||ACA Plan Quality and Insurer Structures
||... Journal of General Internal Medicine where we look at 2019 and 2020 Plan Quality Rating System (QRS) scores for insurers on the ACA individual health insurance markets. Our primary question is whether or not Provider Sponsored Health Plan s (PSHPs) have different quality scores than other forms of organization.Going into this paper, our hypothesis is that organizations like Kaiser or UPMC (my former employer) or Geissenger have different financial incentives ...
||Google Alert - Provider
||Provider As-it-happens update ‚ãÖ August 15, 2021 WEB Provider Sponsored Health Plan s Convey Health Solutions Convey Health Solutions Supply your provider sponsored health plan with comprehensive member management solutions featuring speed-to-market, cost-effectiveness, and ... Flag as irrelevant A qualitative comparison of parent and childcare provider perceptions of communication and family ... PubMed Future efforts are needed to 1) help parents understand the providers ' role in the development ...
||Google Alert - Provider
||... in 2016 and revised in 2018, we've seen tremendous interest in how we apply those principles ... Flag as irrelevant Big insurance companies should be nervous about their future The Hill A 2017 analysis of provider sponsored health plan s formed since 2010 showed that only four of 37 were profitable in 2015. The biggest challenge is ... Flag as irrelevant Delaying care because of COVID-19? Medical groups advise to stick with ...
||Zing Health Names Eric Mattelson Chief Actuary
||CHICAGO , Sept. 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 Zing Health's goal of providing affordable, holistic and inclusive care to improve community health for underserved populations. Eric Mattelson Mattelson is a seasoned leader in the managed care industry. He has ...
||Jvion Expands Solution Suites to Enable Payers to Prepare for Patient Surge by Identifying Unforeseen Member Health Deterioration with Clinically Validated AI
||... and has been used to address diverse populations, clinical conditions and risk questions. By supporting the management of chronic conditions, the CORE can significantly reduce costs. Baptist Health, who applied the CORE to its Provider Sponsored Health Plan (PSHP) covering nearly 3,400 employees, saved $4M over two years by proactively targeting and intervening with covered employees at risk of an avoidable ER or inpatient visit. Visit https://jvion.com/payerai/ for ...
||Florida Community Care and Its Parent Company Independent Living Systems Are Collecting Donations to Support the Bahamas as Well as the Evacuees in the Aftermath of Hurricane Dorian
||MIAMI , Sept. 14, Florida Community Care and Independent Living Systems have committed to providing support to those affected by Hurricane Dorian in the Bahamas , as well as the evacuees who are now displaced due to the unbelievable devastation left behind. Hurricane Dorian was a catastrophic Category 5 hurricane that the Bahamian Prime Minister described as a "historic tragedy." The Red Cross has reported that some 62,000 people are in need ...
||Anthem Blue Cross and Blue Shield and MaineHealth Form Joint Venture to Deliver High-Quality Health Care Services | Business & Finance | heraldchronicle.com
||AP Anthem Blue Cross and Blue Shield and MaineHealth Form Joint Venture to Deliver High-Quality Health Care Services 7 hrs ago Save PORTLAND & SOUTH PORTLAND, Maine--(BUSINESS WIRE)--Aug 19, 2019-- Anthem Blue Cross and Blue Shield in Maine and MaineHealth today announced the two organizations will be collaborating on a joint venture with the intent to offer Medicare Advantage health insurance plans for 2020 under the Anthem MaineHealth ...
||Hospitals and Health Systems Prepared to Increase Risk Assumption, Analysis Suggests | Business Wire
||Hospitals and Health Systems Prepared to Increase Risk Assumption, Analysis Suggests Navigant survey conducted by HFMA shows providers planning to advance commercial and Medicare model, Medicare Advantage, and provider-sponsored health plan participation June 19, 2019 07:00 AM Eastern Daylight Time CHICAGO--( BUSINESS WIRE )--Healthcare providers are ready and planning to assume increased levels of risk through commercial payer and Medicare contracting models and Medicare Advantage, according to a new ...
||Discovery Health Partners Forms Strategic Advisory Board
||Discovery Health Partners Forms Strategic Advisory Board Share Article New board advances Discovery’s position as a leader in payment integrity for U.S. health payers With their collective industry knowledge, our advisors will help us connect more deeply to solve healthcare executives’ top priorities. ITASCA, Ill. Discovery Health Partners today announced the formation of a Strategic Advisory Board comprised of industry veterans and forward thinkers in the healthcare payer technology space ...
||Connecture's (CNXR) CEO Jeff Surges on Q3 2017 Results - Earnings Call Transcript
||... tools, combined with our engagement solutions – so we developed a targeted market strategy into the provider sponsored health marketplace. These efforts have begun to pay off. Several of our new customers this year were provider sponsored health plan s. And we have a very strong pipeline of prospects. This market segment needs an affordable out-of-the-box solution, with consistency across their population groups. And we believe that Connecture's offerings ...