Healthcare reform in the United States

Caravan Health Offers New 340B Services for Medicare and Commercial Claims

Retrieved on: 
Tuesday, July 20, 2021

KANSAS CITY, Mo., July 20, 2021 /PRNewswire-PRWeb/ -- Today, Caravan Health announced a new line of business serving health care providers participating in the 340B drug discount program .

Key Points: 
  • KANSAS CITY, Mo., July 20, 2021 /PRNewswire-PRWeb/ -- Today, Caravan Health announced a new line of business serving health care providers participating in the 340B drug discount program .
  • This new offering will enable covered entities to get the most out of both Medicare and commercial prescription claims for all their patients, regardless of where prescriptions are filled.
  • By participating in 340B, safety-net providers can reach more eligible patients and provide more comprehensive services in their communities.
  • Caravan Health is a privately held company formed to create a sustainable model for health systems to excel in value-based payment models and the 340B drug discount program.

Eyenuk Announces $6.2 Million Financing to Accelerate Adoption of FDA-cleared AI Technology for Detection of Diabetic Retinopathy

Retrieved on: 
Tuesday, July 20, 2021

Eyenuk will use the proceeds to immediately accelerate commercialization of the EyeArt AI System, which received FDA clearance in 2020 and is being reimbursed by Medicare and other payors.

Key Points: 
  • Eyenuk will use the proceeds to immediately accelerate commercialization of the EyeArt AI System, which received FDA clearance in 2020 and is being reimbursed by Medicare and other payors.
  • We are very impressed with all that the Eyenuk team has accomplished to date, said Dr. Affas Besse.
  • We are thrilled to welcome new institutional investors to the Eyenuk team, said Kaushal Solanki, Ph.D., Founder and CEO of Eyenuk.
  • Eyenuk plans to close a larger round of financing in late 2021 to support its long-term growth and innovation strategies.

Zing Health Joins ConnectureDRX Platform to Simplify Path to Medicare Enrollment

Retrieved on: 
Tuesday, July 20, 2021

As part of the collaboration, Zing Health will join ConnectureDRX's Brokerlink Network, the largest distribution network in the Medicare industry.

Key Points: 
  • As part of the collaboration, Zing Health will join ConnectureDRX's Brokerlink Network, the largest distribution network in the Medicare industry.
  • Features such as accurate drug cost estimates and highly personalized Medicare enrollment options on ConnectureDRX will give consumers insight into Zing Health's innovative, community-minded benefits.
  • "For more than two decades, ConnectureDRX has helped consumers connect with health plans through technologies that simplify complex healthcare choices, empowering them to make informed decisions," said Zing Health Founder and CEO Dr. Eric E. Whitaker.
  • The partnership is just the latest way Zing Health is establishing itself as a major player in the Medicare Advantage market.

Fixing Potholes Shouldn’t Cost Seniors More at the Pharmacy Counter

Retrieved on: 
Monday, July 19, 2021

Delaying or eliminating Part D rebate reforms aimed at lowering out-of-pocket costs for seniors at the pharmacy counter is not a defendable 'pay for' to fund infrastructure.

Key Points: 
  • Delaying or eliminating Part D rebate reforms aimed at lowering out-of-pocket costs for seniors at the pharmacy counter is not a defendable 'pay for' to fund infrastructure.
  • Rebates lower drug costs for insurers, but patients taking the medicines often do not benefit from rebates or other discounts.
  • With rebate reforms, Medicare beneficiaries would finally see their drug spending go down at the pharmacy counter as savings from rebates and other discounts on medicines have to be shared with beneficiaries.
  • Lowering out-of-pocket costs improves medication adherence, which in turn lowers total healthcare spending and reduces the burden of illness.

Nearly 115,000 Women in New Mexico Live in Contraceptive Deserts

Retrieved on: 
Monday, July 19, 2021

Nationally, more than 19 million U.S. women in need live in contraceptive deserts .

Key Points: 
  • Nationally, more than 19 million U.S. women in need live in contraceptive deserts .
  • "Women in these deserts struggle with transportation and child care costs and taking unpaid time off from work just to access basic health care."
  • New Mexico has already expanded Medicaid to low-income adults, which helps decrease the percentage of uninsured women, and by extension, gives them the contraceptive coverage they need to live healthy lives.
  • In addition, New Mexico law requires insurance to cover an extended supply of prescription contraceptives and protects insurance coverage of contraceptive methods.

CAPAssurance, a Risk Purchasing Group, Names Mitch Temple as Vice President Business Development

Retrieved on: 
Monday, July 19, 2021

LOS ANGELES, July 19, 2021 (GLOBE NEWSWIRE) -- The Cooperative of American Physicians, Inc. (CAP) today announced the appointment of Mitch Temple as its new Vice President Business Development for its CAPAssurance Risk Purchasing Group.

Key Points: 
  • LOS ANGELES, July 19, 2021 (GLOBE NEWSWIRE) -- The Cooperative of American Physicians, Inc. (CAP) today announced the appointment of Mitch Temple as its new Vice President Business Development for its CAPAssurance Risk Purchasing Group.
  • He served most recently as the Director of Sales for the past decade at Med-IQ, specializing in customized risk management programs that support health care providers, reduce risk, and improve patient safety.
  • Mitch combines a proven business development track record in the health care marketplace with the creativity and ingenuity required to develop customized, effective risk financing solutions for the CAPAssurance broker network and client base.
  • In 2013, CAP organized CAPAssurance, a Risk Purchasing Group, to bring liability insurance coverage to hospitals, healthcare facilities, and large medical groups.

eHealth, Inc. to Announce Second Quarter 2021 Earnings Results on July 29 at 5 p.m. Eastern Time

Retrieved on: 
Monday, July 19, 2021

SANTA CLARA, Calif., July 19, 2021 /PRNewswire/ --eHealth, Inc. (NASDAQ: EHTH), a leading private online health insurance marketplace, today announced that the company plans to release second quarter 2021 financial results on July 29, 2021.

Key Points: 
  • SANTA CLARA, Calif., July 19, 2021 /PRNewswire/ --eHealth, Inc. (NASDAQ: EHTH), a leading private online health insurance marketplace, today announced that the company plans to release second quarter 2021 financial results on July 29, 2021.
  • The companywill host an earnings conference call beginning at 5 p.m. Eastern Time on July 29th to discuss these results.
  • Individuals interested in listening to the conference call may do so by dialing (877) 930-8066 for domestic callers or (253) 336-8042 for international callers.
  • Since 1997, we have connected more than 8 million members with quality, affordable health insurance, Medicare options, and ancillary plans.

Apollo Medical Holdings, Inc. Announces Affiliate's Entry into Agreement to Acquire a Controlling Stake in Access Primary Care Medical Group

Retrieved on: 
Monday, July 19, 2021

The Company anticipates closing this transaction in the third quarter of 2021 and will fund the transaction from cash on hand.

Key Points: 
  • The Company anticipates closing this transaction in the third quarter of 2021 and will fund the transaction from cash on hand.
  • The deal will Bring ApolloMed's technology and operations platform to over 120 APCMG primary and specialty care providers serving approximately 1,000 Medicare Advantage members.
  • APCMG will provide ApolloMed with a strong foothold in the Bay Area with the opportunity to expand from San Francisco down the Peninsula."
  • Forward-looking statements reflect current views with respect to future events and financial performance and therefore cannot be guaranteed.

Brown & Brown Absence Services Group Announces the Addition of Recovery Services to its Branded Solutions

Retrieved on: 
Monday, July 19, 2021

Through this expanded offering, Brown & Brown Absence Services Group will provide Reimbursement Facilitation for Social Security Disability Insurance (SSDI) overpayments where Brown & Brown Absence represents the claimant for an SSDI award, and Benefit Integration Management Services (BIMS) for overpayment calculations, as well as reimbursement facilitation for unrepresented claims.

Key Points: 
  • Through this expanded offering, Brown & Brown Absence Services Group will provide Reimbursement Facilitation for Social Security Disability Insurance (SSDI) overpayments where Brown & Brown Absence represents the claimant for an SSDI award, and Benefit Integration Management Services (BIMS) for overpayment calculations, as well as reimbursement facilitation for unrepresented claims.
  • Brown & Brown Absence Services Group, LLC is focused on adding value across the absence continuum.
  • Our solutions include SSDI advocacy, medical file review, clinical services, advisory services, recovery services, claims management, talent solutions, and consultative solutions.
  • Aevo Services, an affiliate of Brown & Brown Absence Services Group, provides Medicare eligibility and policy decision advisory services.

CareQuest Institute Applauds Senate Plan to Strengthen Medicare to Include Oral Health Care Benefit

Retrieved on: 
Wednesday, July 14, 2021

Last night, members of the Senate Budget Committee announced an agreement on an infrastructure package that would, among other things, expand the Medicare program to include an oral health care benefit.

Key Points: 
  • Last night, members of the Senate Budget Committee announced an agreement on an infrastructure package that would, among other things, expand the Medicare program to include an oral health care benefit.
  • CareQuest Institute for Oral Health CEO and President Dr. Myechia Minter-Jordan issued the following statement,applauding the Senate Budget Committee for itsinclusionof Medicare dental benefits:
    If we want to end the disparities in health care that have plagued our country for generations, then we must strengthen our Medicare program to include dental coverage.
  • CareQuest Institute for Oral Health is a national nonprofit championing a more equitable future where every person can reach their full potential through excellent health.
  • We collaborate with thought leaders, health care providers, patients, and local, state, and federal stakeholders to accelerate oral health care transformation and create a system designed for everyone.