Medicare

9th Circuit Court Upholds Ruling Blocking Border Wall Construction With Military Funds | 10/12/2020

Fine. Get it from Medicare . That’s what the Dems do. lol 12 3 judge panel. Request en banc, and a stay on the panel ruling. Drag it out until ACB is sworn in. Rules for radicals: use their own rules against them. 16 Every Asshole ‘judge’ that impedes the southern wall should have that many feet, yards, miles of their own fence, around their, (house, mansion, abode, hut, castle), be …

Drive-through flu shot clinics | 10/12/2020

State Sen. Dan McConchie of Hawthorn Woods is providing drive-through flu shot clinics in his 26th District in October. Residents with insurance or Medicare can drive up, fill out the paperwork, and receive the flu shot provided by Walgreens. The clinics are scheduled from 10:30 a.m. to 1:30 p.m.: Tuesday, Oct. 13, at the Libertyville Senior Center, 135 W. Church St., Libertyville; and Wednesday, Oct. 21, at Algonquin Township …

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Little Known Facts About cardiac rehabilitation. | 10/12/2020

… drop in health or functional means and desires assist with one or more ADLs. They require a very little aid to receive throughout the working day.It’s vital that you know appropriate up front that Medicare will never pay for assisted living. But, don’t surrender all hope nevertheless. There are many other factors it is best to look into to start with.Work out ECG using an incremental protocol is most often …

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… desktop investigation.”HealthCare4PPL.com would not supply clinical assistance, prognosis or treatment method. The knowledge contained Within this Web page is only for basic information and facts purposes. The data generally emanates from Facilities for Medicare & Medicaid Solutions (CMS) printed facts, and although we endeavour to maintain the knowledge current and correct, we make no representations or warranties of any form, Specific or implied, with regards to the completeness, accuracy, trustworthiness …

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… procedure advancements that cardiac rehabilitation champions can implement and includes change concepts, transform ideas, and instruments and resources.Request if a bed is available. It’s a smart idea to print the assisted living checklist from medicare .gov and simply operate in the list of inquiries within the cellular phone.Counseling is provided making sure that clients sense empowered to overcome their disease. Cardiac rehab centers are utilized to rehabilitate heart transplant recipients, sufferers …

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… Trump signed an $8.3 billion bill to fight the coronavirus outbreak. The bill provides $7.76 billion to federal, state, & local agencies to combat the coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax cut over coronavirus. March 10: President Trump and VP Pence met with top health insurance companies and secured a commitment to …

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… it may be time for a senior to transition to an ALF. A monetary planner or eldercare legal professional can assist you make your mind up what’s ideal for your special circumstance. Note that Medicare , not like Medicaid, doesn’t buy assisted living other than in relation to hospice care. Medicare is made Virtually completely for medical payments.Besides personal care, pretty much each individual assisted living Neighborhood in the state delivers …

Keeping America Great Recent President Donald J. Trump Accomplishments | 10/12/2020

… million to combat the opioid crisis in rural communities. 09.14.20 President Trump signed an executive order to lower drug prices by expanding drugs covered by the “most favored nations” pricing scheme to include both Medicare Part B and D. 09.13.20 The Department of Veterans Affairs announced that 42 states and one U.S. territory signed the PREVENTS state proclamation pledging to prioritize suicide prevention for Veterans and all citizens. 09.11.20 President …

Pointers For Fortitude Valley Dental Care - Where To Look | 10/12/2020

… from the Central Business District. You are only a brief distance far from the main road. There is a simple car parking center. This dental clinic approves all significant insurance policy strategies such as Medicare , Medicaid, and personal.Oral services provided by this dental clinic include routine cleansings, origin canals, teeth bleaching, and tooth removal. There are specializeds available at this dental clinic like orthodontics, pediatric dental care, orthodontic surgery, aesthetic …

Facts About meghan clancy Revealed | 10/12/2020

… and I sense very comfy with her. If I’ve concerns or challenges that come up outside of an appointment she’s quick to reply. Her office is Beautiful and welcoming.She does take the payment total Medicare approves and never to Invoice you for more than the Medicare deductible and coinsurance. Clinical SpecialtiesMegan is super easy to speak to and very handy all through Every single session. I right away felt extremely …

VOTE!!! | 10/12/2020

… other words, looking out for the greater good. It’s things like access to food, affordable housing, and health care. A corollary to this are the candidates that verbalize and demonstrate support for Social Security, Medicare , and veterans benefits. As a senior and a veteran, this is a pocketbook issue that affects both my income and healthcare. Second, which candidates are strong supporters of primary and secondary education? A good education …

Facts About care one rehabilitation nj Revealed | 10/12/2020

… care, physical therapy, social work support, and help with everyday responsibilitiesA fiscal planner or eldercare lawyer may help you come to a decision what is actually ideal for your distinctive situation. Take note that Medicare , as opposed to Medicaid, doesn’t purchase assisted living apart from in relation to hospice care. Medicare is created Nearly completely for medical payments.Minnesota does not license facilities under the term assisted living. Rather, Assisted Living …

Considerations To Know About DUI Attorneys Fort Myers | 10/12/2020

… sophisticated or professional litigation expertise and potent scenario administration capabilities.I’m also seriously involved with the representation of people and organizations denied suitable insurance coverage protection subsequent Hurricane Irma. In addition, I offer representation for Medicare fraud whistleblowers, sexual abuse victims, and many company litigation matters.If each events are open to different dispute resolution, such as arbitration or mediation, getting a attorney expert in collaborative divorce or divorce mediation could be …

Video and phone consultations only scratch the surface of what telehealth has to offer | 10/12/2020

The COVID-19 pandemic has resulted in rapid changes to the way Australians access health care. We’re now using telehealth more than ever. Last week’s federal budget confirmed a six-month extension of Medicare subsidies for telehealth consultations, worth A$2.4 billion. It also included A$18.6 million for the preparation of permanent telehealth infrastructure beyond March 31 next year. This goes some way to recognising telehealth is not only …

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… comfortable along with her. If I’ve thoughts or concerns that come up beyond an appointment she is fast to respond. Her Business is Attractive and welcoming.She does settle for the payment amount of money Medicare approves and never to bill you for more than the Medicare deductible and coinsurance. Health care SpecialtiesThis third-occasion data is then indexed via strategies much like Individuals used by Google or Bing to produce …

11 — He’s lowering prescription drug costs for seniors. | by Michael Benjamin | Oct, 2020 | Medium | 10/12/2020

Reasons to Re-Elect President Trump Michael Benjamin Follow Oct 12 · 2 min read As part of President Trump’s Medicare reform program , prescription drug costs have been falling consistently since 2017. According to the Centers for Medicare and Medicaid Services: “The average basic Part D premium will be approximately $30.50 in 2021. The …

Fascination About skilled nursing facilities near me | 10/12/2020

… preserving steps, and shared sources all cut down on The prices of living.You furthermore mght consent that we, or our partner companies, may possibly reach out to you personally about senior living alternatives or Medicare coverage employing a process that will car-dial; nonetheless, you don’t should consent to this to make use of our service.Employees productiveness and higher turnover rates are likewise challenging. CarePredict gives well timed insights to …

Humana’s Blueprints for Building Its ‘Home-Centric Ecosystem of Care Delivery Assets’ | Home Health Care News | 10/12/2020

… to build out, it has also worked to strengthen its risk-stratification and predictive-modeling capabilities. Humana showcased some of its in-home strengths on Thursday when it announced the details of its 2021 Medicare Advantage (MA) offerings. Next year, most Humana MA members will continue to have access to Go365, a wellness and rewards program designed to motivate and reward members for taking steps to improve their healthy behaviors …

Senator Susan Collins Joins Other Lawmakers, Asks CMS to Ditch PDGM’s 4.36% Behavioral Adjustment | Home Health Care News | 10/12/2020

Senator Susan Collins (R-Maine) has sent a letter to the U.S. Centers for Medicare & Medicaid Services (CMS) on behalf of home health providers, urging the agency to reconsider the 4.36% behavioral adjustment baked into the Patient-Driven Groupings Model (PDGM) this year and in 2021. Collins isn’t alone. U.S. Representative Vern Buchanan, a Republican from Florida, recently did the same . “I write to request that you revisit the calculation …

Mallinckrodt Secures Broad Consensus with Key Stakeholders on Comprehensive Chapter 11 Restructuring | PR Newswire | 10/12/2020

… from recent increased public scrutiny of healthcare and pharmaceutical costs; the reimbursement practices of governmental health administration authorities, private health coverage insurers and other third-party payers; complex reporting and payment obligations under the Medicare and Medicaid rebate programs and other governmental purchasing and rebate programs; cost containment efforts of customers, purchasing groups, third-party payers and governmental organizations; changes in or failure to comply with relevant laws and regulations …

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… they had been moving are prize belongings I’d personally suggest these men…In addition, you consent that we, or our associate suppliers, may perhaps reach out to you personally about senior dwelling remedies or Medicare insurance employing a program that will automobile-dial; on the other hand, you do not need to consent to this to make use of our service.Apartment moving organizations ordinarily specialize in small position moves and …

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The best Side of long island senior services The best Side of long island senior services Category: Blog You furthermore may consent that we, or our partner providers, may well achieve out to you about senior living alternatives or Medicare coverage using a process that could auto-dial; nevertheless, you don’t ought to consent to this to make use of our provider.”The identify on the caregiver they have provided …

Nurse Practitioner House Calls Southeast Region Student Loan Repayment Options Available for External Candidates - UnitedHealth Group - Clearwater, FL | 10/12/2020

… opportunities to make a difference in the lives of patients. This growth is not only a testament to our model’s success but the efforts, care, and commitment of our Nurse Practitioners. Serving millions of Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family. We’re also the career home for Nurse Practitioners who bring compassion and passion …

Nurse Practitioner House Calls Southeast Region Student Loan Repayment Options Available for External Candidates - UnitedHealth Group - Atlanta, GA | 10/12/2020

… opportunities to make a difference in the lives of patients. This growth is not only a testament to our model’s success but the efforts, care, and commitment of our Nurse Practitioners. Serving millions of Medicare and Medicaid patients, Optum is the nation’s largest health and wellness business and a vibrant, growing member of the UnitedHealth Group family. We’re also the career home for Nurse Practitioners who bring compassion and passion …

Defense Health Agency

Got TRICARE For Life Questions? Here's What You … | 10/3/2020

Defense Health Agency issued the following news release: Will you soon be eligible for Medicare based on reaching age 65? If so, now’s the time to start thinking about your future health care needs. With TRICARE For Life (TFL) coverage, you can get the care you need while minimizing your out-of-pocket costs. As you begin to learn about TFL, you may have questions about costs, what’s covered, and …

Remote Monitoring

Telehealth Has More to Offer Than Just Video and Phone Consultations | MSN | 10/1/2020

… access health care. We’re now using telehealth more than ever. Last week’s federal budget confirmed a six-month extension of Medicare subsidies for telehealth consultations, worth A$2.4 billion. It also included A$18.6 million … support can enable people to better self-manage their condition . Remote monitoring is used internationally to manage chronic diseases, with good results. A recent review showed it led to positive outcomes in 77% of studies …

Health Economics

Congressman Vern Buchanan Urges CMS to Scrap PDGM’s 4.36% Behavioral Adjustment | Home Health Care News | 10/1/2020

In August, the Partnership for Quality Home Healthcare (PQHH) unveiled a first-of-its kind, comprehensive analysis of the Patient-Driven Groupings Model (PDGM). Among its findings, the analysis — conducted by health economics and policy consulting firm Dobson DaVanzo & Associates — highlighted how government spending on home health care is 21.6% lower than what the U.S. Centers for Medicare & Medicaid Services (CMS) projected going into 2020. The cause of that discrepancy …

Medicaid

Zing Health Names Eric Mattelson Chief Actuary | PR Newswire | 9/24/2020

PRNewswire/ – Zing Health, a physician-led Medicare Advantage HMO plan, announced today that Eric Mattelson has been named chief actuary. He will focus on identifying key cost drivers and implementing innovative financial strategies to advance … for a 430,000-life provider-sponsored health plan spanning managed Medicaid, Medicare Advantage, TRICARE and Self-insured Employer Group. He was integrally involved in financial analytic support for more than 40,000 life Medicare ACOs, and …

ACOs

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

BETHESDA, Md. , Sept. 23, 2020 /PRNewswire/ – Today, Aledade, Inc. announced that its accountable care organizations (ACOs) with commercial payers, Medicaid, Medicare Advantage, and the Medicare Shared Savings Program (MSSP) have saved more than $400 million across the health care system in five years by helping patients receive higher-quality care, with over half of that value created in the past year. In 2019 alone, independent primary care practices in Aledade …

ACO

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

BETHESDA, Md. , Sept. 23, 2020 /PRNewswire/ – Today, Aledade, Inc. announced that its accountable care organizations (ACOs) with commercial payers, Medicaid, Medicare Advantage, and the Medicare Shared Savings Program (MSSP) have saved more than $400 million across the health care system in five years by helping patients receive higher-quality care, with over half of that value created in the past year. In 2019 alone, independent primary care practices in Aledade …

Ambulance Services

CMS taking prior authorization model for ambulance transport nationwide | FierceHealthcare | 9/23/2020

The Trump administration is taking a prior authorization program for ambulance services nationwide. The Centers for Medicare & Medicaid Services said in an announcement on Tuesday that the edicare Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) has saved the program $650 million over the past four years. CMS analyses suggest that non-emergent ambulance transport is a frequent source of improper payments, with an estimated improper payment …

Kaiser Family Foundation

Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due | Kaiser Health News | 9/22/2020

Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due By Sarah Jane Tribble September 22, 2020 h1 Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due /h1 span class … independent program of the a href=”http://www.kff.org/” Henry J. Kaiser Family Foundation /a which is not affiliated with Kaiser Permanente. /p h3 USE OUR CONTENT /h3 p This story can be republished for free …

American Hospital Association

AHA Contests Study on High Hospital Prices for Privately Insured | RevCycle Intelligence | 9/22/2020

Reimbursement News AHA Contests Study on High Hospital Prices for Privately Insured The study found that hospital prices are 247% higher than what Medicare would pay and that gap has recently increased, but the AHA says the research is flawed. The American Hospital Association (AHA) is speaking out against a new RAND Corporation study that found private health plans pay 247 percent more, on average, than what Medicare would pay …

MACRA

Most ACOs Worried About Rising Advanced APM Thresholds Next Year | RevCycle Intelligence | 9/22/2020

… MACRA’s Advanced Alternative Payment Models (APMs) in 2021. The survey from the National Association of ACOs (NAACOS) recently found that more than 90 percent of ACOs participating in an Advanced APM , including the Medicare Shared Savings Program and the Next Generation ACO Model, are concerned they will not meet the new threshold to secure the 5 percent incentive payment under MACRA. And that concern is validated by survey data, NAACOS …

Member Engagement

Wider Circle and Helping Hands Community Partner to Aid Over 50,000 Individuals in Vulnerable California Communities with Fresh Food | PR Newswire | 9/22/2020

Medicare Advantage prescription drug plan, to support their members during this challenging time. Overcoming Pandemic Obstacles with an Innovative Partnership that Scales Launched by Silicon Valley entrepreneurs, Wider Circle serves more than 135 communities nationwide, by supporting national and local health plan efforts to foster social connection and increase member engagement. Amid the pandemic, Wider Circle has recently faced new obstacles in getting food into the hands of the most …

Consumer Engagement

AdhereHealth Unveils Newest Adhere™ Platform SaaS Offering for Medicare Advantage Plans to Maximize Star Ratings Performance | PR Newswire | 9/22/2020

NASHVILLE, Tenn. AdhereHealth , a healthcare technology leader in medication adherence insights and health outcomes, announced today the launch of Resolve SaaS, a one-of-a-kind solution to navigate health plan consumer engagement for Star Ratings initiatives. The Resolve SaaS solution enables Medicare Advantage plans to efficiently provide a holistic platform for their internal clinical teams and aligned provider network to drive necessary quality improvement for health plan members. The …

Utilization Management

Humana’s CMO on how COVID pushed the company to ‘rethink our role’ with MA members | FierceHealthcare | 9/22/2020

When it came to figuring out how to best help Humana’s Medicare Advantage plans in the early days of the COVID-19 pandemic, the company had to “rethink our role,” said Humana’s Chief Medical Officer … looked at reducing friction points for providers, such as reducing utilization management prior authorization, that could slow the speed to care. The insurer also sent out 7.5 milion kits with masks and information about how …

COVID-19

University Hospital helped during COVID-19. Now, we need to support this facility. | PRWeb | 9/22/2020

University Hospital helped during COVID-19. Now, we need to support this facility. Opinion Updated 2:04 PM; Today 1:35 PM 39. A clinician treats a COVID-positive patient inside of a negative pressure isolation room … 73% of all revenue comes from healthcare subsidies such as Medicare and Medicaid, the reimbursement rate is a fraction of what private insurance pays, lowering overall revenues for the hospital. While University Hospital has to …

CARES Act

AHA Contests Study on High Hospital Prices for Privately Insured | RevCycle Intelligence | 9/22/2020

… Contests Study on High Hospital Prices for Privately Insured The study found that hospital prices are 247% higher than what Medicare would pay and that gap has recently increased, but the AHA says the research … 175 billion allocated by policymakers to healthcare providers through the CARES Act . READ MORE: Providers Price Gouging Out-of-Network COVID-19 Tests, AHIP Says But many employers are also in desperate need of financial …

ACA

Different Takes: ACA Is Endangered Again If Trump Gets His Supreme Court Pick; Medicare, Social Security Head Up Ballot Concerns | Kaiser Health News | 9/21/2020

Editorial writers express views about these health issues and others. Modern Healthcare: Trump, GOP Still Suing To Overturn The ACA Amid COVID-19 America is in the midst of unprecedented public health and economic crises … pandemic. (Abdul El-Sayed, 9/20) The Hill: Social Security And Medicare Are On The Ballot This November Ever since President Franklin D. Roosevelt’s son, Rep. James Roosevelt, Sr., founded our organization to protect Social Security …

Home Health

Genuine Health Group Saves Medicare $4 Million And Keeps Half To Share With Its Doctors | PRWeb | 9/21/2020

Genuine Health Group Saves Medicare $4 Million And Keeps Half To Share With Its Doctors Share Article Centers For Medicare And Medicaid Services Rewards Genuine Health ACO For Delivering High Quality Care And Lowering Costs … time, and Genuine Health provides advanced technology, innovative programs like home health visits for patients transitioning from the hospital, and intense monitoring and care for patients with chronic conditions, such as diabetes, COPD, and congestive …

Mental Health

Different Takes: ACA Is Endangered Again If Trump Gets His Supreme Court Pick; Medicare, Social Security Head Up Ballot Concerns | Kaiser Health News | 9/21/2020

… it – and leave millions of Americans without healthcare in a pandemic. (Abdul El-Sayed, 9/20) The Hill: Social Security And Medicare Are On The Ballot This November Ever since President Franklin D. Roosevelt’s son, Rep … address the social determinants of health to target infant mortality, mental health, healthy aging, substance abuse and other chronic issues. It should emphasize the importance of public health, articulate a national target for healthcare expenditures …

Infection Prevention

CMS Nursing Home Visitation Advisory Targets Social Isolation | Patient Engagement HIT | 9/21/2020

… social isolation is impeding nursing home patient health and patient experience. Source: CMS By September 21, 2020 - The Centers for Medicare & Medicaid Services (CMS) has issued updated advisory for nursing home visitation aimed at ameliorating … number and size of visits occurring simultaneously to support safe infection prevention actions (e.g., maintaining social distancing).” The agency also recommended facilities limit the number of visitors per resident to a “reasonable number.” The agency …

CDC

CMS Nursing Home Visitation Advisory Targets Social Isolation | Patient Engagement HIT | 9/21/2020

… social isolation is impeding nursing home patient health and patient experience. Source: CMS By September 21, 2020 - The Centers for Medicare & Medicaid Services (CMS) has issued updated advisory for nursing home visitation aimed at ameliorating … in older populations. Per the Centers for Disease Control & Prevention (CDC), social isolation can cause a spike in all-cause premature death. Social isolation has also been credited with a 50 percent increase in the …

Patient Satisfaction

CMS Nursing Home Visitation Advisory Targets Social Isolation | Patient Engagement HIT | 9/21/2020

… social isolation is impeding nursing home patient health and patient experience. Source: CMS By September 21, 2020 - The Centers for Medicare & Medicaid Services (CMS) has issued updated advisory for nursing home visitation aimed at ameliorating … READ MORE: COVID-19 Sparked Change to ICU Family Visits, Patient Satisfaction Family visitation guidelines have been especially important in nursing homes, where older adults at higher risk for the coronavirus live in close quarters …

University of Rochester Medical Center

In nursing homes and assisted living communities, minorities suffer most from Covid-19, research says - CNN | 9/21/2020

CNN) Older racial and ethnic minority residents in nursing homes and assisted living communities in the United States and their caregivers have been hit hardest by the Covid-19 pandemic, according to new research by the University of Rochester Medical Center. The findings, based on newly mandated weekly data from the Centers for Medicare and Medicaid Services of more than 15,500 nursing homes, came from two studies published Monday in …

Health Disparities

Different Takes: ACA Is Endangered Again If Trump Gets His Supreme Court Pick; Medicare, Social Security Head Up Ballot Concerns | Kaiser Health News | 9/21/2020

… it – and leave millions of Americans without healthcare in a pandemic. (Abdul El-Sayed, 9/20) The Hill: Social Security And Medicare Are On The Ballot This November Ever since President Franklin D. Roosevelt’s son, Rep … Healthcare: It’s Time To Move The Country Forward On Racial Health Disparities The commission should develop and coordinate initiatives designed to address the social determinants of health to target infant mortality, mental health, healthy aging …

Department of Health and Human Services

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

A bill introduced to the U.S. House of Representatives on Thursday would permanently lift site restrictions for Medicare patients to access telehealth. During the pandemic, several restrictions on where telehealth visits could be conducted and what services were eligible were temporarily lifted. Post a comment / Jul 16, 2020 at 5:55 PM Shares 1 Since the start of the Covid-19 pandemic, the Department of Health and Human Services made sweeping …

Telehealth

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

A bill introduced to the U.S. House of Representatives on Thursday would permanently lift site restrictions for Medicare patients to access telehealth. During the pandemic, several restrictions on where telehealth visits could be conducted and what services were eligible were temporarily lifted. Post a comment / Jul 16, 2020 at 5:55 PM Shares 1 Since the start of the Covid-19 pandemic, the Department of Health and Human Services made sweeping …

Rite Aid

Rite Aid: Store And PBM Rebrand ‘Well Underway’ | Forbes | 9/24/2020

Rite Aid said the rebranding of stores is “well underway” with a new logo inside and on the exterior of 200 stores and the company renaming and relaunch of its pharmacy benefit manager Elixir near … segment sales jumped 29% thanks to an increase of 259,000 Medicare Part D drug benefit members, the company said Thursday. “We also officially launched our new Elixir brand and are focused on enhancing our curated …

Express Scripts

Rite Aid: Store And PBM Rebrand ‘Well Underway’ | Forbes | 9/24/2020

… The future of Rite Aid’s Elixir comes as rival PBMs are getting bigger and competition is fierce. Last December , Cigna’s Express Scripts PBM and Prime Therapeutics, a PBM owned by 18 Blue Cross Blue Shield … segment sales jumped 29% thanks to an increase of 259,000 Medicare Part D drug benefit members, the company said Thursday. “We also officially launched our new Elixir brand and are focused on enhancing our curated …

OptumRx

Rite Aid: Store And PBM Rebrand ‘Well Underway’ | Forbes | 9/24/2020

… OptumRx. CVS Health, which owns the Caremark PBM, also has more clout after it bought the health insurer Aetna in late 2018. “We’re going after the markets where the big three (PBMs) aren’t focused,” Donigan told analysts in reference to Express Scripts, Caremark and OptumRx. Rite Aid’s pharmacy-services segment sales jumped 29% thanks to an increase of 259,000 Medicare Part D drug benefit members, the company said Thursday. “We …

Aledade

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

BETHESDA, Md. , Sept. 23, 2020 /PRNewswire/ – Today, Aledade, Inc. announced that its accountable care organizations (ACOs) with commercial payers, Medicaid, Medicare Advantage, and the Medicare Shared Savings Program (MSSP) have saved more than $400 million across the health care system in five years by helping patients receive higher-quality care, with over half of that value created in the past year. In 2019 alone, independent primary care practices in Aledade

Optum

Even Low-Dose Glucocorticoids Up Infection Risk in RA | Medscape | 9/22/2020

Medicare claims data and Optum’s Clinformatics Data Mart database, involved adult patients with RA who, during the period 2006 to 2015, received for more than 6 months stable therapy with disease-modifying antirheumatic drugs (DMARDs). Adding GCs to DMARDs was common, with more than 40% of patients receiving both. The 1-year cumulative incidence of hospitalized infection in Medicare recipients who did not receive GCs was 8.6%. For those who …

Thermo Fisher

Genetic Technologies Provides Update on COVID-19 Disease Severity Test Development | Nasdaq | 9/20/2020

… the same time. Genetic Technologies has designed and ordered its first SNP (Single Nucleotide Polymorphism) array panel from US-based Thermo Fisher Scientific Inc, a world leader in genetic testing and GTG manufacturing partner for … held discussions to confirm procedural information with the Centres for Medicare and Medicaid Services (CMS) and National Association of testing Authorities, Australia (“NATA”) for regulatory Approval for the COVID-19 Disease Severity Risk Test in …

Lyft Health

2020 may be the year from hell, but health tech IPO boom continues - MedCity News | 9/20/2020

Medicare patients, went public in August raising $328 million. Amwell, a telehealth company that went public just last week, raising $742 million. All but GoHealth have seen their stock increase since going public. Last year, which some investors called the “year of the digital health IPO,” five digital health companies went public. Livongo, in particular, is performing well: “Last year Uber and Lyft went public too. Tech IPOs started to …

Amwell

2020 may be the year from hell, but health tech IPO boom continues - MedCity News | 9/20/2020

Medicare patients, went public in August raising $328 million. Amwell, a telehealth company that went public just last week, raising $742 million. All but GoHealth have seen their stock increase since going public. Last year, which some investors called the “year of the digital health IPO,” five digital health companies went public. Livongo, in particular, is performing well: “Last year Uber and Lyft went public too. Tech IPOs started to …

Accolade

2020 may be the year from hell, but health tech IPO boom continues - MedCity News | 9/20/2020

… Accolade, which debuted in early July, raising $220 million . GoHealth, an online insurance broker that raised $916 million in its July IPO. Oak Street Health, which operates primary care centers for Medicare patients, went public in August raising $328 million. Amwell, a telehealth company that went public just last week, raising $742 million. All but GoHealth have seen their stock increase since going public. Last year, which some investors called …

GoodRx

2020 may be the year from hell, but health tech IPO boom continues - MedCity News | 9/20/2020

… online insurance broker that raised $916 million in its July IPO. Oak Street Health, which operates primary care centers for Medicare patients, went public in August raising $328 million. Amwell, a telehealth company that went … this year will close soon, as the election quickly approaches. GoodRx, a startup that negotiates with pharmacy benefits managers for users to access prescription discounts, recently priced its IPO between $24 and $28 per share …

Thermo Fisher Scientific

Genetic Technologies Provides Update on COVID-19 Disease Severity Test Development | Nasdaq | 9/20/2020

… the same time. Genetic Technologies has designed and ordered its first SNP (Single Nucleotide Polymorphism) array panel from US-based Thermo Fisher Scientific Inc, a world leader in genetic testing and GTG manufacturing partner for … held discussions to confirm procedural information with the Centres for Medicare and Medicaid Services (CMS) and National Association of testing Authorities, Australia (“NATA”) for regulatory Approval for the COVID-19 Disease Severity Risk Test in …

GoHealth

2020 may be the year from hell, but health tech IPO boom continues - MedCity News | 9/20/2020

… GoHealth, an online insurance broker that raised $916 million in its July IPO. Oak Street Health, which operates primary care centers for Medicare patients, went public in August raising $328 million. Amwell, a telehealth company that went public just last week, raising $742 million. All but GoHealth have seen their stock increase since going public. Last year, which some investors called the “year of the digital health IPO,” five digital …

Carrum Health

StartUPDATES: New developments from healthcare startups - MedCity News | 9/19/2020

… Carrum Health, Totient, Spine Align, and more. Post a comment / Sep 18, 2020 at 5:56 PM Shares 0 Carrum Health is expanding into Indiana through a partnership with OrthoIndy Hospital to provide Indiana employers, employees and their dependents access to high-quality orthopedic services at predictable costs. A RAND Corporation study found that prices paid to hospitals across the U.S. for privately insured patients averaged about 241% of what Medicare

CVS

‘We feel bullish’: Payers look ahead to 2021 | Healthcare Dive | 9/18/2020

CVS Health-owned Aetna has seen its commercial business come back faster than Medicare, CFO Eva Boratto said. Primary care and labs have seen a quicker rebound, but it’s been slower in inpatient and ambulatory. Centene CEO Michael Neidorff predicts utilization will be between 65% to 80% of normal by the end of the year, but remains cautious due to the shifting nature of the pandemic, and how it could …

UnitedHealth

‘We feel bullish’: Payers look ahead to 2021 | Healthcare Dive | 9/18/2020

… meeting internal expectations, CEO Bruce Broussard said. CVS Health-owned Aetna has seen its commercial business come back faster than Medicare, CFO Eva Boratto said. Primary care and labs have seen a quicker rebound, but … benefit for companies with leading market share in MA, like UnitedHealth, Humana and Aetna . “We’ve had public options and done well in public options. So history says that’s fine,” Centene’s Neidorff said. “I think Biden …

UnitedHealth Group

12 Leading Medicare Advantage Payers by 2020 CMS Star Ratings | HealthPayer Intelligence | 9/18/2020

12 Leading Medicare Advantage Payers by 2020 CMS Star Ratings These twelve Medicare Advantage payers earned the highest scores in Medicare Advantage Star Ratings going into 2020, a year that has tested Medicare Advantage plans … plans covered included California, Colorado, Hawaii, Maryland, Virginia, and Washington. UnitedHealth Group READ MORE: Dawn of the Virtual Medicare Advantage Plan from Alignment Health UnitedHealth Group had two five-star Medicare Advantage plans. One was …

CVS Health

‘We feel bullish’: Payers look ahead to 2021 | Healthcare Dive | 9/18/2020

… CVS Health-owned Aetna has seen its commercial business come back faster than Medicare, CFO Eva Boratto said. Primary care and labs have seen a quicker rebound, but it’s been slower in inpatient and ambulatory. Centene CEO Michael Neidorff predicts utilization will be between 65% to 80% of normal by the end of the year, but remains cautious due to the shifting nature of the pandemic, and how it could …

National Medical Billing Services

AtlantiCare surgery centers back in network with Humana | Becker’s ASC Review | 9/18/2020

Sponsored by National Medical Billing Services [email protected] (636) 273-6711 AtlantiCare surgery centers back in network with Humana Eric Oliver - Humana and Atlantic City, N.J.-based AtlantiCare reached an agreement to provide in-network care for Medicare Advantage members. What you should know: 1. AtlanticCare’s facilities in Atlantic City and Pomona, N.J., and outpatient facilities in southeastern New Jersey are now in network with Humana. 2. Neither party disclosed the …

Centene

‘We feel bullish’: Payers look ahead to 2021 | Healthcare Dive | 9/18/2020

… Medicare, CFO Eva Boratto said. Primary care and labs have seen a quicker rebound, but it’s been slower in inpatient and ambulatory. Centene CEO Michael Neidorff predicts utilization will be between 65% to 80% of normal by the end of the year, but remains cautious due to the shifting nature of the pandemic, and how it could coincide with a potentially nasty flu season. “We don’t know what other peaks …

Xtelligent Healthcare Media

Designating Ownership of Provider Data Will Improve Care Coordination, Study Finds | HIT Consultant | 9/18/2020

… improve care coordination , yet only 18 percent of organizations report having a dedicated data governance department. Conducted in collaboration with Xtelligent Healthcare Media , the LexisNexis Risk Solutions Health Care survey is designed to identify provider … have at least one inaccuracy according to a Centers for Medicare and Medicaid Services (CMS) report of Medicare Advantage organizations. Without accurate healthcare provider data, patients can get lost in the system and providers are …

Siemens

Global Serological Transplant Diagnostics Market 2020-2027: U. S. Market is Estimated at $90.8 Million, While China is Forecast to Grow at 4.9% CAGR | PR Newswire | 9/17/2020

Medicare Biogenuix Medsystems Pvt. Ltd. Bio-Rad Laboratories, Inc. DIAGAST Grifols SA Hemo bioscience, Inc. Immucor, Inc. Institut de Biotechnologies Jacques Boy S. A. S. Lorne Laboratories Ltd. MTC med. Produkte GmbH Ortho Clinical Diagnostics Quotient Biodiagnostics REAGENS Kft. Siemens Healthineers Thermo Fisher Scientific, Inc. Tulip Ltd. Key Topics Covered: I. INTRODUCTION, METHODOLOGY & REPORT SCOPE II. EXECUTIVE SUMMARY 1. MARKET OVERVIEW Global Competitor Market Shares Serological Transplant Diagnostics Competitor Market …

Siemens Healthineers

Global Serological Transplant Diagnostics Market 2020-2027: U. S. Market is Estimated at $90.8 Million, While China is Forecast to Grow at 4.9% CAGR | PR Newswire | 9/17/2020

Medicare Biogenuix Medsystems Pvt. Ltd. Bio-Rad Laboratories, Inc. DIAGAST Grifols SA Hemo bioscience, Inc. Immucor, Inc. Institut de Biotechnologies Jacques Boy S. A. S. Lorne Laboratories Ltd. MTC med. Produkte GmbH Ortho Clinical Diagnostics Quotient Biodiagnostics REAGENS Kft. Siemens Healthineers Thermo Fisher Scientific, Inc. Tulip Ltd. Key Topics Covered: I. INTRODUCTION, METHODOLOGY & REPORT SCOPE II. EXECUTIVE SUMMARY 1. MARKET OVERVIEW Global Competitor Market Shares Serological Transplant Diagnostics Competitor Market …

Omada Health

Remote monitoring is rapidly growing — and a new class of patient-consumer is driving the shift | STAT | 9/16/2020

… I solve this care need without showing up in person?’” said Sean Duffy, chief executive officer and co-founder of Omada Health, a virtual diabetes care provider. “That consumer expectation change is going to be … Livongo’s glucose meters. And starting last year, the Centers for Medicare and Medicaid Services began reimbursing providers who use remote monitoring tools with new billing codes explicitly focused on remote health tracking, including codes that …

McKesson

The US just laid out a 57-page playbook to get free coronavirus vaccines to every American. Here are the 5 crucial takeaways. | Business Insider | 9/16/2020

… the vaccine and look at past distribution efforts to see what they could learn from them. The government is paying McKesson Corporation to deliver the vaccine to locations across the US. Business Insider combed through … Congress require health insurance companies and government programs such as Medicare and Medicaid to cover the cost of the coronavirus vaccine without charging patients. The provider relief fund, which was created by Congress to help …

Teladoc

Remote monitoring is rapidly growing — and a new class of patient-consumer is driving the shift | STAT | 9/16/2020

… by transforming consumer gadgets to medical devices, with an eye on clinical evidence. Related: With Livongo’s arsenal of health devices, Teladoc is poised to move into remote monitoring Apple was the first to enter the … Livongo’s glucose meters. And starting last year, the Centers for Medicare and Medicaid Services began reimbursing providers who use remote monitoring tools with new billing codes explicitly focused on remote health tracking, including codes that …

Frist Cressey Ventures

On-demand Healthcare Service, Ready, Raises $54 Million in Series C Financing | Business Wire | 9/16/2020

… that bring medical care directly to patients in their homes. GV, Deerfield Management Company, City Light Capital, Town Hall Ventures, Frist Cressey Ventures and others have invested over $100 million across two funding rounds in … primarily consist of Medicaid beneficiaries, and patients dually eligible for Medicare and Medicaid. The Ready model will grow to include mental health, expanded point-of-care testing, vaccinations and new approaches to improve care quality …

Town Hall Ventures

On-demand Healthcare Service, Ready, Raises $54 Million in Series C Financing | Business Wire | 9/16/2020

… and clinical programs that bring medical care directly to patients in their homes. GV, Deerfield Management Company, City Light Capital, Town Hall Ventures, Frist Cressey Ventures and others have invested over $100 million across two … primarily consist of Medicaid beneficiaries, and patients dually eligible for Medicare and Medicaid. The Ready model will grow to include mental health, expanded point-of-care testing, vaccinations and new approaches to improve care quality …

Deerfield Management

On-demand Healthcare Service, Ready, Raises $54 Million in Series C Financing | Business Wire | 9/16/2020

… finance the expansion of its operations and clinical programs that bring medical care directly to patients in their homes. GV, Deerfield Management Company, City Light Capital, Town Hall Ventures, Frist Cressey Ventures and others have … primarily consist of Medicaid beneficiaries, and patients dually eligible for Medicare and Medicaid. The Ready model will grow to include mental health, expanded point-of-care testing, vaccinations and new approaches to improve care quality …

Questa Capital

CredSimple Rebrands as andros; Launches New Proprietary Data Platform to Digitally Transform the Healthcare Industry | PR Newswire | 9/15/2020

… demanding more technology enabled solutions that can address their heightened compliance and regulatory needs,” said Brad Sloan , Managing Partner at Questa Capital. “andros has developed a powerful SaaS platform that is providing a new standard … established successful networks for all health plan products including commercial, Medicare Advantage, Managed Medicaid (MCOs), Duals (MMP), LTSS/HCBS, ISNP and DSNP and specialty networks including dental, behavioral, and telehealth. Today, over 75 healthcare organizations …

Silicon Valley Bank

The coronavirus has sparked a boom in digital health, but some say it may not last | Yahoo News | 9/13/2020

… billion acquisition of Livongo have punctuated a trend of major money flowing into the sector. According to a report from Silicon Valley Bank and EY , health tech deals increased by 18% in the first half … reimbursement is here to stay, and specific to government-based Medicare reimbursement,” he said. “We’re seeing the COVID relief package with waivers through the end of 2021.” However, Dr. Stephen Klasko, CEO of Jefferson Health …

Morgan Stanley

Centene To Participate At Morgan Stanley 18th Annual Global Healthcare Conference | PR Newswire | 9/10/2020

ST. LOUIS, Mo. , Sept. 10, Centene Corporation (NYSE: CNC ) announced today it will participate at the Morgan Stanley Virtual 18 th Annual Global Healthcare Conference, to be held September 14-September 18, 2020 . Centene will … 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace, the TRICARE program, and individuals in …

Cambia Health Solutions

9 payer exec moves | Becker’s Hospital Review | 9/10/2020

Cambia Health Solutions for the past 18 years, will retire at the end of 2020. 6. Regence hired Brent Hess as its director of Medicare sales. 7. H. Robert Sanders was named executive vice president of human resources for Centene. 8. Cigna named John Webb market president for its healthcare and related benefits plans in West Tennessee/Arkansas/Mississippi. 9. Dale White will be appointed president of payer markets at …

RBC Capital Markets

Intra-Cellular’s Caplyta could cruise toward blockbusterland with bipolar depression win: analyst | FiercePharma | 9/10/2020

… within medical organizations face, and to come together to collaborate and share best practices. Learn More Encouraged by the data, RBC Capital Markets analyst Brian Abrahams figured Caplyta could eventually hit $1.2 billion in global … drug has reached coverage of over 95% of patients in Medicare Part D and Medicaid, the two largest channels for the product, SVB Leerink analyst Marc Goodman noted in an investor report last month. New …

JP Morgan

American Medical Technologies Announces Acquisition by One Equity Partners and The Silverfern Group | PR Newswire | 8/21/2020

… Clinical Delivery. “We are deepening our collaboration with practitioners and suppliers to adapt to the new reality.” “Forty percent of Medicare beneficiaries have chosen to be involved in a Medicare Advantage plan. To support this … 180 transactions worldwide. OEP, founded in 2001, spun out of JP Morgan in 2015. The firm has offices in New York , Chicago , and Frankfurt . For more information, please visit www.oneequity.com . About The Silverfern Group Silverfern …

SV Health Investors

Centauri Health Solutions Announces Acquisition of HCFS | Business Wire | 8/19/2020

… SV Health Investors. Weiss Brown LLP acted as legal counsel to Centauri and Shields Legal Group acted as legal counsel to HCFS. About Centauri Health Solutions Centauri Health Solutions provides services to payors and providers in government sponsored healthcare programs, including Medicare Advantage and Medicaid. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, and …

Goldman Sachs

Introducing the A-Medicare Coin: The Future of Medicine and Money | PR Newswire | 8/12/2020

LAS VEGAS , Aug. 12, A-Medicare founder Enzo Zelocchi announces plans for addressing the most urgent human problems with the latest technology. Among the most urgent problems: equitable access to quality health care, both during … in traditional, regulated banking, such as J.P. Morgan Chase and Goldman Sachs, have introduced their own digital fiat currencies into the global marketplace. Consider those waters tested. Positioning itself at the intersection of digital currencies …

Bain Capital

Waystar to Acquire eSolutions, an Industry Leader in Revenue Cycle & Medicare Analytics | PR Newswire | 8/12/2020

… provider of healthcare payments software, today announced a definitive agreement to acquire eSolutions , a revenue cycle technology company with unique Medicare-specific solutions. In bringing these two industry leaders together, Waystar will be the first … is backed by EQT, Canada Pension Plan Investment Board, and Bain Capital. “We are excited to support Matt Hawkins and the Waystar management team in its acquisition of eSolutions,” said Eric Liu , Partner at EQT …

Francisco Partners

Waystar to Acquire eSolutions, an Industry Leader in Revenue Cycle & Medicare Analytics | PR Newswire | 8/12/2020

… provider of healthcare payments software, today announced a definitive agreement to acquire eSolutions , a revenue cycle technology company with unique Medicare-specific solutions. In bringing these two industry leaders together, Waystar will be the first … FQHCs), and durable medical equipment providers. eSolutions is backed by Francisco Partners. Medicare has become the largest payer in the United States and as baby boomers age, the mix of insurance coverage is increasingly shifting …

HMS Holdings

Top execs share how a Democratic presidency would boost healthcare - Business Insider | 8/11/2020

… higher corporate tax rate. For more stories like this, sign up here for our healthcare newsletter Dispensed. Government programs like Medicare and Medicaid have been lucrative for private health insurers. They frequently contract with government … if more people enroll in Medicaid. Bill Lucia, CEO of HMS Holdings, on August 7 called a potential Biden administration a “net positive” for the company. HMS Holdings' services include reviewing hospital claims for …

Fidelity Investments

Health care will cost this much in retirement — but probably even more | MSN | 8/4/2020

Fidelity Investments as part of its annual Health Care Cost Estimate, includes Medicare Part A, Part B and Part D premiums and deductibles, but it does not include over-the-counter medications, vitamin supplements and glasses. Long-term care insurance is also not included, which on its own could be an additional thousands of dollars a month. (Fidelity also didn’t take COVID-19 or related costs into account when modeling …

Echo Health Ventures

With CMS mandate looming, Abacus Insights rolls out interoperability solution for health plans | FierceHealthcare | 7/31/2020

… their infrastructure. The company launched this week a new interoperability solution to help health plans comply with the Centers for Medicare and Medicaid Services interoperability mandate. Abacus’ secure data management and application programming interface (API … Venture Fund, CRV, .406 Ventures, Horizon Healthcare Services Inc. and Echo Health Ventures, a strategic collaboration of Cambia Health Solutions and Mosaic Health Solutions. RELATED: Here are 6 ways the ONC’s new rules for opening …

Stryker

General Dynamics Reports Second-Quarter 2020 Results | PR Newswire | 7/29/2020

… two Columbia-class submarines which will be worth $11.5 billion when funding is received from Congress; $320 million to upgrade Stryker vehicles to the double-V-hull A1 configuration; $215 million from the U.S. Army … 35 Joint Strike Fighter; $130 million from the Centers for Medicare and Medicaid Services for several contracts, including support of the agency’s Healthcare Integrated General Ledger Accounting System (HIGLAS) application; and $125 million for several …

New Mountain Capital

W2O Acquires Discern Health to Strengthen Value-Based Care Capabilities | HIT Consultant | 7/28/2020

… analytics-driven, technology-enabled marketing and communications solutions. Leaders from Discern come from companies and organizations like the Centers for Medicare & Medicaid Services (CMS), National Quality Forum (NQF), and the National Committee for Quality Assurance … W2O has completed since the company announced its partnership with New Mountain Capital just over a year ago. W2O’s approach to growth is to add experts and capabilities that its clients recommend. This approach continues …

NCI

Oncocyte to Hold KOL Webinar Showcasing New Data and Real World Usage of DetermaRx™ | Globe Newswire | 7/23/2020

… 11:30am PDT and is open to both clinicians and investors. This test was launched in January 2020 and has received Medicare coverage. The evidence supporting the clinical utility of DetermaRx in impacting patient outcomes in … Chair in Thoracic Oncology at the University of California, San Francisco (UCSF). They will be showcasing expanded prospective data demonstrating clinical utility in identifying high-risk patients at risk of recurrence, and significant impact on …

General Atlantic

VillageMD just raised $1 billion and Oak Street is going public. Meet the 8 primary-care companies building a new future for medicine during the coronavirus pandemic. | Business Insider | 7/14/2020

Medicare Advantage-focused Iora Health raised an additional $126 million from investors. In July, Walgreens made a $1 billion bet on primary care company VillageMD, with plans to open 500-700 doctors offices at Walgreens’ pharmacies over the next three years. Days later, General Atlantic-backed Oak Street Health filed to go public . The intense interest in primary care comes as the coronavirus pandemic creates massive challenges for every part of …

Allianz X

Telehealth giant raises $194M in funding | MedCity News | 7/4/2020

Amwell raised $194 million in a series C funding round led by Allianz X and Takeda. The telehealth giant has seen a surge in visits during the Covid-19 pandemic. Post a comment / May 20 … regulatory requirements have also fueled the growth of telehealth, with Medicare allowing visits to take place inside the home , and commercial insurers reimbursing for more telehealth visits. The Centers for Medicare and Medicaid Services has …

Thrive Capital

Digital health investments stay the course in Q2 2020 | MobiHealthNews | 7/2/2020

Thrive Capital and Baillie Gifford The company is planning to use this latest infusion of cash to expand its footprint. Oscar offers direct-to-consumer health insurance. Currently it has plans for individuals and families, businesses, and Medicare Advantage plans. $194 Allianz X and Takeda The company plans to use the new money to help expand its technology and services and help providers scale. Amwell is among the largest consumer …

Third Rock Ventures

Digital health investments stay the course in Q2 2020 | MobiHealthNews | 7/2/2020

Medicare Advantage plans. $194 Allianz X and Takeda The company plans to use the new money to help expand its technology and services and help providers scale. Amwell is among the largest consumer and enterprise telehealth providers. Series B $143 Andreessen Horowitz, Canada Pension Plan Investment Board, T. Rowe Price Associates, BlackRock, Casdin Capital, HOF Capital, WuXi AppTec’s Corporate Venture Fund, ARCH Venture Partners, Foresite Capital, GV, Third Rock Ventures

Optum Ventures

Digital health investments stay the course in Q2 2020 | MobiHealthNews | 7/2/2020

… expand its footprint. Oscar offers direct-to-consumer health insurance. Currently it has plans for individuals and families, businesses, and Medicare Advantage plans. $194 Allianz X and Takeda The company plans to use the new … clinical data to find likely candidates for new treatments. $135.80 Optum Ventures, Alta Partners, Questa Capital, Echo Health Ventures, Oak HC/FT and Humana. With these funds, DispatchHealth plans to grow its services in cities …

Khosla Ventures

Digital health investments stay the course in Q2 2020 | MobiHealthNews | 7/2/2020

… Khosla Ventures, Lakestar, Thrive Capital and Baillie Gifford The company is planning to use this latest infusion of cash to expand its footprint. Oscar offers direct-to-consumer health insurance. Currently it has plans for individuals and families, businesses, and Medicare Advantage plans. $194 Allianz X and Takeda The company plans to use the new money to help expand its technology and services and help providers scale. Amwell is among …

Kaiser Permanente

Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due | Kaiser Health News | 9/22/2020

Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due By Sarah Jane Tribble September 22, 2020 h1 Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due /h1 span class … J. Kaiser Family Foundation /a which is not affiliated with Kaiser Permanente. /p h3 USE OUR CONTENT /h3 p This story can be republished for free ( a href=”https://khn.org/news/california-expands-privacy-protection …

University Hospital, Stony Brook NY

University Hospital helped during COVID-19. Now, we need to support this facility. | PRWeb | 9/22/2020

University Hospital helped during COVID-19. Now, we need to support this facility. Opinion Updated 2:04 PM; Today 1:35 PM 39. A clinician treats a COVID-positive patient inside of a negative pressure isolation room … 73% of all revenue comes from healthcare subsidies such as Medicare and Medicaid, the reimbursement rate is a fraction of what private insurance pays, lowering overall revenues for the hospital. While University Hospital has to …

University of Rochester Medical Center, Rochester NY

In nursing homes and assisted living communities, minorities suffer most from Covid-19, research says - CNN | 9/21/2020

CNN) Older racial and ethnic minority residents in nursing homes and assisted living communities in the United States and their caregivers have been hit hardest by the Covid-19 pandemic, according to new research by the University of Rochester Medical Center. The findings, based on newly mandated weekly data from the Centers for Medicare and Medicaid Services of more than 15,500 nursing homes, came from two studies published Monday in …

University of Rochester

In nursing homes and assisted living communities, minorities suffer most from Covid-19, research says - CNN | 9/21/2020

CNN) Older racial and ethnic minority residents in nursing homes and assisted living communities in the United States and their caregivers have been hit hardest by the Covid-19 pandemic, according to new research by the University of Rochester Medical Center. The findings, based on newly mandated weekly data from the Centers for Medicare and Medicaid Services of more than 15,500 nursing homes, came from two studies published Monday in …

Oak Street Health

2020 may be the year from hell, but health tech IPO boom continues - MedCity News | 9/20/2020

… Oak Street Health, which operates primary care centers for Medicare patients, went public in August raising $328 million. Amwell, a telehealth company that went public just last week, raising $742 million. All but GoHealth have seen their stock increase since going public. Last year, which some investors called the “year of the digital health IPO,” five digital health companies went public. Livongo, in particular, is performing well: “Last year Uber …

One Medical

2020 may be the year from hell, but health tech IPO boom continues - MedCity News | 9/20/2020

… One Medical, which raised $245 million in its January IPO Drug discovery software company Schrodinger, which raised $232 million in a February IPO. Benefits navigation platform Accolade, which debuted in early July, raising $220 million . GoHealth, an online insurance broker that raised $916 million in its July IPO. Oak Street Health, which operates primary care centers for Medicare patients, went public in August raising $328 million. Amwell, a telehealth company …

Massachusetts General Hospital

Hospitals charge private insurers more than 2x what Medicare pays: 6 things to know | Becker’s Hospital Review | 9/18/2020

Hospitals across the U.S. charge private insurers an average of 247 percent more than what Medicare would pay for the same care, according to a RAND Corp. study published Sept. 18. For the study, researchers … For example, in the Boston-based Mass General Brigham, its Massachusetts General Hospital charged private insurers nearly three times what Medicare paid, while its Newton-Wellesley Hospital charged private insurers about two times what Medicare

Meridian Health

N.J.’s first payer-provider joint company to launch Medicare plans in October | Crain’s New York Business | 9/18/2020

Reprints Print New Jersey’s largest health insurance provider has partnered with two of the state’s biggest health systems to create a company offering Medicare Advantage plans, the companies announced this week. Horizon Blue Cross Blue Shield of New Jersey, Hackensack Meridian Health and RWJBarnabas Health created Braven Health, which will offer three plans in eight counties—Bergen, Essex, Hudson, Middlesex, Monmouth, Ocean, Passaic and Union—at its Oct. 1 launch …

RWJBarnabas Health

N.J.’s first payer-provider joint company to launch Medicare plans in October | Crain’s New York Business | 9/18/2020

Reprints Print New Jersey’s largest health insurance provider has partnered with two of the state’s biggest health systems to create a company offering Medicare Advantage plans, the companies announced this week. Horizon Blue Cross Blue Shield of New Jersey, Hackensack Meridian Health and RWJBarnabas Health created Braven Health, which will offer three plans in eight counties—Bergen, Essex, Hudson, Middlesex, Monmouth, Ocean, Passaic and Union—at its Oct. 1 launch …

Hackensack Meridian Health

N.J.’s first payer-provider joint company to launch Medicare plans in October | Crain’s New York Business | 9/18/2020

Reprints Print New Jersey’s largest health insurance provider has partnered with two of the state’s biggest health systems to create a company offering Medicare Advantage plans, the companies announced this week. Horizon Blue Cross Blue Shield of New Jersey, Hackensack Meridian Health and RWJBarnabas Health created Braven Health, which will offer three plans in eight counties—Bergen, Essex, Hudson, Middlesex, Monmouth, Ocean, Passaic and Union—at its Oct. 1 launch …

Hackensack Meridian

N.J.’s first payer-provider joint company to launch Medicare plans in October | Crain’s New York Business | 9/18/2020

Reprints Print New Jersey’s largest health insurance provider has partnered with two of the state’s biggest health systems to create a company offering Medicare Advantage plans, the companies announced this week. Horizon Blue Cross Blue Shield of New Jersey, Hackensack Meridian Health and RWJBarnabas Health created Braven Health, which will offer three plans in eight counties—Bergen, Essex, Hudson, Middlesex, Monmouth, Ocean, Passaic and Union—at its Oct. 1 launch …

Trinity Health, Livonia MI

Trinity Health ACO to receive $13.7M from CMS for Quality and Care Coordination Efforts | 9/18/2020

The Black Book Trinity Health ACO to receive $13.7M from CMS for Quality and Care Coordination Efforts September 18, 2020 – Trinity Health Integrated Care (Livonia, MI), a Medicare Shared Savings Program Enhanced Track Accountable Care Organization (ACO), earned $13.7 million in earned shared savings while maintaining a quality score above 90%. The achievement marks $44.9 million in earned shared savings for the ACO over the past three performance years. In …

Intermountain Healthcare

WEDI Announces Agenda for Virtual Event - WEDI National Conference | PRWeb | 9/17/2020

Medicare & Medicaid Services (CMS); Stephen Konya, Senior Innovation Strategist, Office of the National Coordinator for Health IT (ONC); Sheila Shapiro, Senior Vice President, National Strategic Partnerships, UnitedHealthcare Care Modernization & Innovation; Dr. Lina Walker, Vice President, Health Security, AARP; Mari Savickis, Vice President, Public Policy, CHIME; Grant Wood, Senior IT Strategist, Intermountain Healthcare Precision Genomics; Alison Armstrong, Health Policy Director, Anthem; Denise St Clair, Senior Policy Expert, Centers for Medicare & Medicaid …

HonorHealth

Innovation Care Partners announces earned revenue in Medicare Shared Savings Program | PR Newswire | 9/16/2020

SCOTTSDALE, Ariz. , Sept. 15, Innovation Care Partners (ICP), an affiliate of HonorHealth, is pleased to announce that for the sixth year in a row, the Innovation Care Partners Medicare Shared Savings Program, formerly Scottsdale Health Partners MSSP, has earned a shared savings payment from Medicare for its outstanding quality and efficiency in 2019. 2019 ICP MSSP Performance Shared Savings Quality Performance $24,437,176 99.5% Other notable accomplishments include: The ICP MSSP …

Department of Veterans Affairs

Virta Health Launches Beyond Telemedicine Conference, Convening 40+ Industry Leaders to Discuss Today’s Most Pressing Issues in Telehealth | Business Wire | 9/16/2020

Department of Veterans Affairs Francine Kaufman: Former President of the American Diabetes Association Don Berwick: Former Administrator of Centers for Medicare and Medicaid Robin Glass: President, Doctor on Demand David Brailer: Chairman of Health Evolution, former US National Coordinator, Health Information Technology Emily Barson: Executive Director of United States of Care Eric Hargan: Deputy Secretary of the US Department of Health and Human Services Aashima Gupta : Director of Global Healthcare …

Surgery Partners

The driving force behind prosperous ASC-hospital partnerships: Q&A with Surgery Partners EVP, Chief Administrative and Development Officer Jennifer Baldock | Becker’s ASC Review | 9/16/2020

… to perform more complex procedures in the ASC, and the pandemic accelerated this outpatient migration. Since 2004, Brentwood, Tenn.-based Surgery Partners has provided investment and management services to surgical facilities nationwide. The company is … possible for physicians to perform total knees on appropriately selected Medicare beneficiaries in the ASC this year; the agency proposed adding total hips in 2021. CMS has also placed increasingly complex spinal surgeries and heart …

UPMC

Challenges Confront Medicare Advantage Fall Election Period | PR Newswire | 9/15/2020

PRNewswire/ – The COVID-19 virus will present unprecedented challenges for the forthcoming Medicare Advantage Annual Election Period (AEP) that runs from October 15 - December 7th , says Patrick Phillips , CEO of Cavulus, a leading technology provider … many of America’s top insurers, including several BlueCross/ BlueShield companies, UPMC Health Plan, Johns Hopkins Healthcare, Lumeris and United Healthcare. For details: www.cavulus.com . Media Inquiries: 800-760-6915 …

Mercy Health

10 ACOs with the most shared savings in 2019 | Becker’s Hospital Review | 9/15/2020

10 ACOs with the most shared savings in 2019 Morgan Haefner - Print Email Medicare Shared Savings Program ACOs generated a record $1.2 billion in net savings for the Medicare program across 541 ACOs in 2019 … 4. Millennium Accountable Care Organization (Fort Myers, Fla.) — $26.3 million5. Mercy Health ACO (St. Louis) — $24.2 million6. Silver State ACO (Las Vegas) — $23.4 million 7. McLaren High Performance Network (Auburn Hills, Mich.) — $17.3 million 8 …

Einstein Healthcare Network

FTC case against Jefferson-Einstein merger kicks off in Philadelphia federal court | Becker’s Hospital Review | 9/15/2020

… and value-based programs, testified Monday on the first day of a federal court hearing on Jefferson’s proposed acquisition of Einstein Healthcare Network. News of Independence’s reaction to Jefferson’s dramatic expansion since 2015 under chief … pending acquisition of Health Partners Plans Inc., a Medicaid and Medicare Advantage insurer. Such a move would be a potential springboard to challenge Independence, which commands 50% of the commercial insurance market in Southeastern Pennsylvania …

UF Health

Florida health care providers get reprieve from ‘devastating’ proposed rule | The Business Journals | 9/15/2020

… of his organization, which includes public, teaching and children’s hospitals. Those hospitals include Jackson Health System in Miami, Orlando Health, UF Health Jacksonville, and UF Health Shands Hospital in Gainesville. Additionally, Senior previously estimated that … appreciate it.” Seema Verma, administrator of the federal Centers for Medicare and Medicaid Services, withdrew the rule, which was meant to cut down on what she once described as “shady recycling schemes.” It would have …

Jackson Health System

Florida health care providers get reprieve from ‘devastating’ proposed rule | The Business Journals | 9/15/2020

… million hit for hospitals that are members of his organization, which includes public, teaching and children’s hospitals. Those hospitals include Jackson Health System in Miami, Orlando Health, UF Health Jacksonville, and UF Health Shands Hospital … appreciate it.” Seema Verma, administrator of the federal Centers for Medicare and Medicaid Services, withdrew the rule, which was meant to cut down on what she once described as “shady recycling schemes.” It would have …

UW Medicine

Pandemic shows telemedicine can work for patients and doctors | Seattle Times | 9/15/2020

… for patients and doctors Sep. 14, 2020 at 3:15 pm Rose Jordan was able to have several prenatal visits via UW Medicine’s TeleOB Program. Her daughter Claire was born Dec. 29, 2019. (Randy Carnell / UW … have emerged across the United States. Among fee-for-service Medicare beneficiaries, for instance, telemedicine visits exploded from about 13,000 before COVID-19 to 1.7 million in the last week of April. Despite making its …

Prospect Medical Holdings

Private equity-backed hospitals receive $2.5B in COVID-19 aid | Becker’s Hospital Review | 9/15/2020

Medicare loans and $535 million in federal grants, which do not have to be repaid. A LifePoint spokesperson told Bloomberg that the company needed the federal relief aid to help cover higher expenses and lost revenue tied to the pandemic. Los Angeles-based Prospect Medical Holdings, owned by Leonard Green & Partners, received $234 million in loans and $141 million in federal grants, according to analysis by Bloomberg . Dallas-based Steward …

Ascension

Two Blues Partner with Providers to Launch New Health Plans | HealthPayer Intelligence | 9/15/2020

… Cross and Blue Shield are joining forces with leading providers to offer new health plans. Horizon BCBSNJ announced a new Medicare Advantage plan, Braven Health , in partnership with Hackensack Meridian Health and RWJBarnabas Health, though … Meanwhile in Wisconsin, Anthem Blue Cross and Blue Shield and Ascension Wisconsin are partnering to bring new health plans to the state’s ACA marketplace. A central feature of the Anthem plans is Ascension Wisconsin’s network …

Steward Health Care

Private equity-backed hospitals receive $2.5B in COVID-19 aid | Becker’s Hospital Review | 9/15/2020

Medicare loans and $535 million in federal grants, which do not have to be repaid. A LifePoint spokesperson told Bloomberg that the company needed the federal relief aid to help cover higher expenses and lost revenue tied to the pandemic. Los Angeles-based Prospect Medical Holdings, owned by Leonard Green & Partners, received $234 million in loans and $141 million in federal grants, according to analysis by Bloomberg . Dallas-based Steward …

Humana

Humana’s CMO on how COVID pushed the company to ‘rethink our role’ with MA members | FierceHealthcare | 9/22/2020

When it came to figuring out how to best help Humana’s Medicare Advantage plans in the early days of the COVID-19 pandemic, the company had to “rethink our role,” said Humana’s Chief Medical Officer William Shrank. That’s because the MA population that is particularly vulnerable in this health crisis, he said speaking during Fierce Health Payer virtual event Medicare Advantage’s Evolution on Monday. Wiliam Shrank (Humana) “It’s caused us …

Aetna

‘We feel bullish’: Payers look ahead to 2021 | Healthcare Dive | 9/18/2020

Aetna has seen its commercial business come back faster than Medicare, CFO Eva Boratto said. Primary care and labs have seen a quicker rebound, but it’s been slower in inpatient and ambulatory. Centene CEO Michael Neidorff predicts utilization will be between 65% to 80% of normal by the end of the year, but remains cautious due to the shifting nature of the pandemic, and how it could coincide with a …

Cigna

‘We feel bullish’: Payers look ahead to 2021 | Healthcare Dive | 9/18/2020

… there’s significant uncertainty around the future of the insurance industry, many remarks can be summed up in a line from Cigna CEO David Cordani: “We feel bullish on 2021.” And despite the major role of … Aetna has seen its commercial business come back faster than Medicare, CFO Eva Boratto said. Primary care and labs have seen a quicker rebound, but it’s been slower in inpatient and ambulatory. Centene CEO Michael …

UnitedHealthcare

WEDI Announces Agenda for Virtual Event - WEDI National Conference | PRWeb | 9/17/2020

Medicare & Medicaid Services (CMS); Stephen Konya, Senior Innovation Strategist, Office of the National Coordinator for Health IT (ONC); Sheila Shapiro, Senior Vice President, National Strategic Partnerships, UnitedHealthcare Care Modernization & Innovation; Dr. Lina Walker, Vice President, Health Security, AARP; Mari Savickis, Vice President, Public Policy, CHIME; Grant Wood, Senior IT Strategist, Intermountain Healthcare Precision Genomics; Alison Armstrong, Health Policy Director, Anthem; Denise St Clair, Senior Policy Expert, Centers for Medicare & Medicaid …

Health Net

Reveleer Expands Its Healthcare Authority, Appoints New Members to Board of Directors | PRWeb | 9/17/2020

… Blue Cross, where she was the first woman and business leader of color to have responsibility for the Commercial and Medicare P&Ls, with revenues exceeding $6 billion. Scott Law is a seasoned healthcare executive … the Healthcare Services Officer and past Chief Medicare Officer of Health Net Inc. Mr. Law’s experience also includes executive roles with CIGNA Healthcare Corporation and Humana Inc. Ms. Bright and Mr. Law’s appointment deepens the …

Independence Blue Cross

Reveleer Expands Its Healthcare Authority, Appoints New Members to Board of Directors | PRWeb | 9/17/2020

… Independence Blue Cross, where she was the first woman and business leader of color to have responsibility for the Commercial and Medicare P&Ls, with revenues exceeding $6 billion. Scott Law is a seasoned healthcare executive with over 35 years of experience, and now board member at Reveleer. He has served as a senior executive leader of several industry leading managed care organizations. Most recently Mr. Law was the National …

EmblemHealth

EmblemHealth unit overstated Medicare supplemental costs, OIG says | Becker’s Hospital Review | 9/17/2020

Group Health Inc., a subsidiary of EmblemHealth, overstated its supplemental executive retirement plan costs to Medicare, according to a report from HHS’ Office of Inspector General. CMS reimburses a portion of Medicare contractors’ supplemental executive retirement plan costs. The OIG examined whether the supplemental executive retirement plan costs that Group Health reported from 2009-16 were allowable and correct. An audit of $874,007 supplemental executive retirement plan costs found that only …

UCare

UCare: Systems Analyst - Scrum Team | Star Tribune | 9/16/2020

Apply Health Care that Starts with You! Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota’s leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota …

Anthem Blue Cross

Two Blues Partner with Providers to Launch New Health Plans | HealthPayer Intelligence | 9/15/2020

Horizon Blue Cross Blue Shield of New Jersey and Anthem Blue Cross and Blue Shield are joining forces with leading providers to offer new health plans. Horizon BCBSNJ announced a new Medicare Advantage plan, Braven Health , in partnership with Hackensack Meridian Health and RWJBarnabas Health, though the latter’s involvement is pending approval by the New Jersey Department of Banking and Insurance. Luisa Charbonneau, a former Florida Blue executive, will serve …

SCAN Health Plan

SCAN Health Plan Awards $50,000 in Scholarships to Long Beach State University College Students to Help Sustain a Pipeline of Future Professionals in Aging Services Field | PR Newswire | 9/15/2020

LONG BEACH, Calif. , Sept. 15, SCAN Health Plan ® , one of the nation’s largest not-for-profit Medicare Advantage health plans, today announced the second cohort to receive the SCAN Health Plan Scholarships for Senior Health and Independence. This scholarship has been awarded to 10 students enrolled in the California State University, Long Beach (CSULB) College of Health and Human Services. The scholarship award totals $50,000 , with each student receiving $5,000 …

UPMC Health Plan

Challenges Confront Medicare Advantage Fall Election Period | PR Newswire | 9/15/2020

HILTON HEAD ISLAND, S.C. , Sept. 15, The COVID-19 virus will present unprecedented challenges for the forthcoming Medicare Advantage Annual Election Period (AEP) that runs from October 15 - December 7th , says Patrick Phillips , CEO of … many of America’s top insurers, including several BlueCross/ BlueShield companies, UPMC Health Plan, Johns Hopkins Healthcare, Lumeris and United Healthcare. For details: www.cavulus.com . Media Inquiries: 800-760-6915 Email: [email protected] SOURCE Cavulus Related Links http://www.cavulus.com …

The Health Plan

Health Plan Alliance Announces Return of Medicare Advantage Supplemental Benefit Consortium | Business Wire | 9/14/2020

IRVING, Texas–(BUSINESS WIRE)–Sep 14, 2020– The Health Plan Alliance (Alliance), in collaboration with Faegre Drinker Consulting and the Wakely Consulting Group, is re-implementing its Medicare Advantage Supplemental Benefits Consortium . As before, the Consortium will evaluate potential supplemental benefits for Medicare Advantage (MA) plans and provide resources to assist plans with implementing them. This year’s consortium model includes additional member-to-member collaboration and direct interaction with vendors …

Centene Corp

Centene and Samsung Team up to Enable Virtual Care Options for Underserved Communities | PR Newswire | 9/14/2020

ST. LOUIS , Sept. 14, Centene Corporation (NYSE: CNC ) today announced it is working with Samsung Electronics America to expand access to telehealth for individuals living in rural and underserved communities. The initiative will supply providers … 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace, the TRICARE program, and individuals in …

Magellan Health

9 payer exec moves | Becker’s Hospital Review | 9/10/2020

Magellan Health appointed David Bourdon CFO. 3. Jonathan Dinesman is Centene’s new executive vice president of government relations. 4. Paul Galant will join MultiPlan as president of new markets. 5. Mark Ganz , the CEO of Cambia Health Solutions for the past 18 years, will retire at the end of 2020. 6. Regence hired Brent Hess as its director of Medicare sales. 7. H. Robert Sanders was named executive vice president …

Amerigroup

DC Council Votes to Extend Telehealth Coverage for Postpartum Care | mHealth Intelligence | 9/9/2020

… 60 days after childbirth to at least a year, and instructs the mayor to seek approval from the Centers for Medicare & Medicaid Services that all Medicaid health policies cover “innovative models of care,” include telehealth … program capital earlier this year in the nation’s capital with Amerigroup. “DC (has) some of the highest rates of maternal mortality in the country and there’s no excuse for it,” company co-founder and president …

Blue Shield of California

Blue Shield of California Teams Up with AAA Northern California to Expand Select Medicare Supplement Plan Benefits | PR Newswire | 9/9/2020

OAKLAND, Calif. , Sept. 9, Blue Shield of California is teaming up with AAA Northern California to expand its standard Medicare Supplement Plan G offerings to include an Inspire plan 1 that includes safe driving advice, computer-based driving programs and roadside assistance. “Together with AAA Northern California, we are bringing important products and services to our Medicare Supplement plan members so that they can continue to lead vibrant and independent …

Clover Health

Great Expectations—Devoted Health and the positive patient experience - MedCity News | 9/4/2020

… provide high-quality, affordable health care services and to improve the health of their members and the communities they serve. Clover Health says its mission is to align with physicians by reducing doctor-insurer friction … Kaiser Permanente except with a focus on virtual care and Medicare populations. Devoted also supports house calls and support s and reimburse s the use of cars to take seniors to and from their appointments …

Indian Health Service

HHS focuses on telehealth and tech innovations in Rural Action Plan | Healthcare IT News | 9/4/2020

… solutions. Get Started The HHS plan notes that President Donald Trump’s fiscal year 2021 budget would require the Centers for Medicare and Medicaid Services to value telehealth services separately from similar services provided face-to … services and to expand access to Medicare telehealth services for Indian Health Service and Tribal facilities – making permanent a temporary flexibility furnished in response to the pandemic. “The Rural Action Plan identifies key, tangible areas …

Home State Health

Centene Corporation Announces Executive Leadership Appointments | PR Newswire | 9/2/2020

… Vice President, Human Resources, leading the company’s Human Resources department. She previously served as President and Chief Executive Officer for Home State Health, Vice President of Internal Audit and Risk Management and Health Plan Controller … 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace, the TRICARE program, and individuals in …

WellCare Health

Centene Corporation Announces Executive Leadership Appointments | PR Newswire | 9/2/2020

… individuals. Centene offers affordable and high-quality products to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by … impact of our recently completed acquisition (the WellCare Acquisition) of WellCare Health Plans, Inc. (WellCare), other recent and future acquisitions, investments and the adequacy of our available cash resources. These forward-looking statements reflect our …

Sunshine Health

Staywell Launches “HAPPY” for Members Experiencing Loneliness and Social Isolation during the COVID-19 Pandemic | PR Newswire | 8/31/2020

Medicare Advantage (WellCare), and Medicare Prescription Drug Plans (WellCare) across the state. Staywell and WellCare of Florida are affiliated with Sunshine Health Plan, a wholly owned subsidiary of Centene Corporation, a leading multi-national healthcare enterprise committed to helping people live healthier lives. For more information, please visit www.wellcare.com/florida . SOURCE Staywell …

CDPHP

Senior Services of North America Selected as Field Marketing Organization for CDPHP Medicare Advantage Plans | Globe Newswire | 8/27/2020

Melville, NY, Senior Services of North America is pleased to announce it has signed an Field Marketing Organization (FMO) agreement with Capital District Physicians’ Health Plan, Inc. (CDPHP ) for its Medicare Advantage line of business. Senior Services of North America will assist CDPHP in launching its new Medicare Advantage products for the upcoming 2021 Annual Enrollment Period starting October 1, 2020. “We are extremely excited about this new partnership. CDPHP

Oscar Health

Top 4 Recent Health Payer Innovative Consolidations, Partnerships | HealthPayer Intelligence | 8/25/2020

Oscar Health launches MA plan with academic institution, healthcare system Most recently, Oscar Health released the news that it plans to partner with Holy Cross Health and Memorial Healthcare System to launch a co-branded Medicare Advantage plan. Holy Cross Health is a health, academic and research institution and Memorial Healthcare System is a healthcare system that provides various services from pediatrics to cancer treatment and says it is among …

Premier Health Plan

Top 4 Recent Health Payer Innovative Consolidations, Partnerships | HealthPayer Intelligence | 8/25/2020

… the news that it plans to partner with Holy Cross Health and Memorial Healthcare System to launch a co-branded Medicare Advantage plan. Holy Cross Health is a health, academic and research institution and Memorial … Sentara has two health plans: Optima Health Plan and Virginia Premier Health Plan. Optima Health Plan offers commercial products including employee-owned and employer-sponsored plans, individual and group health plans, employee assistance plans, and …

Optima Health

Engagent Health Wins Three-Year Medicare Advantage Software Contract with Optima Health | PR Newswire | 8/25/2020

Engagent Health Wins Three-Year Medicare Advantage Software Contract with Optima Health News provided by Aug 25, 2020, 16:33 ET Share this article VIRGINIA BEACH, Va. and PLANTATION, Fla. , Aug. 25, 2020 /PRNewswire/ – Engagent Health, a provider of Healthcare Sales Operations Solutions has been chosen by Virginia Beach, VA -based Optima Health to deliver an enterprise-wide Customer Relations Management system (CRM) for their Medicare Advantage (MA) operations. The contract …

Debbie Stabenow

Congressman Vern Buchanan Urges CMS to Scrap PDGM’s 4.36% Behavioral Adjustment | Home Health Care News | 10/1/2020

… Dobson DaVanzo & Associates — highlighted how government spending on home health care is 21.6% lower than what the U.S. Centers for Medicare & Medicaid Services (CMS) projected going into 2020. The cause of that discrepancy: PDGM’s behavioral … on actual provider experience.” Senators Susan Collins (R-Maine) and Debbie Stabenow (D-Mich.) have also previously taken aim at PDGM’s built-in behavioral adjustment. Rep. Terri Sewell (D-Ala.) has joined Buchanan on the …

Barbara Lee

Fitzpatrick Joins Bipartisan and Bicameral Group in Letter Urging HHS to Promote Use of Community Health Workers in COVID-19 Response | US House of Representatives | 10/1/2020

… Marcia Fudge (OH-11), John Garamendi (CA-03), Josh Harder (CA-10), Alcee Hastings (FL-20), Eleanor Holmes Norton (DC), Barbara Lee (CA-13), Sean Patrick Maloney (NY-18, James McGovern (MA-02), and Jamie … a range of health conditions and settings. The Centers for Medicare and Medicaid Services (CMS) also has provided some funding for community health workers; yet this has been a patchwork through State Plan Amendments (SPAs …

Eric Whitaker

Zing Health Names Eric Mattelson Chief Actuary | PR Newswire | 9/24/2020

PRNewswire/ – Zing Health, a physician-led Medicare Advantage HMO plan, announced today that Eric Mattelson has been named chief actuary. He will focus on identifying key cost drivers and implementing innovative financial strategies to advance … will serve Zing Health well,” Zing Health Cofounder and CEO Eric Whitaker said. “Given his impressive track record in medical economics, from care cost reporting and trend analysis to benchmarking and improvement opportunity assessment, we’re …

Seema Verma

CMS taking prior authorization model for ambulance transport nationwide | FierceHealthcare | 9/23/2020

The Trump administration is taking a prior authorization program for ambulance services nationwide. The Centers for Medicare & Medicaid Services said in an announcement on Tuesday that the edicare Prior Authorization Model for Repetitive, Scheduled Non … beneficiaries from harm and safeguard taxpayer dollars.” said CMS Administrator Seema Verma in a statement. “When deployed appropriately, prior authorization can help ensure Medicare requirements are met before a service is provided and the claim …

Farzad Mostashari

By Helping Nearly a Million Patients Get Better Care, Aledade ACOs Have Saved More Than $400 Million in Wasteful Health Care Spending | PR Newswire | 9/23/2020

… BETHESDA, Md. , Sept. 23, 2020 /PRNewswire/ – Today, Aledade, Inc. announced that its accountable care organizations (ACOs) with commercial payers, Medicaid, Medicare Advantage, and the Medicare Shared Savings Program (MSSP) have saved more than $400 million … practices you could change the face of health care,” said Farzad Mostashari , MD, CEO and co-founder of Aledade. “Those primary care practices are delivering on that promise. Thanks to years of hard work and …

Rebecca Pifer

CMS to expand ambulance prior authorization model nationwide | Healthcare Dive | 9/23/2020

share Dive Brief: The Trump administration is expanding a Medicare ambulance model nationwide requiring providers to get prior authorization before scheduling a non-emergent ambulance transport for a patient. But the implementation timeline is still … pushed to 2021 due to COVID-19, is voluntary. Follow Rebecca Pifer on Twitter …

Donald Trump

Medicare won’t cover coronavirus vaccines approved under emergency use authorization | Becker’s Hospital Review | 9/22/2020

Medicare won’t cover coronavirus vaccines approved under emergency use authorization Maia Anderson - Print Email Medicare won’t cover the cost of a COVID-19 vaccine if it is approved under an emergency use authorization, according to … the government will be provided free. The administration of President Donald Trump has pushed for a COVID-19 vaccine to be approved and distributed before the presidential election, which would likely only come with an …

Tom Nickels

AHA Contests Study on High Hospital Prices for Privately Insured | RevCycle Intelligence | 9/22/2020

… Contests Study on High Hospital Prices for Privately Insured The study found that hospital prices are 247% higher than what Medicare would pay and that gap has recently increased, but the AHA says the research … pricing based on a cherry-picked and limited data set,” Tom Nickels, executive vice president of the hospital group said in a statement . “For example, the study again perpetuates erroneous suggestions that Medicare payments should …

Sarah Jane Tribble

Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due | Kaiser Health News | 9/22/2020

Copy And Paste To Republish This Story Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due By Sarah Jane Tribble September 22, 2020 h1 Rural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due /h1 span class=”byline” Sarah Jane Tribble, Kaiser Health News /span p em strong Note to Readers: /strong Sarah Jane Tribble spent more than a year and half a href=”https …

Jason Z. Rose

AdhereHealth Unveils Newest Adhere™ Platform SaaS Offering for Medicare Advantage Plans to Maximize Star Ratings Performance | PR Newswire | 9/22/2020

… one-of-a-kind solution to navigate health plan consumer engagement for Star Ratings initiatives. The Resolve SaaS solution enables Medicare Advantage plans to efficiently provide a holistic platform for their internal clinical teams and … with spreadsheets and measure campaigns to transactionally close gaps,” said Jason Z. Rose , CEO of AdhereHealth. “The effect is more plans will fall below the 4-Star threshold and not partake in Quality Bonus Payments …

William Shrank

Humana’s CMO on how COVID pushed the company to ‘rethink our role’ with MA members | FierceHealthcare | 9/22/2020

When it came to figuring out how to best help Humana’s Medicare Advantage plans in the early days of the COVID-19 pandemic, the company had to “rethink our role,” said Humana’s Chief Medical Officer William Shrank. That’s because the MA population that is particularly vulnerable in this health crisis, he said speaking during Fierce Health Payer virtual event Medicare Advantage’s Evolution on Monday. Wiliam Shrank (Humana) “It’s caused us …

Katherine Hempstead

AHA Contests Study on High Hospital Prices for Privately Insured | RevCycle Intelligence | 9/22/2020

… Contests Study on High Hospital Prices for Privately Insured The study found that hospital prices are 247% higher than what Medicare would pay and that gap has recently increased, but the AHA says the research … raises questions about the efficiency of the employer market,” said Katherine Hempstead, senior policy adviser at the Robert Wood Johnson Foundation, which sponsored the project. “The goal of this work is to arm employers with …

Clif Gaus

Most ACOs Worried About Rising Advanced APM Thresholds Next Year | RevCycle Intelligence | 9/22/2020

… Association of ACOs (NAACOS) recently found that more than 90 percent of ACOs participating in an Advanced APM , including the Medicare Shared Savings Program and the Next Generation ACO Model, are concerned they will not … period. “These bonuses are critical to Medicare’s value movement,” said Clif Gaus, ScD, NAACOS president and CEO. “The current thresholds are a challenge for many ACOs. To increase them again in 2021 would put the …

Maia Anderson

Medicare won’t cover coronavirus vaccines approved under emergency use authorization | Becker’s Hospital Review | 9/22/2020

Medicare won’t cover coronavirus vaccines approved under emergency use authorization Maia Anderson - Print Email Medicare won’t cover the cost of a COVID-19 vaccine if it is approved under an emergency use authorization, according to The Wall Street Journal . The White House recently concluded that Medicare’s exclusion of emergency-use drug costs could mean 44 million Americans, or 15 percent of the U.S. population, may have to pay out-of …

Joe Biden

Different Takes: ACA Is Endangered Again If Trump Gets His Supreme Court Pick; Medicare, Social Security Head Up Ballot Concerns | Kaiser Health News | 9/21/2020

Medicare Are On The Ballot This November Ever since President Franklin D. Roosevelt’s son, Rep. James Roosevelt, Sr., founded our organization to protect Social Security and Medicare in 1982, we have not endorsed presidential candidates, focusing instead on congressional races. Until now. For the first time in 38 years, we are throwing our weight behind Joe Biden for President of the United States. As an organization rooted in the social …

Robert King

Lawmakers seek to ease increase in threshold for quality bonus payments due to COVID-19 | FierceHealthcare | 9/21/2020

by Robert King Sep 21, 2020 4:40pm Lawmakers are pressing House leadership to include a provision in the next COVID-19 relief package that eases the qualifying thresholds to get advance payment model bonus payments … threshold is set to go up to 75% under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Digital Transformation Unlock the Digital Front Door with an App The Member Mobile App is the …

Joe Caruncho

Genuine Health Group Saves Medicare $4 Million And Keeps Half To Share With Its Doctors | PRWeb | 9/21/2020

Genuine Health Group Saves Medicare $4 Million And Keeps Half To Share With Its Doctors Share Article Centers For Medicare And Medicaid Services Rewards Genuine Health ACO For Delivering High Quality Care And Lowering Costs … built an innovative approach to advance value-based care,” said Joe Caruncho, CEO of Genuine Health Group. “We have built a network of likeminded, high-performing doctors who are improving overall care and moving our …

Peter Welch

Lawmakers seek to ease increase in threshold for quality bonus payments due to COVID-19 | FierceHealthcare | 9/21/2020

… APM and the rest via fee-for-service. But that threshold is set to go up to 75% under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Digital Transformation Unlock the Digital Front … signers on the letter are Reps. Roger Marshall, R-Kansas; Peter Welch, D-Vermont; and Darin LaHood, R-Illinois. Lawmakers call for House leadership to include a fix for the qualification cliff in the next …

Chris Murphy

Different Takes: ACA Is Endangered Again If Trump Gets His Supreme Court Pick; Medicare, Social Security Head Up Ballot Concerns | Kaiser Health News | 9/21/2020

… This assault on the healthcare of millions, at this moment of crisis, is as inexplicable as it is unforgivable. (Sen. Chris Murphy, 9/20) CNN: Obamacare Could Be Doomed If Trump Fills Another Court Seat On … pandemic. (Abdul El-Sayed, 9/20) The Hill: Social Security And Medicare Are On The Ballot This November Ever since President Franklin D. Roosevelt’s son, Rep. James Roosevelt, Sr., founded our organization to protect Social Security …

Ruth Bader Ginsburg

Different Takes: ACA Is Endangered Again If Trump Gets His Supreme Court Pick; Medicare, Social Security Head Up Ballot Concerns | Kaiser Health News | 9/21/2020

… it – and leave millions of Americans without healthcare in a pandemic. (Abdul El-Sayed, 9/20) The Hill: Social Security And Medicare Are On The Ballot This November Ever since President Franklin D. Roosevelt’s son, Rep … remain neutral this year. (Max Richtman, 9/20) Los Angeles Times: Ruth Bader Ginsburg Protected Your Abortion Rights. Be Afraid Now That She’s Gone There were two things about Supreme Court Justice Ruth Bader Ginsburg I …

Orlando Lopez-Fernandez

Genuine Health Group Saves Medicare $4 Million And Keeps Half To Share With Its Doctors | PRWeb | 9/21/2020

Genuine Health Group Saves Medicare $4 Million And Keeps Half To Share With Its Doctors Share Article Centers For Medicare And Medicaid Services Rewards Genuine Health ACO For Delivering High Quality Care And Lowering Costs … 99.19% quality score proves that our model works,” said Dr. Orlando Lopez-Fernandez, Jr., chief medical officer for Genuine Health Group. “Our physicians invest the necessary time, and Genuine Health provides advanced technology, innovative programs …

Doris Matsui

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

A bill introduced to the U.S. House of Representatives on Thursday would permanently lift site restrictions for Medicare patients to access telehealth. During the pandemic, several restrictions on where telehealth visits could be conducted and … Vt.), Bill Johnson (R-OH), David Schweikert (R- Ariz.) and Doris Matsui (D- Calif). Last month, a group of senators discussed telehealth policy changes they would like to keep . Sen. Lamar Alexander (R-Tenn.) suggested …

Lamar Alexander

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

A bill introduced to the U.S. House of Representatives on Thursday would permanently lift site restrictions for Medicare patients to access telehealth. During the pandemic, several restrictions on where telehealth visits could be conducted and … discussed telehealth policy changes they would like to keep . Sen. Lamar Alexander (R-Tenn.) suggested keeping two: Allowing Medicare patients to have telehealth appointments at home and reimbursing for more types of specialty visits. But …

Mike Thompson

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

A bill introduced to the U.S. House of Representatives on Thursday would permanently lift site restrictions for Medicare patients to access telehealth. During the pandemic, several restrictions on where telehealth visits could be conducted and … of the House Telehealth Caucus introduced the bill, including representatives Mike Thompson (D- Calif.), Peter Welch (D, Vt.), Bill Johnson (R-OH), David Schweikert (R- Ariz.) and Doris Matsui (D- Calif). Last month, a group …

Ann Mond Johnson

House bill would cement Medicare telehealth changes | MedCity News | 9/20/2020

A bill introduced to the U.S. House of Representatives on Thursday would permanently lift site restrictions for Medicare patients to access telehealth. During the pandemic, several restrictions on where telehealth visits could be conducted and … simply ‘switch off’ when the COVID-19 pandemic ends,” CEO Ann Mond Johnson said in a news release. “This legislation is an important step towards breaking down discriminatory geographic restrictions and modernizing our healthcare delivery …

State of Washington

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… 9: The White House Coronavirus Task Force briefed governors from across the nation at the National Governors’ Association Meeting in Washington. February 11: The Department of Health and Human Services (HHS) expanded a partnership with … coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax cut over coronavirus. March 10: President Trump and VP Pence …

State of New York

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… began implementing public health entry screening at the 3 U.S. airports that received the most travelers from Wuhan – San Francisco, New York JFK, and Los Angeles. January 20: Dr. Fauci announces the National Institutes of … coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax cut over coronavirus. March 10: President Trump and VP Pence …

New York, New York

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… began implementing public health entry screening at the 3 U.S. airports that received the most travelers from Wuhan – San Francisco, New York JFK, and Los Angeles. January 20: Dr. Fauci announces the National Institutes of … coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax cut over coronavirus. March 10: President Trump and VP Pence …

York, Pennsylvania

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… implementing public health entry screening at the 3 U.S. airports that received the most travelers from Wuhan – San Francisco, New York JFK, and Los Angeles. January 20: Dr. Fauci announces the National Institutes of Health … coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax cut over coronavirus. March 10: President Trump and VP Pence …

State of California

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… 7.76 billion to federal, state, & local agencies to combat the coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax … 22: President Trump approved major disaster declarations for: Washington State California March 22: President Trump announced: Governors will remain in command of National Guard forces & the federal govt will fund 100% of operations cost He …

State of Texas

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… 7.76 billion to federal, state, & local agencies to combat the coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax … approved major disaster declarations related to the coronavirus outbreak for: Texas Florida North Carolina March 25: President Trump & Vice President Pence held a conference call with 140 non-profit organization leaders, including The Salvation Army …

State of Florida

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… 7.76 billion to federal, state, & local agencies to combat the coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax … major disaster declarations related to the coronavirus outbreak for: Texas Florida North Carolina March 25: President Trump & Vice President Pence held a conference call with 140 non-profit organization leaders, including The Salvation Army & The …

State of New Jersey

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… 7.76 billion to federal, state, & local agencies to combat the coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax … major disaster declarations related to the coronavirus outbreak for: Illinois New Jersey Maryland Missouri March 26: President Trump announced the USNS Comfort will depart for NYC on Saturday to assist in the coronavirus response – 3 …

State of Pennsylvania

“A shameless stunt”: Inside Trump’s push to use government funds to save his campaign | Yahoo News | 10/12/2020

… Donald Trump speaks to supporters at a campaign rally at Arnold Palmer Regional Airport on September 3, 2020 in Latrobe, Pennsylvania. Trump won Pennsylvania in the 2016 election by a narrow margin. Jeff Swensen/Getty … House and the Health Department as a test of the Medicare program, is being driven by Centers for Medicare and Medicaid Services Administrator Seema Verma and White House Chief of Staff Mark Meadows, the officials …

State of Massachusetts

Liz Weston: Suddenly retired? Here’s what to do next | 10/12/2020

… Massachusetts. People typically must be 65 to be eligible for Medicare. Until then, prepare to pay for coverage because going without is especially dangerous during a pandemic. If you had health insurance through your employer, you usually can extend that for up to 18 months, thanks to COBRA, the Consolidated Omnibus Budget Reconciliation Act. But you’ll have to pay the entire premium plus a 2% administrative fee. Last year, the …

State of Michigan

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… 7.76 billion to federal, state, & local agencies to combat the coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax … multiple governors, including the Governor of Indiana & the Governor of Michigan March 26: President Trump approved major disaster declarations related to the coronavirus outbreak for: Illinois New Jersey Maryland Missouri March 26: President Trump announced …

Chicago, Illinois

Noncitizen immigrants to get health coverage in Illinois | 10/10/2020

Noncitizen immigrants to get health coverage in Illinois Associated Press Save CHICAGO — Low-income immigrants ages 65 and older in Illinois will be eligible for health care coverage that is similar to Medicaid despite their immigration status. Ananias Ocampo, who is at high risk of contracting the virus because of his age and health, does not qualify for Medicare, Social Security, or any other federal assistance because of his immigration …

State of Virginia

PERSONNEL | Business | herald-dispatch.com - Huntington Herald Dispatch | 10/11/2020

… American Academy of Family Physicians and the American Medical Association, Howerton received his doctorate of osteopathic medicine from the West Virginia School of Osteopathic Medicine. Prior to joining Valley Health, Howerton was employed by Marshall … located at 42 McGinnis Drive in Wayne. The practice accepts Medicare, Medicaid and private insurance and offers patient discounts for those who financially qualify. For more information about Valley Health — Wayne, call 304-272-5136. For more …

State of Iowa

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… 7.76 billion to federal, state, & local agencies to combat the coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax … Trump approved a major disaster declaration for the state of Iowa related to the coronavirus outbreak. March 24: Vice President Pence: Confirmed FEMA sent New York 2,000 ventilators. Announced individuals who have recently been in …

Boston, Massachusetts

Top analysts say buy stocks like DraftKings and Etsy | CNBC | 10/11/2020

… entrance from the elevators, designed to resemble a tunnel entering a stadium, is pictured at the new DraftKings office in Boston on March 25, 2019. David L. Ryan The Boston Globe via Getty Images DraftKings … Services, to assist people with enrolling in insurance plans- including Medicare in time for this year’s Annual Enrollment Period (AEP). According to Walmart, “Helping customers select the right Medicare insurance plan to meet their needs …

State of Georgia

Keeping America Great Recent President Donald J. Trump Accomplishments | 10/12/2020

… executive order to lower drug prices by expanding drugs covered by the “most favored nations” pricing scheme to include both Medicare Part B and D. 09.13.20 The Department of Veterans Affairs announced that 42 states … order to ban oil drilling off the coasts of Florida, Georgia and South Carolina, safeguarding the State’s shores and protecting critical jobs. 09.08.20 Job growth marked the 4th largest gain in American history, 2.5 times …

State of Arizona

Motorcycle Accident Prompts Networking Technology Specialist to Pursue Law: Meet 1L Student Jarnell Miranda | 10/12/2020

Motorcycle Accident Prompts Networking Technology Specialist to Pursue Law: Meet 1L Student Jarnell Miranda October 11, 2020 What were you doing before you came to Rutgers Law School? Before I came to law school, I was attending Arizona State University full-time and working for AETNA. My position at AETNA was in the auditing department, where I was responsible for ensuring that the brokers selling Medicare Advantage Plans were following …

Washington, District of Columbia

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… 9: The White House Coronavirus Task Force briefed governors from across the nation at the National Governors’ Association Meeting in Washington. February 11: The Department of Health and Human Services (HHS) expanded a partnership with … coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax cut over coronavirus. March 10: President Trump and VP Pence …

State of Utah

UPDATED: Coronavirus In Connecticut | 9/16/2020

… Sacks was chosen to oversee the nursing home as part of a compliance agreement between the DPH, the Centers for Medicare and Medicaid Services and the home’s owners, JACC Healthcare, after the home was cited … Nebraska, Oklahoma, Puerto Rico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin and the territory of Guam. In late June, Connecticut, New York and New Jersey announced the travel advisories. Schools Reopen …

State of Ohio

UTMC, UT physicians sign Humana agreements | 10/12/2020

TOLEDO — Humana Inc. announced earlier this month it has signed Medicare and commercial plan network agreements with University of Toledo Medical Center and University of Toledo Physicians. The contracts are in effect for certain Humana Medicare Advantage Health Maintenance Organization, Preferred Provider Organization, and Private Fee-for Service health plans and Humana commercial HMO and PPO health plans in Ohio and Michigan. Plan members have in-network access. At UTMC …

State of Connecticut

Front and Back Office Medical Assistant - New Milford, CT - UnitedHealth Group - New Milford, CT | 10/12/2020

… Back Office Medical Assistant - New Milford, CT Front and Back Office Medical Assistant - New Milford, CT UnitedHealth Group New Milford, Connecticut, United States less than an hour ago Apply Now Description Do you have compassion … a C.M.S. approved Accountable Care Organization (ACO), covering over 30,000 Medicare patients associated with our community-based primary care providers. We’re also nationally recognized as a NCQA Level III Medical Home. That kind of progressive …

State of Mississippi

This Doctor Is Saving Limbs in Black Patients with Diabetes | MSN | 9/16/2020

… Friday evening in the hospital after a particularly grueling week when Foluso Fakorede, MD, the only cardiologist in Bolivar County, Mississippi, walked into room 336. Henry Dotstry lay on a cot, his gray curls puffed … the condition. When it’s left untreated, the costs pile on. Medicare spends more than $54,000 a year for an amputee, including follow-ups, wound care, and hospitalizations. Then come the uncounted tolls: lost jobs, dependence …

State of Louisiana

Thousands of sick prisoners, many terminally ill, sought release. Nearly all were denied. | 10/12/2020

… pandemic. The warden denied or failed to answer 346 of them, together with Neba, who was once in reformatory for Medicare fraud — despite the fact that federal pointers permit compassionate liberate for terminally sick prisoners … with the ones at Seagoville in Texas and Oakdale in Louisiana, didn’t reply to any request in that time period, in keeping with the information, whilst others answered simplest to disclaim all of them. Upper …

State of North Carolina

List of what President Trump has done with respect to Covid-19 | 10/12/2020

… 7.76 billion to federal, state, & local agencies to combat the coronavirus and authorizes an additional $500 million in waivers for Medicare telehealth restrictions. March 9: President Trump called on Congress to pass a payroll tax … disaster declarations related to the coronavirus outbreak for: Texas Florida North Carolina March 25: President Trump & Vice President Pence held a conference call with 140 non-profit organization leaders, including The Salvation Army & The Red …

State of Tennessee

UPDATED: Coronavirus In Connecticut | 9/16/2020

… Sacks was chosen to oversee the nursing home as part of a compliance agreement between the DPH, the Centers for Medicare and Medicaid Services and the home’s owners, JACC Healthcare, after the home was cited … North Dakota, Nebraska, Oklahoma, Puerto Rico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin and the territory of Guam. In late June, Connecticut, New York and New Jersey announced the travel advisories …