Healthcare reform in the United States

IEHP Participates in Community Catalyst National Study

Retrieved on: 
Tuesday, July 6, 2021

To provide these recommendations and to complete the study, Community Catalyst collaborated with state organizations and health plans from across the country, including Inland Empire Health Plan (IEHP) and its dually eligible members.

Key Points: 
  • To provide these recommendations and to complete the study, Community Catalyst collaborated with state organizations and health plans from across the country, including Inland Empire Health Plan (IEHP) and its dually eligible members.
  • "We're grateful for supportive partners like Community Catalyst who advocate for our most vulnerable populations and stand firm to make these policy recommendations a reality."
  • Community Catalyst is a leading non-profit national health advocacy organization that is dedicated to advancing a movement of health equity and justice.
  • By partnering with local, state and national organizations and professions, Community Catalyst provides best practices and new policy recommendations to agencies like Centers for Medicare and Medicaid Services.

MSU Health Care announces Affiliation with Everside Health to Transform Employer-Based Primary Care Services in Michigan

Retrieved on: 
Thursday, July 1, 2021

The unique collaboration is in response to growing employer concerns regarding ongoing increases in health care costs and barriers to quality health care for their employees.

Key Points: 
  • The unique collaboration is in response to growing employer concerns regarding ongoing increases in health care costs and barriers to quality health care for their employees.
  • Everside's direct primary care model is positioned as an alternative to America's current fee-for-service health care delivery model.
  • MSU Health Care is the fully-integrated academic health center of Michigan State University, representing more than 600 faculty and affiliate providers.
  • MSU Health Care providers can be found in more than 100 locations, in nearly every county of the State of Michigan delivering primary and specialty care.

Advocatia Aligns with Olive Helps to Connect the Uninsured to Meaningful Assistance Programs

Retrieved on: 
Thursday, July 1, 2021

Advocatia has aligned with Olives newest cybernetics platform, Olive Helps, to deliver real-time notifications to healthcare financial associates when there is an opportunity to connect an uninsured patient with health insurance or programs that meet their needs.

Key Points: 
  • Advocatia has aligned with Olives newest cybernetics platform, Olive Helps, to deliver real-time notifications to healthcare financial associates when there is an opportunity to connect an uninsured patient with health insurance or programs that meet their needs.
  • Nearly 47 percent of the uninsured population is likely eligible for assistance.
  • Advocatia leverages its proprietary technology to connect individuals and their families to federal, state, and local programs based on the financial situation of their household.
  • By building this access into a hospitals workflow, Olive Helps and Advocatia are delivering real financial results for hospitals.

ConsejoSano's Abner Mason Appointed to California Black Health Network's Board

Retrieved on: 
Thursday, July 1, 2021

NORTH HOLLYWOOD, Calif., July 1, 2021 /PRNewswire/ --Abner Mason, founder and CEO of ConsejoSano, the technology company specializing in culturally-aligned patient outreach, joins esteemed colleagues at the California Black Health Network (CBHN) as a member of its board of directors.

Key Points: 
  • NORTH HOLLYWOOD, Calif., July 1, 2021 /PRNewswire/ --Abner Mason, founder and CEO of ConsejoSano, the technology company specializing in culturally-aligned patient outreach, joins esteemed colleagues at the California Black Health Network (CBHN) as a member of its board of directors.
  • In 2018, he founded Health Tech 4 Medicaid (HT4M), a non-profit coalition working to create technology for Medicaid programs.
  • "I've dedicated much of my career to eliminating health disparities for people of color," said Mason.
  • "Joining CBHN's board is an honor and a chance to improve health outcomes for the Black community in the state that I call home."

NAELA: The Better Care Better Jobs Act Would Transform Long-Term Care for the Better

Retrieved on: 
Thursday, July 1, 2021

WASHINGTON, June 30, 2021 /PRNewswire-PRWeb/ -- Last week, Sen. Bob Casey (D-PA) and Rep. Debbie Dingell (D-MI) introduced the Better Care Better Jobs Act , which would vastly expand Medicaid home and community-based services (HCBS).

Key Points: 
  • WASHINGTON, June 30, 2021 /PRNewswire-PRWeb/ -- Last week, Sen. Bob Casey (D-PA) and Rep. Debbie Dingell (D-MI) introduced the Better Care Better Jobs Act , which would vastly expand Medicaid home and community-based services (HCBS).
  • Traditional insurance and Medicare does not pay for long-term care, such as nursing home care and assistance at home with "activities of daily living" such as bathing, feeding, and getting out of bed.
  • As a result, far too many seniors and people with disabilities are forced into nursing homes when they could otherwise receive care at home.
  • For more information, visit NAELA.org, or to locate a NAELA member in your area, please visit NAELA.org/findlawyer.

Noridian Awarded Medicaid Provider Enrollment Services Contract by North Dakota Department of Human Services

Retrieved on: 
Wednesday, June 30, 2021

This contract, awarded to Noridian by the North Dakota Department of Human Services (DHS), will cover an initial contract period of 16 months with the option of two extensions of 24 months each.

Key Points: 
  • This contract, awarded to Noridian by the North Dakota Department of Human Services (DHS), will cover an initial contract period of 16 months with the option of two extensions of 24 months each.
  • Fifty years ago, when Noridian started, Medicare claims from North Dakota providers were the first claims we processed, said Wilson.
  • Noridian already assists many North Dakota providers and members with questions about Medicaid claims payment, claims submission, and prior authorization.
  • That work is done under a separate Medicaid Call Center contract awarded in June 2019 to Noridian by North Dakota DHS.

Anthem, Inc. Completes Acquisition of MMM Holdings, LLC and Affiliates From InnovaCare Health, L.P.

Retrieved on: 
Wednesday, June 30, 2021

Anthem, Inc. (NYSE: ANTM) today announced the completion of the acquisition of Puerto Rico-based MMM Holdings, LLC and its Medicare Advantage (MA) plan MMM Healthcare, LLC.

Key Points: 
  • Anthem, Inc. (NYSE: ANTM) today announced the completion of the acquisition of Puerto Rico-based MMM Holdings, LLC and its Medicare Advantage (MA) plan MMM Healthcare, LLC.
  • Anthem acquired MMM from InnovaCare Health, L.P., a leading integrated, value-based payor and provider service organization.
  • Were pleased to complete the acquisition of MMM and work with our new colleagues to serve Medicare and Medicaid-eligible individuals and consumers in Puerto Rico.
  • MMM is the islands largest MA plan and one of the fastest-growing vertically integrated healthcare organizations in the United States.

Jesse Shade Promoted to Chief Technology Officer of Tower MSA Partners

Retrieved on: 
Wednesday, June 30, 2021

Jesse Shade has been promoted to Chief Technology Officer of Tower MSA Partners.

Key Points: 
  • Jesse Shade has been promoted to Chief Technology Officer of Tower MSA Partners.
  • Shade is also instrumental in the software development associated with Towers state-of-the-art Medicare Secondary Payer compliance, Section 111 Reporting and Medicare Set-Aside software systems.
  • Shade joined the company in 2017 as director of information technology and was promoted to senior vice president of information technology in 2019.
  • Based in Delray Beach, Florida, Tower MSA Partners provides MSP compliance and MSA services nationally.

Convey Announces Advisory Services Management Update

Retrieved on: 
Monday, June 28, 2021

FORT LAUDERDALE, Fla., June 28, 2021 /PRNewswire/ --Convey Holding Parent, Inc. (NYSE: CNVY) ("Convey"), a leading healthcare technology and services company, today announced that Arjun Aggarwal is moving into an advisory role for Convey and joining Rubicon Founders ("Rubicon") as an Operating Partner.

Key Points: 
  • FORT LAUDERDALE, Fla., June 28, 2021 /PRNewswire/ --Convey Holding Parent, Inc. (NYSE: CNVY) ("Convey"), a leading healthcare technology and services company, today announced that Arjun Aggarwal is moving into an advisory role for Convey and joining Rubicon Founders ("Rubicon") as an Operating Partner.
  • Arjun was previously the co-head of Convey's Advisory Services segment alongside Kyle Stern, who will become sole head of the Advisory Services segment and lead over 130 full time advisors for Medicare Advantage plans.
  • Stephen Farrell, CEO of Convey, commented, "I am excited to continue our relationship with Arjun as an advisor, investor and industry partner to Convey."
  • Rubicon was founded by Adam Boehler, formerDirector of the Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services.

Garett Kitch Joins EverQuote as SVP of Health and Life Agency Sales

Retrieved on: 
Monday, June 28, 2021

CAMBRIDGE, Mass., June 28, 2021 (GLOBE NEWSWIRE) -- EverQuote, Inc. (Nasdaq: EVER), a leading online insurance marketplace, is pleased to announce that Garett Kitch has joined as Senior Vice President of Health and Life Agency Sales.

Key Points: 
  • CAMBRIDGE, Mass., June 28, 2021 (GLOBE NEWSWIRE) -- EverQuote, Inc. (Nasdaq: EVER), a leading online insurance marketplace, is pleased to announce that Garett Kitch has joined as Senior Vice President of Health and Life Agency Sales.
  • His deep industry experience and data-driven sales management expertise fit exceptionally well with our culture, said GM of Health and Life, Tom McDermott.
  • EverQuote has built a strong culture of collaboration, employee empowerment and innovation since its founding, said Kitch.
  • Mr. Kitch joins EverQuote from eHealth, Inc., where he led their Medicare sales organization.