Aging Organizations Kick Off National Medicare Education Week with Free Events and Resources to Help Simplify Medicare Enrollment | Business Wire | 9/10/2019

MINNETONKA, Minn.–(BUSINESS WIRE)–Sep 10, 2019– To help simplify the process of learning about Medicare, Medicare beneficiaries, their families and caregivers are invited to attend free Medicare events and online webinars during National Medicare … of health benefit programs for individuals, employers, and Medicare and Medicaid beneficiaries, and contracts directly with more than 1.3 million physicians and care professionals, and 6,000 hospitals and other care facilities nationwide. The company also

ACA

Most U.S. Voters Support Building on the ACA, Not Medicare For All, As Fewer Americans Have Insurance Coverage | 9/13/2019

Most U.S. Voters Support Building on the ACA, Not Medicare For All, As Fewer Americans Have Insurance Coverage 13 September 2019 in ACA, Health citizenship, Health Consumers, Health costs, Health insurance, Health policy, Health politics, Health reform, Pre-existing conditions, Uninsured The vast majority of Americans favor lowering the cost of prescriptions, keeping the Affordable Care Act’s provisions to cover pre-existing conditions, lower overall medical costs, and protect people …

Faced With Soaring Costs of Private Insurance, Poll Shows 58% of Small Business Owners Support Medicare for All | 9/12/2019

6 bluevote sez: “… I also like hearing about rising support for Medicare for All … (b)ecause it gives the conservative SCOTUS a damn good reason to not want to get rid of Obamacare.” SCOTUS and those leveling the legal attack on the ACA are not interested in “getting rid of” the legislation in its entirety (similar to the abortion battle against a woman’s right to choose). It’s more about chipping …

AMA

Amanda Parsons, M.D., Appointed Deputy Chief Medical Officer of MetroPlus Health Plan | Business Wire | 9/9/2019

NEW YORK- MetroPlus Health Plan today announced the appointment of Amanda Parsons, M.D., as the health plan’s new Deputy Chief Medical Officer (DCMO). Dr. Parson’s assumed her new position on September 3. “I am pleased … Yorkers a wide selection of health insurance options, including Medicaid, Medicare, Child Health Plus, MetroPlus Gold for city employees and SHOP for small businesses. The health plan offers access to primary, specialty, pharmacy and other

First Edition: August 26, 2019 | Kaiser Health News | 8/26/2019

Medicare For All’ The major battleground-state Democrats running to flip the Senate want nothing to do with “Medicare for All.” In states like Arizona, Iowa and North Carolina, challengers Mark Kelly, Theresa Greenfield and Cal Cunningham are staying tightly focused on the health care message House Democrats used in 2018: expanding Medicaid, protecting Obamacare and slamming Republican repeal efforts. Incumbents like Sens. Jeanne Shaheen (D-N.H.), Doug Jones (D …

Department of Health and Human Services

Grassley, Wyden, Bipartisan Senators Push HHS for Pharmacy DIR Reforms in Medicare Part D | 9/12/2019

Grassley, Wyden, Bipartisan Senators Push HHS for Pharmacy DIR Reforms in Medicare Part D Sep 12, 2019 WASHINGTON – Senate Finance Committee Chairman Chuck Grassley (R-Iowa) and Ranking Member Ron Wyden (D-Ore.) sent a letter to Department of Health and Human Services (HHS) Secretary Alex Azar and Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma requesting they use regulatory authority to reform direct and indirect remuneration (DIR …

Amity Home Health and CEO, Ridhima “Amanda” Singh, And 13 Doctors Are Among Dozens Charged In Alleged Multi-Million Dollar Scheme to Receive Referrals for Medicare Patients | 9/11/2019

Medicare Patients Details Written by FBI San Francisco, California - Federal complaints have been filed against 30 defendants charged in a patients-for-cash kickback scheme, announced United States Attorney David L. Anderson, Federal Bureau of Investigation Special Agent in Charge John F. Bennett, and Special Agent in Charge for the Office of Inspector General of the U.S. Department of Health and Human Services (HHS-OIG), Steven J. Ryan. The complaints …

Home Health

CMS Finalizes Rule Expanding its Authority to Deny and Revoke Medicare Program Enrollment, Among Other Changes | 9/11/2019

Medicare and Medicaid Services (“CMS”) released a final rule with comment period entitled, “Program Integrity Enhancements to the Provider Enrollment Process” (the “Final Rule”). The Final Rule, aiming to “address various program integrity issues and vulnerabilities by enabling CMS to take action against unqualified and potentially fraudulent entities and individuals,” significantly expands CMS’ ability to deny or revoke the Medicare enrollment of providers (e.g., hospitals, skilled nursing facilities, home health …

Amity Home Health and CEO, Ridhima “Amanda” Singh, And 13 Doctors Are Among Dozens Charged In Alleged Multi-Million Dollar Scheme to Receive Referrals for Medicare Patients | 9/11/2019

Heart of the Matter Imperial Valley News Center Amity Home Health and CEO, Ridhima “Amanda” Singh, And 13 Doctors Are Among Dozens Charged In Alleged Multi-Million Dollar Scheme to Receive Referrals for Medicare Patients Details Written by FBI San Francisco, California - Federal complaints have been filed against 30 defendants charged in a patients-for-cash kickback scheme, announced United States Attorney David L. Anderson, Federal Bureau of Investigation Special …

ACO

CMS extends ACO patient notification deadline to Oct. 1 | FierceHealthcare | 9/4/2019

The Trump administration extended a deadline to Oct. 1 for accountable care organizations to notify beneficiaries they are in an ACO. The decision announced last week by the Centers for Medicare & Medicaid Services applies for ACOs whose performance years started on July 1 under the new “Pathways to Success” program. ACOs had complained to the agency that the requirement was confusing and had a short turnaround time. CMS at first …

‘Gatekeepers’ Can Be Culpable, Reports the Journal of American Physicians and Surgeons | Globe Newswire | 9/3/2019

… Warren v. Dinter , the Minnesota Supreme Court ruled that a physician acting on behalf of an Obamacare Accountable Care Organization (ACO) can be held culpable for the “reasonably foreseeable” result of “not opening the gate … to achieve savings to be shared with the Centers for Medicare and Medicaid services (CMS), made possible by waivers of specific fraud and abuse laws, including the physician self-referral law and the federal Anti …

Kaiser Family Foundation

Redefining “Career” For Today | Forbes | 9/9/2019

Medicare and Medicaid accounting for most of other half, according to Kaiser Family Foundation. Employers automatically deduct our payroll taxes, provide training and development, and help subsidize our retirement. Put simply, we have historically depended on employers for a great number of things. Employers provide structure, stability, and consistency to our daily lives. So it makes sense that we tend to see our careers as a sequential list of employers …

High Prescription Costs: Is a Cure On its Way? | 9/9/2019

… state of prescription drug costs—and what legislation is in place to alleviate high costs? Rising Drug Price Statistics The Kaiser Family Foundation offers insights into the prevalence of prescription drugs in American society: Prescription … 42% of all drug spend, or approximately $140 billion, surpassing Medicare, which accounts for 30%, or $130 billion annually. Do Pharmacy Benefit Managers (PBMs) Lower Costs? Pharmacy Benefit Managers negotiate with pharmaceutical manufacturers to lower …

Food and Drug Administration

Thermo Fisher Scientific Signs Agreement with Lilly Oncology for Companion Diagnostic to be Used with RET Inhibitor | PR Newswire | 9/9/2019

… today announced an agreement with Eli Lilly and Company for development of a companion diagnostic that will use the U.S Food and Drug Administration-approved, next-generation sequencing-based Oncomine Dx Target Test to identify … is covered in the United States by the Centers for Medicare & Medicaid Services and a majority of the largest commercial U.S. health plans. Oncomine Dx Target Test is also approved for reimbursement by the Japan …

21st Century Cures Act driving FDA changes | Modern Healthcare | 9/7/2019

… signs the 21st Century Cures Act into law on Dec. 13, 2016. The sweeping legislation had broad bipartisan support. The Food and Drug Administration last year approved its first autonomous, artificially intelligent medical device. In … to the role in 2017. 2. Beginning the push for Medicare price transparency The CMS was charged with releasing a consumer-facing website providing Medicare beneficiaries with estimated prices for various services, based on the …

Population Health

Amanda Parsons, M.D., Appointed Deputy Chief Medical Officer of MetroPlus Health Plan | Business Wire | 9/9/2019

… to supporting the plan’s mission of inclusive, person-centered, quality-driven care.” Amanda Parsons amassed extensive experience in physician leadership, population health management and health strategies, as well as management consulting, before joining MetroPlus as … Yorkers a wide selection of health insurance options, including Medicaid, Medicare, Child Health Plus, MetroPlus Gold for city employees and SHOP for small businesses. The health plan offers access to primary, specialty, pharmacy and other …

BioIQ Names Addison Giannini Senior Vice President, Payor Solutions | PR Newswire | 9/5/2019

… Additionally, using the latest science-based research, he will help clients create more personalized outreach to their commercial, Medicaid and Medicare members by deploying innovative care delivery solutions. Giannini brings considerable experience with him to … the many ways he will help our clients achieve their population health improvement initiatives for their members.” Giannini is a graduate of The University of Alabama , where he earned a Bachelor of Science degree in …

Behavioral Health

Medicare expansion plans would jeopardize rural hospitals | 9/10/2019

Medicare for all,” Medicare buy-in and a public option being touted by Democratic presidential candidates is troubling for a few reasons.Now, more than ever, farmers and ranchers have two major concerns related to health care: cost and access. Iowa doesn’t have enough psychiatrists, psychologists, therapists or other behavioral health care providers to handle an increasing need to care for farmers dealing with relentless flooding this year. After a year …

Eleanor Health Launched to Treat Opioid and Substance Use Disorders With Whole-Person Approach | PR Newswire | 9/4/2019

Medicare and Medicaid Services (CMS). Town Hall Ventures and Oxeon Ventures participated in the formation of Eleanor Health, selecting markets, working with policy makers, and recruiting the management team. “When Town Hall Ventures was formed, behavioral health, and specifically opioid and substance use disorder, were high on our list of priorities. Building an integrity-based care and business model and backing this incredible team to provide access and solutions to …

UnitedHealth

Community Outreach Rep, Medicare & Retirement - Little Rock, AR - UnitedHealth Group - Little Rock, AZ | 9/11/2019

UnitedHealth Group. Join us and start doing your life’s best work.(sm) The Community Outreach Representative will interface with members of the Business Development team to increase marketing synergy and drive overall UHC Medicare Dual Special Needs Plan (DSNP) membership growth. Working under minimal supervision and collectively with the UHC Medicare Sales team, this Community Outreach Rep is responsible for working in targeted communities to increase enrollment for the UHC …

Community Outreach Rep, Medicare & Retirement - Fayetteville, AR - UnitedHealth Group - Fayetteville, AZ | 9/11/2019

UnitedHealth Group. Join us and start doing your life’s best work.(sm) The Community Outreach Representative will interface with members of the Business Development team to increase marketing synergy and drive overall UHC Medicare Dual Special Needs Plan (DSNP) membership growth. Working under minimal supervision and collectively with the UHC Medicare Sales team, this Community Outreach Rep is responsible for working in targeted communities to increase enrollment for the UHC …

UnitedHealth Group

Medicare Coding Consultant - Field based in New Jersey - UnitedHealth Group - Ocean, NJ | 9/14/2019

Share Description The Medicare Consultant is responsible for providing expertise in the area of quality and risk adjustment coding for assigned provider groups. A Medicare Consultant will interface with operational and clinical leadership to assist … work.(sm) All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive

Community Outreach Rep, Medicare & Retirement - Little Rock, AR - UnitedHealth Group - Little Rock, AZ | 9/11/2019

UnitedHealth Group. Join us and start doing your life’s best work.(sm) The Community Outreach Representative will interface with members of the Business Development team to increase marketing synergy and drive overall UHC Medicare Dual Special Needs Plan (DSNP) membership growth. Working under minimal supervision and collectively with the UHC Medicare Sales team, this Community Outreach Rep is responsible for working in targeted communities to increase enrollment for the UHC …

CVS Health

CVS: Court Makes It ‘100% Clear’ We’re One With Aetna | Forbes | 9/5/2019

News a federal judge is finally okay with CVS Health’s acquisition of Aetna makes it “100 percent clear” the two have been one company via a legally formed merger, CVS said Wednesday afternoon. Judge Richard … merger, signing off on a settlement that included Aetna divesting Medicare drug plans to WellCare Health Plans. Judge Leon’s ruling now clears the way for CVS to roll out new products and health plan offerings

U.S. judge approves CVS purchase of insurer Aetna | Yahoo News | 9/5/2019

CVS Health Corp CVS.N to merge with health insurer Aetna said on Wednesday that the agreement was in fact legal under antitrust law. Judge Richard Leon of U.S. District Court for the District of Columbia had been examining a government plan announced in October to allow the merger on condition that Aetna sell its Medicare prescription drug plan business to WellCare Health Plans Inc WCG.N . Both deals have already closed …

CVS

CVS-Aetna merger approved despite objections from consumer advocates | 9/10/2019

… higher prices for medicine. With little fanfare, a federal judge in Washington D.C. last week removed the final obstacle to CVS’s blockbuster merger with Aetna. The $70 billion consolidation, announced in 2017, will combine the … competitive concerns. The settlement requires Aetna to sell off its Medicare prescription drug plans. Critics, however, argued that such vertical integration of the businesses would make an already uncompetitive marketplace even more so, forcing health …

CVS-Aetna merger approved despite objections from health, consumer advocates - News - The Columbus Dispatch - Columbus, OH | 9/9/2019

… Sep 10, 2019 at 7:06 AM With little fanfare, a federal judge in Washington, D.C., removed the final obstacle to CVS’ blockbuster merger with Aetna last week. The $70 billion consolidation, announced in 2017, will … competitive concerns. The settlement requires Aetna to sell off its Medicare prescription drug plans. Get the news delivered to your inbox: Sign up for our morning, afternoon and evening newsletters Critics, however, argued that such …

Optum

UnitedHealthcare and Optum Take Action to Support People in Carolinas and Georgia Preparing for Hurricane Dorian | Business Wire | 9/1/2019

ATLANTA- UnitedHealthcare and Optum, the health benefits and services companies of UnitedHealth Group (NYSE: UNH), are taking action to help people in the Carolinas and Georgia who may be affected by Hurricane Dorian. This is … enrolled in Medicaid, employer-sponsored and individual health plans (except Medicare) who have a smartphone can download the free Health4Me app , which provides instant access to their ID card, network care providers, their personal health

UnitedHealthcare and Optum Take Action to Support People in Carolinas and Georgia Preparing for Hurricane Dorian – Company Announcement - FT.com | Financial Times | 9/1/2019

… UnitedHealthcare plan participants whose access to care or prescriptions needs may have been affected Free emotional-support help line from Optum open to anyone ATLANTA –(BUSINESS WIRE)–Aug. 31, 2019– UnitedHealthcare and Optum, the health … enrolled in Medicaid , employer-sponsored and individual health plans (except Medicare ) who have a smartphone can download the free Health4Me app , which provides instant access to their ID card, network care providers, their personal health …

Anthem, Inc.

(USA-IN-Indianapolis) Health Program Representative I - Waukesha, WI - PS24712 | 9/6/2019

Anthem, Inc Health Program Representative I - Waukesha, WI - PS24712 Health Program Representative I - Waukesha, WI - PS24712 Location: United States Requisition : PS27284 Post Date: 1 day ago Your Talent. Our Vision. At Amerigroup , a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it’s a powerful combination. It’s the foundation upon which we’re creating greater access to care for our members, greater value …

Healthcare providers save time and costs with new integrated product from AIM Specialty Health | Business Wire | 8/27/2019

… EMR with AIM Inform to complete prior authorizations for high-tech, diagnostic imaging services and comply with the Centers for Medicare and Medicaid Services 2020 mandate to use Appropriate Use Criteria. AIM Inform , a solution … and their patients. AIM is a wholly-owned subsidiary of Anthem, Inc. (ANTM). For more information, visit www.aimspecialtyhealth.com and www.aiminform.com . View source version on businesswire.com : https://www.businesswire.com/news/home/20190827005638/en/ CONTACT: Lori McLaughlin KEYWORD …

Pfizer

Price Rises Above Inflation Already Standard for Drugs - WSJ | The Wall Street Journal | 9/3/2019

Medicare drug-price increases at the rate of inflation. You predict that the measure will “cause companies to launch drugs at higher prices”—a claim that is plausible only if we assume that industry executives aren’t currently setting the profit-maximizing price. That seems unlikely. The Journal also points to possible unintended consequences, citing former FDA Commissioner and current Pfizer

Exact Sciences to participate in September investor conference | PR Newswire | 8/30/2019

Medicare Act of 2014; recommendations, guidelines and quality metrics issued by various organizations such as the U.S. Preventive Services Task Force, the American Cancer Society, and the National Committee for Quality Assurance regarding cancer screening or our products and services; our ability to successfully develop new products and services; our ability to effectively utilize strategic partnerships, such as our Promotion Agreement with Pfizer, Inc., and acquisitions; our success establishing and …

Merck

Companies file suit in Canada challenging new rules to lower drug prices | Yahoo News | 8/24/2019

… of an Oct. 21 election. The complaint was filed in Quebec’s Superior Court by the Canadian arms of U.S.-based Merck & Co and Johnson & Johnson’s Janssen Inc, Germany’s Bayer AG and Boehringer Ingelheim, and France’s … from Canada. It has also said it may base what Medicare, the government healthcare program for the elderly, pays for certain medicines based on prices in other countries, including Canada. Drugmakers, represented in Canada by …

Merck Canada says new drug price regulations are unconstitutional | Yahoo News | 8/23/2019

By Allison Martell (Reuters) - Merck Canada and a group of pharmaceutical companies are challenging the constitutionality of new regulations meant to lower patented drug prices, the company said in a statement on Friday, in a … said it may base what the U.S. government healthcare program Medicare pays for certain medicines based on prices in other countries, including Canada. Drugmakers, represented in Canada by lobby group Innovative Medicines Canada, have argued

Express Scripts

Cigna May Divest Group Life Business To Keep Up With Rivals Buying Providers | Forbes | 8/20/2019

… are spending billions of dollars to expand their medical care provider operations. Cigna last year bought the pharmacy benefit manager Express Scripts in a deal that expanded the insurer’s health benefits operations, offering employers and … been buying some medical care providers, particularly those that treat Medicare patients in an effort to boost enrollment in its Medicare Advantage plans …

9 Stocks Top Managers Are Buying | Morningstar | 8/14/2019

… also added to its stake in Cigna ( CI ) . They expect Cigna to achieve significant cost savings from its pickup of Express Scripts in late 2018; the combined company will be generating burly free cash flow … by our estimates. Healthcare insurer Humana ( HUM ) –a leader in Medicare Advantage–was another pickup during the quarter. “The stock has sold off along with the broader group on election fears and the resumption of …

Novartis

Kidney Transplantation Therapeutics Market - Global Forecast and Analysis 2019-2023: Increasing Strategic Alliances & Reimbursement Policies - ResearchAndMarkets.com | Business & Finance | heraldchronicle.com | Business Wire | 9/2/2019

… Protection and Affordable Care Act aims to improve the quality of health care by providing affordable health insurance. Similarly, the Medicare insurance coverage is expected to enable patients to take immunosuppressants on daily basis to … Astellas Pharma Inc., F. Hoffmann-La Roche Ltd., Mylan NV, Novartis AG, Veloxis Pharmaceuticals A/S. Key Topics Covered: PART 02: SCOPE OF THE REPORT PART 03: MARKET LANDSCAPE …

First Edition: August 30, 2019 | Kaiser Health News | 8/30/2019

… of 20 Democrats vying to take on Republican President Donald Trump in the November 2020 election will emphasize how her Medicare for All healthcare proposal would cover long-term, in-home services and early screening … outside the usual course of professional practice.” (Pitofsky, 8/29) Reuters: Novartis Takes Aim At Roche’s Star MS Drug Swiss drugmaker Novartis on Friday stepped up its challenge to Roche’s multiple sclerosis franchise, highlighting study results …

Goldman Sachs

Encompass Health announces launch of senior notes offering | PR Newswire | 9/9/2019

… of its senior notes due 2024 and to repay borrowings under its revolving credit facility. Citigroup; Barclays; BofA Merrill Lynch; Goldman Sachs & Co. LLC; J.P. Morgan; Morgan Stanley; RBC Capital Markets; Regions Securities LLC; SunTrust … information; changes, delays in (including in connection with resolution of Medicare payment reviews or appeals), or suspension of reimbursement for Encompass Health’s services by governmental or private payors; and other factors which may be identified …

Zocdoc’s new pricing rankles New York doctors | Crain’s New York Business | 8/27/2019

… since its 2007 founding has raised $223 million from such investors as Salesforce CEO Marc Benioff, Amazon CEO Jeff Bezos, Goldman Sachs and Khosla Ventures. Related Article Zocdoc’s CEO thinks you should be able to … so too. It has blocked users who say they are Medicare or Medicaid beneficiaries from booking visits through its site. But it is looking for a way to restore access to those users. “For over …

Morgan Stanley

Encompass Health announces launch of senior notes offering | PR Newswire | 9/9/2019

… and to repay borrowings under its revolving credit facility. Citigroup; Barclays; BofA Merrill Lynch; Goldman Sachs & Co. LLC; J.P. Morgan; Morgan Stanley; RBC Capital Markets; Regions Securities LLC; SunTrust Robinson Humphrey and Wells Fargo Securities … information; changes, delays in (including in connection with resolution of Medicare payment reviews or appeals), or suspension of reimbursement for Encompass Health’s services by governmental or private payors; and other factors which may be identified …

Evolent Health to Participate in Upcoming Investor Conferences | PR Newswire | 8/22/2019

… on Thursday, September 5, 2019 at 9:05 a.m. EST . Mr. Blackley, Mr. Johnson and Mr. McGrane will present at the Morgan Stanley 2019 Global Healthcare Conference in New York on Tuesday, September 10, 2019 at … than 35 health care organizations to actively manage care across Medicare, Medicaid, commercial and self-funded adult and pediatric populations. With the experience to drive change, Evolent confidently stands by a commitment to achieve results …

Merrill Lynch

Encompass Health announces launch of senior notes offering | PR Newswire | 9/9/2019

… 200 million of its senior notes due 2024 and to repay borrowings under its revolving credit facility. Citigroup; Barclays; BofA Merrill Lynch; Goldman Sachs & Co. LLC; J.P. Morgan; Morgan Stanley; RBC Capital Markets; Regions Securities … information; changes, delays in (including in connection with resolution of Medicare payment reviews or appeals), or suspension of reimbursement for Encompass Health’s services by governmental or private payors; and other factors which may be identified …

SI Bone INC (SIBN) Q2 2019 Earnings Call Transcript | Yahoo News | 8/7/2019

… maintain the current work RVU of 9.03 as recommended by the RUC, resulting in a surgeon payment of $720 for Medicare. U.S. commercial payers generally follow this recommendation, although they pay 20% to 30% more … Your line is now open. Travis Steed – Bank of America Merrill Lynch – Analyst Oh, hi. This is actually Travis Steed, and I’m here for Bob Hopkins. Laura Francis – Chief Operating Officer and Chief Financial Officer …

Citigroup

Encompass Health announces launch of senior notes offering | PR Newswire | 9/9/2019

… a call of $200 million of its senior notes due 2024 and to repay borrowings under its revolving credit facility. Citigroup; Barclays; BofA Merrill Lynch; Goldman Sachs & Co. LLC; J.P. Morgan; Morgan Stanley; RBC Capital … information; changes, delays in (including in connection with resolution of Medicare payment reviews or appeals), or suspension of reimbursement for Encompass Health’s services by governmental or private payors; and other factors which may be identified …

The Trump Recession is taking shape | Yahoo News | 8/26/2019

… Donald Trump won the presidency. Trump won. There’s been no recession. But those forecasters weren’t wrong. Research from Moody’s Analytics , Citigroup , Oxford Economics and many other firms predicted a recession if Trump did everything he … afraid of the NRA Democrats are attacking the wrong companies Medicare for all won’t work. This might Read the latest financial and business news from Yahoo Finance Follow Yahoo Finance on Twitter , Facebook , Instagram , Flipboard …

SVB Leerink

Adamas Pharmaceuticals, Inc. (ADMS) CEO Gregory Went on Q2 2019 Results - Earnings Call Transcript | Seeking Alpha | 8/9/2019

… Vijay Shreedhar - Chief Commercial Officer Alfred Merriweather - Chief Financial Officer Rajiv Patni - Chief Medical Officer Conference Call Participants Rudy Li - SVB Leerink David Amsellem - Piper Jaffray Ken Cacciatore - Cowen and Company Serge Belanger - Needham & Company … our drug both on the commercial side and on the Medicare side and we are continuing to see that happen. I think you raised the larger question in terms of cost of some specialty drugs …

Guardant Health Inc (GH) Q2 2019 Earnings Call Transcript - Nasdaq.com | 8/7/2019

… from our NILE study; second, FDA approval of Guardant360 with a pan-cancer tumor profiling label and finally, pan-cancer Medicare coverage. In the first half of 2019, we have made significant headway building out … Operator Instructions] Our first question comes from Puneet Souda of SVB Leerink. Your line is open. Puneet Souda – SVB Leerink – Analyst Yeah. Hi, Helmy, AmirAli, congrats on the quarter, first of all and thanks for …

William Blair

Addus HomeCare Announces Public Offering of Common Stock | PR Newswire | 9/3/2019

… are acting as joint book-running managers for the offering. Robert W. Baird & Co. Incorporated, Oppenheimer & Co. Inc., Stephens Inc., William Blair & Company, L.L.C., BMO Capital Markets Corp., and Sidoti & Company, LLC are acting as … structures at the state or federal levels; changes in Medicaid, Medicare, other government program and managed care organizations policies and payment rates; changes in, or our failure to comply with existing, federal and state laws …

Tivity Health, Inc. (TVTY) Q2 2019 Earnings Call Transcript - Nasdaq.com | 8/12/2019

… all variables that when addressed earlier in the healthcare cycle can have significant reduction in cost and improvement in quality. Medicare Advantage membership is growing in popularity because it’s been shown to keep costs lower … you. Operator Your next question comes from Ryan Daniels with William Blair. Your line is open. Nicholas Spiekhout – William Blair – Analyst Hey, guys. This is a Nick Spiekhout in for Ryan. Thanks for taking my …

TPG Capital

Humana CEO Broussard: MA could fix problems ‘Medicare for All’ is trying to solve | FierceHealthcare | 7/23/2019

Jul 23, 2019 7:30am Medicare Advantage has become a big line of business for Humana in addition to other insurers. (Humana) WASHINGTON, D.C.—Humana CEO Bruce Broussard doubled down on his support for Medicare Advantage … on care in the home. Last July, Humana, along with TPG Capital and Welsh, Carson, Anderson & Stowe, completed the acquisition of Kindred Healthcare. Under the deal, initially announced in 2017 , Kindred’s home health, hospice and

Fidelity Investments

Retirees: How Much Do You Expect to Pay for Long-Term Care? - TheStreet | 7/8/2019

… couple age 65 in 2019 may need approximately $285,000 saved (after tax) to cover healthcare expenses in retirement, according to Fidelity Investments . But that doesn’t include long-term care, which according to a recent article … week we’ll be covering long-term care topics including planning, Medicare coverage, unpaid caregiving …

How to be sure you’re financially ready if you’re nearing retirement | CNBC | 7/5/2019

… less debt you have, the better. The often-overlooked cost: health care Once you reach age 65, you’re eligible for Medicare. So if you retire at or past that age, the government program generally is … health care over the remainder of their lives, according to Fidelity Investments’ latest estimate. Know your Social Security strategy Although you can start taking Social Security at age 62, your monthly checks will be larger …

Leerink Partners

Who’s Next? CVS-Aetna Deal Could Start a Health Takeover Run | MSN | 12/5/2017

Leerink Partners analyst Ana Gupte said Monday. The companies already have a co-branded Medicare drug plan that steers patients to Wal-Mart stores. Express Scripts CVS’s biggest competitor in the pharmacy-benefits-management space is Express Scripts Holding Co. The PBM is at a vulnerable point after its largest client, Anthem, recently said it plans to leave. Express Scripts’ chief executive has said the company isn’t looking for a …

JP Morgan

Livongo makes its IPO plans official | MobiHealthNews | 6/28/2019

… yet determined a price range or the number of shares going on offer. Morgan Stanley & Co., Goldman Sachs & Co. and JP Morgan Securities will serve as the lead book runners. Sources close to Livongo told … billion opportunity for adults with diabetes receiving healthcare coverage from Medicare or Medicaid. These estimates assume that the prevalence of diabetes between fully-insured and self-insured employer populations is the same.” THE LARGER TREND …

Here are the most-loved stocks on Wall Street, including Amazon and a little-known energy company | CNBC | 6/13/2019

Here are the most-loved stocks on Wall Street, including Amazon and a little-known energy company Published Thu, Jun 13 2019 8:18 AM EDT Updated Thu, Jun 13 2019 11:39 AM EDT Maggie Fitzgerald @mkmfitzgerald Key Points CNBC screened all S&P 500 companies looking for the stocks with the highest percentage of buy ratings. Amazon and oil driller Diamondback Energy are universally loved on Wall Street with all …

HCA

Humana makes deal with Michigan hospitals to expand in-network offerings for MA members | FierceHealthcare | 8/28/2019

… reached an agreement with the Michigan-based hospital network McLaren Health Care to expand in-network options for the insurer’s Medicare Advantage customers. The agreement announced on Tuesday is the latest effort by Humana to … comes a few months after Humana convened a panel of healthcare experts to build a consensus definition of several terms such as value-based care and population health. However, the panel of experts couldn’t reach …

More Patients are Choosing Urgent Care Centers, Creating Challenges and Opportunities for Traditional Healthcare Providers - Industry Analysis by Loyale Healthcare | PRWeb | 8/28/2019

More Patients are Choosing Urgent Care Centers, Creating Challenges and Opportunities for Traditional Healthcare Providers - Industry Analysis by Loyale Healthcare Share Article The high cost of healthcare is driving a transformation in the way Americans … the growth are the patients whose healthcare is covered by Medicare or Medicaid. This group’s use of urgent-care centers continues to grow, accounting for nearly 27% of all visits in 2018. In addition to

Kaiser Permanente

Kaiser Permanente Colorado facing mid-life struggles at 50 | 9/8/2019

Kaiser Permanente Colorado has made its mark in the state as both the lowest-cost and largest provider of health care coverage. But as Kaiser celebrates 50 years in Colorado, it faces several challenges in … care through Kaiser Permanente, Lueck said. Kaiser also dominates in Medicare coverage and is a critical provider on Connect for Health Colorado, the state’s Affordable Care Act marketplace. It has gained that dominance by combining

Consultant, Medicare Market Product Strategy - Aurora, CO, , USA #jobs #Aurora pls RT | 9/7/2019

Job Detail for Consultant, Medicare Market Product Strategy Job Location: Kaiser Permanente Zion Medical Center, Aurora, CO, , USA Job Detail for Consultant, Medicare Market Product Strategy Job Location: Kaiser Permanente Zion Medical Center, Aurora, CO, , USA Jobs In Consultant Medicare Market Pr… Jobs In Consultant Med… Jobs In Consultan… Location: Aurora, CO Additional Locations: Job Number: 818824 Date posted: 08/09/2019 Description: Facilitates, co-ordinates and performs duties related to strategic …

UPMC

(USA-PA-Pittsburgh) Project Analyst | 9/7/2019

UPMC Project Analyst in Pittsburgh , Pennsylvania Description UPMC has an exciting opportunity for a Project Analyst within its Medicare HCC department, located in downtown Pittsburgh at the U.S. Steel Tower. The Project Analyst is responsible for complex analysis of data and information sets for provider and company-wide initiatives. The Project Analyst is responsible for overseeing multiple projects at any given time. Must use knowledge and understanding of UPMC internal …

(USA-PA-Pittsburgh) Operations Analyst, Lead | 9/7/2019

UPMC Operations Analyst, Lead in Pittsburgh , Pennsylvania Description Purpose: UPMC Health Plan’s Medicare Compliance Department is seeking an Operations Analyst, Lead! This role oversees administrative and system processes as they relate to implementation and maintenance of the claims transactional system in additional to other applications for all UPMC Health Plan products. Under the general direction of the Business Support Management team, this role will analyze, identify, propose and implement solutions …

Harvard Medical School

Medicare-for-all is not Medicare, and not really for all. So what does it actually mean? | 9/13/2019

Sen. Bernie Sanders has made “Medicare for All” a rallying cry of his campaign. By Akilah Johnson Propublica G AITHERSBURG, Md. — Ritchard Jenkins reached into the black computer bag he keeps near his workstation at … of Physicians for a National Health Program and instructor at Harvard Medical School, who supports calling it Medicare-for-all but acknowledges pitfalls with the framing. This “is an issue that affects, literally, every single

What Does ‘Medicare For All’ Actually Mean? | 9/8/2019

Medicare-for-all is what health care experts call single-payer: A system in which a government entity reimburses doctors and hospitals at a set rate. Many of the world’s most admired health care systems … of Physicians for a National Health Program and instructor at Harvard Medical School, who supports calling it Medicare-for-all but acknowledges pitfalls with the framing. This “is an issue that affects, literally, every single

Mayo Clinic

Paradigm’s Michael Choo, MD Joins External Collaborative Panel of National Limb Loss and Preservation Registry | BioSpace | 9/9/2019

Mayo Clinic, along with oversight from the Department of Veterans Affairs, the Centers for Medicare & Medicaid Services, and the Food & Drug Administration. The registry aims to help patients, healthcare providers, and clinicians better understand the treatment and surgical options for limb preservation and/or amputation. As a first-of-its-kind national registry, it will give researchers access to the largest data set specific to limb loss and amputation care …

CMS wants hospitals to post their rates. But hospitals aren’t sure how. | FierceHealthcare | 8/27/2019

… release payer rates with little context for the patients who are supposed to benefit from such transparency. The Centers for Medicare & Medicaid Services (CMS) proposed the requirement hospitals post payer-negotiated rates for certain shoppable … She mentioned websites made by larger systems such as the Mayo Clinic or Intermountain. But hospital groups such as the Federation of American Hospitals have voiced major concerns with the transparency policy. Such opposition could …

HCA Healthcare

CMS wants hospitals to post their rates. But hospitals aren’t sure how. | FierceHealthcare | 8/27/2019

… release payer rates with little context for the patients who are supposed to benefit from such transparency. The Centers for Medicare & Medicaid Services (CMS) proposed the requirement hospitals post payer-negotiated rates for certain shoppable … rate at a hospital. For example, UnitedHealthcare may give an HCA Healthcare hospital a good price for a cardiac procedure because they “have great outcomes and get a ton of volume from United,” he added …

Hospitals figure out how to implement CMS transparency requirement | FierceHealthcare | 8/23/2019

… release payer rates with little context for the patients who are supposed to benefit from such transparency. The Centers for Medicare & Medicaid Services (CMS) proposed the requirement hospitals post payer-negotiated rates for certain shoppable … rate at a hospital. For example, UnitedHealthcare may give an HCA Healthcare hospital a good price for a cardiac procedure because they “have great outcomes and get a ton of volume from United,” he added …

Cleveland Clinic

Neuronetics® Announces Greenbrook® TMS Installation Milestone for NeuroStar® Advanced Therapy System | PR Newswire | 9/4/2019

… associated with antidepressant medications. 7 NeuroStar is reimbursed by most commercial and government health plans in the United States , including Medicare and Tricare. In addition, there are programs in place, such as NeuroStar Reimbursement Support … jsf/pages/index.xhtml , accessed 1/16/2018 4 Gaynes BN et al., Cleveland Clinic Journal of Medicine 2008;75(1):57-66 5 Post A, et al. (2001) J Psychiatric Research. 35:193-215 6 Liston C, et al. (2014 …

First Edition: September 3, 2019 | Kaiser Health News | 9/3/2019

… likely cost tens of trillions of dollars. The senator from Vermont is seeking the Democratic nomination on promises of enacting Medicare-for-all, wiping away student loan debt and aggressively combating climate change, initiatives that … diabetes and other high-risk health problems, researchers at the Cleveland Clinic found that those who had bariatric surgery—also known as metabolic or weight-loss surgery—were 39% less likely to experience a heart …

AHN

HealthMine Publishes White Paper: ‘A Call for Care That’s Personal, Accessible and Social,’ Addressing Communication Issues between Medicare Advantage Beneficiaries and the U.S. Healthcare System | PR Newswire | 8/20/2019

DALLAS , Aug. 20, HealthMine, the health action as a service company (HAaaS), announced the publication of its 2019 white paper entitled, A Call for Care That’s Personal, Accessible and Social by Jane Sarasohn-Kahn , a leading health economist and communicator. The paper focuses on the needs for improved communication between the U.S. healthcare system and Medicare Advantage (MA) beneficiaries (especially Baby Boomers) who are dubbed as “digital immigrants.” As immigrants …

Stocks making the biggest moves premarket: BlackRock, Cloudera, Tyson Foods & more | CNBC | 8/12/2019

… company at more than $4 billion. Cloudera – The cloud data company announced a voting and standstill agreement with investor Carl Icahn, who disclosed an 18% stake in Cloudera earlier this month. Two Icahn employees have … from “neutral,” noting strong second quarter results, growth in Humana’s Medicare Advantage business, and effective cost management. Occidental Petroleum – Evercore rates the energy producer “in-line” in resumed coverage, compared to its most recent rating …

DaVita Medical Group

UnitedHealth Group execs talk rebate rule, DaVita acquisition in Q2 call | FierceHealthcare | 7/18/2019

… revenue, an 8% increase from the second quarter of 2018, bolstered by double-digit increases in OptumHealth, OptumRx and UnitedHealthcare’s Medicare plans, according (PDF) to UnitedHealth. “Our results in the quarter reflect strong and balanced … UnitedHealth’s earnings call Thursday morning was its recent acquisition of DaVita Medical Group , which will be rolled into Optum’s portfolio. On the call, UnitedHealth executives said that bringing the two companies together would allow UnitedHealth’s …

Ascension

New Health Center Planned for Menomonee Falls | PR Newswire | 9/4/2019

GLENDALE, Wis. and HOUSTON , Sept. 4, Delivering on a promise to expand access to healthcare in Wisconsin , Ascension Wisconsin today announced its plans to open a new health center in the Village of Menomonee Falls … accredited and in-network with most commercial providers. Medicaid and Medicare also will be accepted. This is one of several planned small-scale hospitals that will be owned and operated under Ascension Wisconsin and Emerus

Trump is bringing more change than Obama ever could - CNN | 8/23/2019

… Trump, in an odd way, helped clear. They are talking about raising taxes on the wealthy, expanding government programs like Medicare and Medicaid and creating a “Green New Deal.” The public seems ready to follow … People talked about it in religious terms, as if his ascension meant we were getting closer to the promised land. Community members attend a vigil for a high school student gunned down in this month’s …

Humana

Humana Medicare Advantage members now have in-network access at eight additional McLaren Health Care hospitals | 9/12/2019

Humana Medicare Advantage members now have in-network access at eight additional McLaren Health Care hospitals By ohtadmin on September 12, 2019 FLINT — Grand Blanc-based McLaren Physician Partners (MPP) and leading health and well-being company Humana Inc. have signed an agreement which expands in-network options for Humana Medicare Advantage members in Michigan seeking care at McLaren Health Care hospitals and outpatient facilities. The contract also provides additional …

Humana (HUM) Ties Up to Boost Medicare Advantage Network | Yahoo News | 9/5/2019

Humana Inc. HUM has entered into a new partnership with Iora Health to add 11 more Iora Primary care practices to its Medicare Advantage network in areas like Texas, Georgia and Arizona. With this deal, Humana Medicare Advantage members can now experience an impactful, relationship-based primary care. Notably, people of Arizona, Colorado, Georgia and Washington are already benefiting from the relationship of these two companies. In 2019, another chain …

Aetna

CVS-Aetna merger approved despite objections from consumer advocates | 9/10/2019

… With little fanfare, a federal judge in Washington D.C. last week removed the final obstacle to CVS’s blockbuster merger with Aetna. The $70 billion consolidation, announced in 2017, will combine the nation’s third-largest health … competitive concerns. The settlement requires Aetna to sell off its Medicare prescription drug plans. Critics, however, argued that such vertical integration of the businesses would make an already uncompetitive marketplace even more so, forcing health …

(USA-NY-New York) Manager, Joint Venture Medicare Strategy & Business Development | 9/10/2019

Aetna Manager, Joint Venture Medicare Strategy & Business Development in New York , New York Req ID: 63774BR Job Description Overview To dramatically improve its relationships with hospitals, physicians and other providers, Aetna has established five joint ventures with leading hospital systems across the United States. Its mission is to develop mutually beneficial partnerships between Aetna and key providers, enabling their transformation from a hospital factory to a clinically integrated supplier of …

Cigna

Trump’s Health Team Making It Tough On ‘Medicare For All’ | Forbes | 9/1/2019

The Trump administration continues to roll out ways to make it easier for seniors to sign up for private Medicare Advantage coverage through technology upgrades and added benefits to such plans. Just last week, the … more enticing to seniors. Meanwhile, more health insurers including Anthem, Cigna, Humana, UnitedHealth Group and CVS Health’s Aetna insurance business, are signing up record numbers of seniors to Medicare Advantage and offering such coverage in

Why Is Cigna (CI) Down 8.1% Since Last Earnings Report? | Zacks | 8/31/2019

… Zacks Equity Research Cancel Read More Hide Full Article A month has gone by since the last earnings report for Cigna ( CI - Free Report ) . Shares have lost about 8.1% in that time frame, underperforming the … completed last December, led to an increase in Pharmacy and Medicare Part D members. Cigna’s debt-to-capitalization ratio improved to 47.2% as on Jun 30, 2019 from 50.9% as of Dec 31, 2018. 2019 …

Wellcare

Why Is WellCare (WCG) Down 7.3% Since Last Earnings Report? | Zacks | 8/29/2019

… Zacks Equity Research Cancel Read More Hide Full Article A month has gone by since the last earnings report for WellCare Health Plans ( WCG - Free Report ) . Shares have lost about 7.3% in that time frame … was offset by the company’s operational execution to some extent. Medicare Health Plans As of Jun 30, 2019, Medicare Health Plans membership was 0.5 million, up 9.8% year over year, driven by the integration of …

WellCare Sponsors Support School Meal Kick-Off Event to Address Food Insecurity in Wake County | PR Newswire | 8/22/2019

… 22% of North Carolina children under the age of 18 live in food-insecure households. To help address food insecurity, WellCare of North Carolina , Inc., a WellCare Health Plans, Inc. (NYSE: WCG ) company, donated $5,000 … seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 6.3 million members nationwide as of …

UnitedHealthcare

UnitedHealthcare and Optum Take Action to Support People in Carolinas and Georgia Preparing for Hurricane Dorian | Business Wire | 9/1/2019

ATLANTA- UnitedHealthcare and Optum, the health benefits and services companies of UnitedHealth Group (NYSE: UNH), are taking action to help people in the Carolinas and Georgia who may be affected by Hurricane Dorian. This is … enrolled in Medicaid, employer-sponsored and individual health plans (except Medicare) who have a smartphone can download the free Health4Me app , which provides instant access to their ID card, network care providers, their personal health

UnitedHealthcare and Optum Take Action to Support People in Carolinas and Georgia Preparing for Hurricane Dorian – Company Announcement - FT.com | Financial Times | 9/1/2019

Assistance for UnitedHealthcare plan participants whose access to care or prescriptions needs may have been affected Free emotional-support help line from Optum open to anyone ATLANTA –(BUSINESS WIRE)–Aug. 31, 2019– UnitedHealthcare and Optum … enrolled in Medicaid , employer-sponsored and individual health plans (except Medicare ) who have a smartphone can download the free Health4Me app , which provides instant access to their ID card, network care providers, their personal health

Wellcare Health Plans

WellCare Sponsors Support School Meal Kick-Off Event to Address Food Insecurity in Wake County | PR Newswire | 8/22/2019

… the age of 18 live in food-insecure households. To help address food insecurity, WellCare of North Carolina , Inc., a WellCare Health Plans, Inc. (NYSE: WCG ) company, donated $5,000 to the NC Partnership for Child … seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 6.3 million members nationwide as of …

Hedge funds are dumping tech stocks for health care | CNBC | 8/21/2019

Medicare for All” were gaining momentum, which could hurt insurers and others in the space. Among hedge funds’ top new holdings are pharmaceutical company Allergan , insurers Centene , Humana , WellCare Health Plans and Walgreens , according to Goldman. Centene and Walgreens both lost more than 25% in the past six months. Hedge funds are “largely ignoring the risk of health care regulation that garnered investor attention early this year,” Snider said. “Funds …

Anthem

The Individual Market May Have Shrunk, But More And More Insurers Are Banking On Health Law’s Profits | Kaiser Health News | 8/23/2019

… Health Inc., Molina Healthcare Inc. and Centene Corp. , the biggest seller of ACA plans, also plan larger footprints next year. Anthem Inc. is expanding in at least two of its states, California and Virginia. (Wilde … companies are under pressure from insurers to lower costs as Medicare patient volumes have surged against commercial patients, said Andrew Steel, global head of sustainable finance at Fitch Ratings Inc. (Holger, 8/22) CQ: Insurance Rate …

New York health insurer expanding to Miami | The Business Journals | 8/22/2019

… Healthcare Inc. and Centene Corp., the biggest seller of ACA plans, also plan larger footprints next year, the Journal reports. Anthem Inc. is expanding in at least two of its states, California and Virginia. Oscar … coverage comes at the same time Oscar is launching new Medicare Advantage plans in New York and Houston. The specifics of Oscar’s 2020 insurance plan portfolio are still being reviewed by regulators. Details regarding pricing …

Centene Corp

The Individual Market May Have Shrunk, But More And More Insurers Are Banking On Health Law’s Profits | Kaiser Health News | 8/23/2019

… Pennsylvania and Georgia, to its current roster of nine. Insurers including Cigna Corp. , Bright Health Inc., Molina Healthcare Inc. and Centene Corp. , the biggest seller of ACA plans, also plan larger footprints next year. Anthem … companies are under pressure from insurers to lower costs as Medicare patient volumes have surged against commercial patients, said Andrew Steel, global head of sustainable finance at Fitch Ratings Inc. (Holger, 8/22) CQ: Insurance Rate …

Some major exchange insurers come up short on quality scores | Modern Healthcare | 8/22/2019

… stars. Some of the dominant health insurers on the public insurance exchanges had star ratings below the national average. Photo Centene Corp., the ACA kingpin with 1.9 million exchange members, scored an overall quality rating … offer to customers. A similar star ratings program exists in Medicare Advantage , but evidence shows seniors don’t focus on those ratings when choosing a plan, said Richard Lieberman, chief data scientist at Mile High Healthcare …

Health Net

Canopy Health Set to Expand Health Net SmartCare | Markets Insider | Business Insider | 9/4/2019

EMERYVILLE, Calif. , Sept. 4, 2019 /PRNewswire/ – Canopy Health announced today an expansion of its collaboration with Health Net. Through this expansion, Health Net’s SmartCare HMO product will be offered to CalPERS-eligible members who live … We provide health plans for individuals, families, employers, people with Medicare and people with Medi-Cal — coverage for every stage of life. We also offer access to behavioral health services, substance abuse prevention programs, managed

Highmark Health generates $627M in net revenue for first half of 2019 | FierceHealthcare | 8/8/2019

by Robert King Aug 8, 2019 3:00pm Allegheny Health Network generated $19 million in operating income through the first half of 2019 for parent company Highmark Health. (Allegheny Health) Highmark Health reported earning $627 million … half, according to a release. The government business that includes Medicare Advantage and Affordable Care Act exchanges also gained $269 million over the first six months of 2019. RELATED: Highmark’s revenue up $500M in 2018

Molina Healthcare

The Individual Market May Have Shrunk, But More And More Insurers Are Banking On Health Law’s Profits | Kaiser Health News | 8/23/2019

… six new states, including Pennsylvania and Georgia, to its current roster of nine. Insurers including Cigna Corp. , Bright Health Inc., Molina Healthcare Inc. and Centene Corp. , the biggest seller of ACA plans, also plan larger … companies are under pressure from insurers to lower costs as Medicare patient volumes have surged against commercial patients, said Andrew Steel, global head of sustainable finance at Fitch Ratings Inc. (Holger, 8/22) CQ: Insurance Rate …

Some major exchange insurers come up short on quality scores | Modern Healthcare | 8/22/2019

… doesn’t publicly report its ACA exchange membership, but its on- and off-exchange individual membership totaled 741,000 on June 30. Molina Healthcare, which covers 308,000 exchange members, had an overall star rating of 2.7, with … offer to customers. A similar star ratings program exists in Medicare Advantage , but evidence shows seniors don’t focus on those ratings when choosing a plan, said Richard Lieberman, chief data scientist at Mile High Healthcare …

Bernie Sanders

Democratic debate fact check: Joe Biden on border cages, Bernie Sanders on Medicare for All and more - South Florida Sun-Sentinel | Chicago Tribune | 9/13/2019

Here’s a look at how some of their claims from Houston stack up with the facts: Advertisement BERNIE SANDERS : “We have the highest child poverty rate of almost any country on Earth.” THE FACTS : This … El Paso’s police chief. SANDERS: “Every study done shows that ‘Medicare for All’ is the most cost-effective approach to providing health care to every man, woman and child in this country.” THE FACTS: Not

Democratic debate fact check: Joe Biden on border cages, Bernie Sanders on Medicare for All and more - Chicago Tribune | 9/13/2019

… the first time. Here’s a look at how some of their claims from Houston stack up with the facts: Advertisement BERNIE SANDERS : “We have the highest child poverty rate of almost any country on Earth … El Paso’s police chief. SANDERS: “Every study done shows that ‘Medicare for All’ is the most cost-effective approach to providing health care to every man, woman and child in this country.” THE FACTS: Not …

Donald Trump

United States presidential election, 2020 | 9/9/2019

… fake news media continues to spread an easily debunked lie and hoax. [1] In the 2020 United States presidential election , Donald Trump is standing for re-election, having accomplished much during his first term . Presumably … 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 borders and the right of the entire planet to enter …

Joe Biden

Democratic debate fact check: Joe Biden on border cages, Bernie Sanders on Medicare for All and more - South Florida Sun-Sentinel | Chicago Tribune | 9/13/2019

… The United States still fared better than Russia, Chile, Spain, India, Turkey, Israel, Costa Rica, Brazil, South Africa and China. JOE BIDEN: “We didn’t lock people up in cages, we didn’t separate families.” THE FACTS … El Paso’s police chief. SANDERS: “Every study done shows that ‘Medicare for All’ is the most cost-effective approach to providing health care to every man, woman and child in this country.” THE FACTS: Not …

Democratic debate fact check: Joe Biden on border cages, Bernie Sanders on Medicare for All and more - Chicago Tribune | 9/13/2019

… The United States still fared better than Russia, Chile, Spain, India, Turkey, Israel, Costa Rica, Brazil, South Africa and China. JOE BIDEN: “We didn’t lock people up in cages, we didn’t separate families.” THE FACTS … El Paso’s police chief. SANDERS: “Every study done shows that ‘Medicare for All’ is the most cost-effective approach to providing health care to every man, woman and child in this country.” THE FACTS: Not …

Elizabeth Warren

Elizabeth Warren’s ‘Medicare for All’ tightrope - CNNPolitics | 9/14/2019

CNN) Elizabeth Warren is the presidential candidate with a plan for just about everything – but there’s one significant exception when it comes to an issue that is top of mind for so many voters: Health care . Instead, the Massachusetts Democrat is running on a bill that she first signed on to in 2017: Vermont Sen. Bernie Sanders’ “Medicare for All” single-payer legislation. “I’m with Bernie,” Warren has said more …

Kamala Harris

Kamala Harris Quotes on Gun Control, Medicare for All, and More | 9/13/2019

BAZAAR Celebrates ICONS by Carine Roitfeld Everything You Need to Know About Kamala Harris’s Policies Before the Election From student loan debt to gun control to plastic straws, we’ve rounded up some of the presidential … take executive action.” – CNN Town Hall April 22, 2019 On Medicare for All: “We will allow private insurers to offer Medicare plans as a part of this system that adhere to strict Medicare requirements on

Kamala Harris Clarifies Her HIV Policy Positions | 9/9/2019

… The survey was sent to every major presidential candidate. candidates. A summary of responses can be found here . Here’s what Kamala Harris had to say. Plus: Earlier this year, the Trump administration introduced their plan … covered cost-free as part of all insurance plans (including Medicare and Medicaid) will help make sure everyone who could benefit from the medication is able to take it and help increase awareness about steps …

Seema Verma

CMS Administrator Seema Verma to Speak at AHIP Medicare Conference | 9/12/2019

CMS Administrator Seema Verma to Speak at AHIP Medicare Conference Conference CMS Administrator Seema Verma To Speak At AHIP Medicare Conference posted by Cathryn Donaldson i & WASHINGTON, D.C. – On Sept. 24, Seema Verma , the Administrator of the Centers for Medicare & Medicaid Services (CMS), will deliver a keynote address at America’s Health Insurance Plans (AHIP) 2019 National Conference on Medicare. This event is part of AHIP’s annual conferences on Medicare, Medicaid …

CMS rule will boost Medicare pay to rural hospitals, Seema Verma says | Becker’s Hospital Review | 8/29/2019

Policies in CMS’ final inpatient payment rule for 2020 will, on average, increase Medicare payments to rural U.S. hospitals, including those in Louisiana, CMS Administrator Seema Verma wrote in a letter published by The Advocate . CMS released the final payment rule Aug. 2, which includes increasing the wage index for hospitals with a wage index value below the 25th percentile. In her letter, Ms. Verma said these changes will benefit …

Alex Azar

Grassley, Wyden, Bipartisan Senators Push HHS for Pharmacy DIR Reforms in Medicare Part D | 9/12/2019

Grassley, Wyden, Bipartisan Senators Push HHS for Pharmacy DIR Reforms in Medicare Part D Sep 12, 2019 WASHINGTON – Senate Finance Committee Chairman Chuck Grassley (R-Iowa) and Ranking Member Ron Wyden (D-Ore.) sent a letter to Department of Health and Human Services (HHS) Secretary Alex Azar and Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma requesting they use regulatory authority to reform direct and indirect remuneration (DIR …

HHS declares public health emergencies ahead of hurricane - POLITICO | 9/3/2019

… the department deployed about 200 medical personnel with equipment and supplies to assist in case of local emergencies, HHS Secretary Alex Azar said. CMS also activated its kidney community emergency response program to assist anyone … a dual-track approach to enacting universal health care, with Medicare for All as the ideal but a more limited expansion as the realistic path, and that he will continue to reject donations from pharma …

Cory Booker

Big tech or big labor? 2020 Democrats line up with unions - The Morning Call | Chicago Tribune | 9/2/2019

… a Teamsters union hall in Pittsburgh. And under pressure from organized labor, Bernie Sanders recently added additional language to his “Medicare for All” plan to provide additional oversight for union members. “Candidates understand that our … Beto O’Rourke has outlined similar plans and New Jersey Sen. Cory Booker said he supports the bill. Biden, a Pennsylvania native who casts himself as a champion for organized labor, is staying silent for now …

Big tech or big labor? 2020 Democrats line up with unions … | The Washington Post | 9/1/2019

… a Teamsters union hall in Pittsburgh. And under pressure from organized labor, Bernie Sanders recently added additional language to his “Medicare for All” plan to provide additional oversight for union members. “Candidates understand that our … Beto O’Rourke has outlined similar plans and New Jersey Sen. Cory Booker said he supports the bill. Biden, a Pennsylvania native who casts himself as a champion for organized labor, is staying silent for now …

Pete Buttigieg

Dems Debate in Houston: Moderates Push Back on Medicare for All – Variety | 9/13/2019

… in the debate, which was broadcast on ABC. He asked repeatedly how they would pay for their multi-trillion dollar Medicare for All plan, saying that Warren’s wealth tax left the proposal $28 trillion short … the field winnowed from 20 to 10. Klobuchar and Mayor Pete Buttigieg presented themselves as moderate alternatives who could take on Sanders and Warren should Biden stumble. Related ABC News’ Democratic Debate Lacked Energy and …

Dems Debate in Houston: Moderates Push Back on Medicare for All - news - CableONE | 9/13/2019

… in the debate, which was broadcast on ABC. He asked repeatedly how they would pay for their multi-trillion dollar Medicare for All plan, saying that Warren’s wealth tax left the proposal $28 trillion short … the field winnowed from 20 to 10. Klobuchar and Mayor Pete Buttigieg presented themselves as moderate alternatives who could take on Sanders and Warren should Biden stumble. The ABC moderators largely allowed the candidates to …

Kirsten Gillibrand

2020 hopefuls highlight Medicare for All, PrEP in plans to combat HIV/AIDS | 9/9/2019

… Seven candidates vying for the Democratic nomination — Elizabeth Warren , Bernie Sanders , Kamala Harris , Pete Buttigieg , Cory Booker , Beto O’Rourke and Kirsten Gillibrand — returned responses. (Gillibrand has since dropped out of the presidential primary.) Read a … the American people, the plan for HIV/AIDS consists of Medicare for All, expanding HIV research and treatment and repeal of HIV criminalization laws. Buttigieg calls for reinvigorating the White House Office of HIV/AIDS …

2020: Here are questions that will determine the race - CNNPolitics | 9/4/2019

… missing the debate already contributed to the departures of Washington Gov. Jay Inslee, Rep. Seth Moulton of Massachusetts and Sen. Kirsten Gillibrand of New York, all of whom factored the lack of media attention into … do voters actually want on health care? The fight over “Medicare for All,” an issue that has dominated the Democratic nominating battle, is just beginning, and a key question for the candidates is what voters …