Healthcare in the United States

Health Net Assisting Members in Los Angeles County During State of Emergency

Retrieved on: 
Wednesday, June 3, 2020
Health, Professional services, Pharmaceutical, Insurance, Managed care, Health Net, Health, Articles, Health Economics, Healthcare in the United States, Healthcare reform, Publicly funded health care

Gavin Newsoms declared state of emergency in Los Angeles County, Health Net, LLC is providing special assistance to ensure its members have access to essential prescription medications and other healthcare services to help them cope with grief, loss, stress or trauma.

Key Points: 
  • Gavin Newsoms declared state of emergency in Los Angeles County, Health Net, LLC is providing special assistance to ensure its members have access to essential prescription medications and other healthcare services to help them cope with grief, loss, stress or trauma.
  • Throughout the duration of the state of emergency, affected members in Los Angeles County can obtain an emergency supply from the drug store where they originally filled their prescription.
  • At Health Net, we believe every person deserves a safety net for their health, regardless of age, income, employment status or current state of health.
  • We offer these health plans and services through Health Net, LLC and its subsidiaries: Health Net of California, Inc., Health Net Life Insurance Company and Health Net Community Solutions, Inc.

CCMC, ACMA Collaborate to Support Case Manager Professional Development

Retrieved on: 
Tuesday, June 2, 2020
Case management, Healthcare in the United States, Insurance in the United States, Articles, Credential, Certification, Education, Academic disciplines

ACMA is a membership organization with its own Accredited Case Manager (ACM) and Case Management Administrator Certification (CMAC) credentials.

Key Points: 
  • ACMA is a membership organization with its own Accredited Case Manager (ACM) and Case Management Administrator Certification (CMAC) credentials.
  • Ongoing professional development is required to maintain the certifications, and many case managers hold credentials from both organizations.
  • The Commission for Case Manager Certification (CCMC) is a nationally accredited case management certification organization that oversees the process of case manager and disability management specialist certification with its CCM and CDMS credentials.
  • The American Case Management Association (ACMA) is a nationally recognized non-profit, professional membership association for Case Management and Transitions of Care professionals.

Employer Direct Healthcare announces partnership with Centerstone

Retrieved on: 
Tuesday, June 2, 2020
Healthcare in the United States

DALLAS, June 2, 2020 /PRNewswire/ --Employer Direct Healthcare is excited to announce its new partnership with Centerstone.

Key Points: 
  • DALLAS, June 2, 2020 /PRNewswire/ --Employer Direct Healthcare is excited to announce its new partnership with Centerstone.
  • On January 1, 2020, Centerstone began offering Employer Direct Healthcare's SurgeryPlus benefit, a supplemental benefit providing surgical concierge services with a focus on quality care, lower costs, and a better member experience.
  • The approximately 4,300 members participating in Centerstone's health plan will have access to the SurgeryPlus benefit's full-service healthcare concierge for over 1,400 non-emergent procedures.
  • As an added benefit, when participants elect to use a participating surgeon through the SurgeryPlus benefit, Centerstone will waive all coinsurance and deductible obligations.

 Troy Medicare Expands Network with North Carolina Health System

Retrieved on: 
Tuesday, June 2, 2020
Technology, Insurance, Seniors, Professional services, Software, Managed care, Health, Consumer, Pharmaceutical, Federal assistance in the United States, Healthcare reform in the United States, Presidency of Lyndon B. Johnson, Healthcare in the United States, Health, Liberalism in the United States, Medicare, Medicaid, Medicare Prescription Drug, Improvement, and Modernization Act, Medigap

Duke Health and Troy Medicare announced today that they have signed a contract to enable seniors in North Carolina to access Duke Healths facilities and 2,000+ providers in-network.

Key Points: 
  • Duke Health and Troy Medicare announced today that they have signed a contract to enable seniors in North Carolina to access Duke Healths facilities and 2,000+ providers in-network.
  • Troy Medicare is a pharmacy-driven, tech-enabled Medicare Advantage plan based in Charlotte, North Carolina that leverages its network of independent pharmacies to improve outcomes and coordinate care.
  • Flaviu Simihaian, Troy Medicares Chief Executive Officer, said, We are excited to partner with Duke Health to reduce the burden of prior authorizations that plague providers today.
  • As a Medicare Advantage plan taking on a $800 Billion market, Troy Medicare receives a fixed monthly payment from the Centers for Medicare and Medicaid Services (CMS) and is responsible for facilitating the best healthcare experience for Medicare beneficiaries.

Bluestream Health and CommonWealth Purchasing Group Partner to Bring Much-Needed Virtual Care to the Nation's Underserved Population

Retrieved on: 
Monday, June 1, 2020
Healthcare in the United States, Federally Qualified Health Center, Group purchasing organization, Articles

NEW YORK, June 1, 2020 /PRNewswire/ --This past month, CommonWealth Purchasing Group and Bluestream Health announced a partnership to bring a virtual care solutionscoped specifically to CPG's FQHC member base.

Key Points: 
  • NEW YORK, June 1, 2020 /PRNewswire/ --This past month, CommonWealth Purchasing Group and Bluestream Health announced a partnership to bring a virtual care solutionscoped specifically to CPG's FQHC member base.
  • Bluestream includes tools for FQHCs to manage queues of patients (virtual and physically present), longitudinal reporting, and seamlessly blend on-demand and scheduled visits.
  • CommonWealth Purchasing Group (CPG) is the nation's leading group purchasing organization for community health centers and other community-based, non-profit organizations.
  • Its virtual care platform provides health systems, clinics, and third-party providers with a simple and low-cost way to build, deploy, and manage complex clinical workflows.

Microbix Engaged to Develop & Supply Custom QAPs

Retrieved on: 
Monday, June 1, 2020
Health, Articles, Law, Clinical Laboratory Improvement Amendments, Healthcare in the United States, BioPharm, Food and Drug Administration, Waiver

Under an agreement between the parties, the companies technical teams are collaborating to develop custom QAPs to support submission for U.S. FDA registration and waiver from U.S. CLIA regulations.

Key Points: 
  • Under an agreement between the parties, the companies technical teams are collaborating to develop custom QAPs to support submission for U.S. FDA registration and waiver from U.S. CLIA regulations.
  • The customer instrument platform being supported by the custom Microbix QAPs is designed to be a simple, easy to use, portable point-of-care testing system with multiple advanced features.
  • The agreement provides Microbix a series of payments for development services, followed by supply of minimum order quantities of the QAPs once developed.
  • Microbix QAPs are now available in 21 countries, distributed by Diagnostic International Distribution S.p.A., Labquality Oy, The Medical Supply Company of Ireland, and R-Biopharm AG.

Natera Launches Quantification Technique to Enhance Prospera™ Test Precision; Initiates PEDAL Study for New Insights

Retrieved on: 
Monday, June 1, 2020
Medicine, Medical specialties, Geography of Idaho, Clinical Laboratory Improvement Amendments, Healthcare in the United States, Kidney transplantation, Idaho National Laboratory

The PEDAL Study (Prospera Test Enhancement by Detecting Background Cell-Free DNA Levels) will include 500 kidney transplant patients from 20 major U.S. centers.

Key Points: 
  • The PEDAL Study (Prospera Test Enhancement by Detecting Background Cell-Free DNA Levels) will include 500 kidney transplant patients from 20 major U.S. centers.
  • The technique is performed routinely with the Prospera test in a single workflow, without increasing cost or lengthening run time.
  • The PEDAL Study will measure the performance of the Prospera test which measures dd-cfDNA and, most recently, background cfDNA.
  • The Prospera test has been developed and its performance characteristics determined by the CLIA-certified laboratory performing the test.

Kaiser Permanente Extends COVID-19 Cost Waiver Through Dec. 31, 2020

Retrieved on: 
Friday, May 29, 2020
States of the United States, Healthcare in the United States, Health in the United States, Health insurance in the United States, Healthcare in California, Kaiser Permanente, Non-profit organizations based in California, Kaiser Motors

OAKLAND, Calif., May 28, 2020 /PRNewswire/ -- Kaiser Permanente has announced that it will extend its waiver for most member out-of-pocket costs for inpatient and outpatient services related to the treatment of COVID-19 through December 31, 2020.

Key Points: 
  • OAKLAND, Calif., May 28, 2020 /PRNewswire/ -- Kaiser Permanente has announced that it will extend its waiver for most member out-of-pocket costs for inpatient and outpatient services related to the treatment of COVID-19 through December 31, 2020.
  • It will apply for all dates of service from April 1 through December 31, 2020, unless superseded by government action or extended by Kaiser Permanente.
  • Kaiser Permanente suspended all terminations for nonpayment of premium or out-of-pocket expenses from March 15 through May 31.
  • In May, Kaiser Permanente further extended the suspension of terminations for nonpayment through June 30 for Kaiser Permanente for Individuals and Families and small group members.

Blue Shield of California Provides Additional $300,000 in Grants to Community Groups Supporting Youth Mental Health

Retrieved on: 
Thursday, May 28, 2020
Health insurance in the United States, Insurance in the United States, Blue Shield of California, States of the United States, Healthcare in the United States, Blue Cross Blue Shield Association, Blue Shield

BlueSky is a multi-year commitment by Blue Shield to support mental health for middle- and high school students in California by providing additional clinicians in schools, training teachers on the signs of mental health issues, and empowering students with in-person and online mental health support resources.

Key Points: 
  • BlueSky is a multi-year commitment by Blue Shield to support mental health for middle- and high school students in California by providing additional clinicians in schools, training teachers on the signs of mental health issues, and empowering students with in-person and online mental health support resources.
  • Blue Shield of California strives to create a healthcare system worthy of our family and friends that is sustainably affordable.
  • Blue Shield of California is a tax paying, nonprofit, independent member of the Blue Cross Blue Shield Association with over 4 million members, 6,800 employees and more than $20 billion in annual revenue.
  • The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have an impact on California communities.

Modernizing Medicine Earns #1 Ranking for Integrated Practice Management, Revenue Cycle Management and EHR in Surgical Specialties by Black Book Research

Retrieved on: 
Thursday, May 28, 2020
Other Health, Software, Managed care, Mobile, Wireless, Networks, General Health, Data management, Technology, Hospitals, Surgery, Other Technology, Health, Electronic health records, Healthcare in the United States, Modernizing Medicine, Health in the United States, Revenue Cycle Management, Health, NextGen Healthcare Information Systems, Greenway Health

This was the first year Black Book compiled the Integrated Practice Management, Revenue Cycle Management and EHR in Surgical Specialties report.

Key Points: 
  • This was the first year Black Book compiled the Integrated Practice Management, Revenue Cycle Management and EHR in Surgical Specialties report.
  • An established vendor can help practices stay abreast of shifting billing guidelines and help them more efficiently manage their revenue cycle.
  • Additionally, in March of this year, Modernizing Medicine ranked #1 on the Black Book Physician Practice & Ambulatory Solutions top EHR lists in six of its medical specialties .
  • Our specialty-specific, data-driven and cloud-based electronic health records (EHR) and practice management (PM) systems, plus revenue cycle management (RCM) services, were built by a team including specialty physicians and practice management professionals.