Presidency of Lyndon B. Johnson

Centauri Health Solutions Introduces Stars Quality Solution for Medicare Advantage Health Plans

Retrieved on: 
Tuesday, August 3, 2021
Professional services, Data management, Health, Technology, Insurance, Software, General Health, Healthcare reform in the United States, Federal assistance in the United States, Presidency of Lyndon B. Johnson, Managed care, Child poverty, Medicaid, Medicare, Health, United States, Carenet Health, National Research Corporation

Centauri Health Solutions, Inc. (Centauri), an innovative healthcare technology services company, has extended its industry-leading quality solution suite with a Stars solution for Medicare Advantage and Part D health plans and providers.

Key Points: 
  • Centauri Health Solutions, Inc. (Centauri), an innovative healthcare technology services company, has extended its industry-leading quality solution suite with a Stars solution for Medicare Advantage and Part D health plans and providers.
  • The Centauri Stars solution provides insight into improvement opportunities which support optimal Medicare Star Ratings, improve member health outcomes, and support member retention and engagement.
  • The Centers for Medicare and Medicaid Services uses the 5-star rating system to measure the quality of care and service provided to Medicare members.
  • Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange.

Texas Adds Endari® to Latest Preferred Drug List

Retrieved on: 
Monday, August 2, 2021
Healthcare reform in the United States, Health sciences, Pharmaceuticals policy, Health, Federal assistance in the United States, Presidency of Lyndon B. Johnson, Child poverty, Medicaid, Formulary

According to the THHS website, preferred drugs are medications recommended by the Texas Drug Utilization Review Board for their efficaciousness, clinical significance, cost effectiveness, and safety.

Key Points: 
  • According to the THHS website, preferred drugs are medications recommended by the Texas Drug Utilization Review Board for their efficaciousness, clinical significance, cost effectiveness, and safety.
  • The Texas Medicaid Formulary contains all products, including those on the preferred drug list, available to people enrolled in Medicaid.
  • With this recent revision, Texas joins many other states in improving access to Endari for the treatment of sickle cell disease in Medicaid patients.
  • "We greatly appreciate that Texas Health and Human Services has eliminated the prior authorization criteria for Endari.

Alignment Healthcare Appoints Healthcare Veteran Afzal Shah to Lead Critical Medicare Advantage Market

Retrieved on: 
Thursday, July 29, 2021
Healthcare reform in the United States, Federal assistance in the United States, Liberalism in the United States, Medicare, Presidency of Lyndon B. Johnson

ORANGE, Calif., July 29, 2021 (GLOBE NEWSWIRE) -- Award-winning Medicare Advantage company Alignment Healthcare (NASDAQ: ALHC) today announced the appointment of senior health care executive Afzal Shah as senior vice president, California market president.

Key Points: 
  • ORANGE, Calif., July 29, 2021 (GLOBE NEWSWIRE) -- Award-winning Medicare Advantage company Alignment Healthcare (NASDAQ: ALHC) today announced the appointment of senior health care executive Afzal Shah as senior vice president, California market president.
  • In this role, Shah will be responsible for the overall performance in the companys competitive California market.
  • "We are thrilled to welcome Afzal to our executive team, said John Kao, founder and CEO, Alignment Healthcare.
  • Alignment Healthcare offers health plan options through Alignment Health Plan and also partners with select health plans to help deliver better benefits at lower costs.

Ginger Partners with AmeriHealth Caritas District of Columbia to Bring Free On-Demand Mental Healthcare to 110,000 Medicaid Plan Enrollees

Retrieved on: 
Wednesday, July 28, 2021
General Health, Health, Mental health, Health, Federal assistance in the United States, Healthcare reform in the United States, Organizations, Presidency of Lyndon B. Johnson, AmeriHealth, Cranbury, New Jersey, Medicaid, Caritas Internationalis, Caritas, Mental health, Association for Community Affiliated Plans, AmeriHealth Caritas District of Columbia, Ginger, AMERIHEALTH CARITAS DISTRICT OF COLUMBIA, GINGER

Ginger , the leader in on-demand mental healthcare, today announced a partnership with AmeriHealth Caritas District of Columbia (DC) to bring Gingers full suite of virtual mental health services to 110,000 Medicaid plan enrollees.

Key Points: 
  • Ginger , the leader in on-demand mental healthcare, today announced a partnership with AmeriHealth Caritas District of Columbia (DC) to bring Gingers full suite of virtual mental health services to 110,000 Medicaid plan enrollees.
  • Now, AmeriHealth Caritas DC enrollees have access to Ginger's behavioral health coaching, therapy, and psychiatry services at no cost.
  • View the full release here: https://www.businesswire.com/news/home/20210728005303/en/
    Ginger partners with AmeriHealth Caritas District of Columbia to bring free on-demand mental healthcare to 110,000 Medicaid plan enrollees.
  • AmeriHealth Caritas DC supports a diverse population of over 110,000 Medicaid and Alliance Managed Care enrollees in Washington, D.C.

Oak Street Health Launches “Meet Me At Oak Street” Series of Community Events for 100,000 Older Adults Across The Country

Retrieved on: 
Wednesday, July 28, 2021
General Health, Seniors, Consumer, Health, Managed care, Federal assistance in the United States, Healthcare reform in the United States, Liberalism in the United States, Medicare, Presidency of Lyndon B. Johnson, Healthcare in the United States, Health

In June, Oak Street Health officially reopened all community rooms - an area where patients and community members alike can gather for activities including exercise, entertainment or computer use.

Key Points: 
  • In June, Oak Street Health officially reopened all community rooms - an area where patients and community members alike can gather for activities including exercise, entertainment or computer use.
  • The Meet Me At Oak Street events will provide food and entertainment, as well as an opportunity for older adults to meet with Oak Street Health care teams and get tours of the center.
  • Those interested in attending a Meet Me At Oak Street event can visit https://www.oakstreethealth.com/locations for more information about their local center or call (800) 559-2023.
  • Founded in 2012, Oak Street Health is a network of value-based primary care centers for adults on Medicare.

Inland Empire Health Plan Announces Healthcare Scholarship Fund Recipients

Retrieved on: 
Wednesday, July 28, 2021
Geography of California, California, Child poverty, Federal assistance in the United States, Healthcare reform in the United States, Medicaid, Presidency of Lyndon B. Johnson, Inland Empire, Rancho Cucamonga, California

RANCHO CUCAMONGA, Calif., July 28, 2021 /PRNewswire/ -- In collaboration with three Inland Empire universities, 50 local medical students were awarded scholarships from Inland Empire Health Plan's (IEHP) Healthcare Scholarship Fund (HSF), totaling $40 million over the next 5 years.

Key Points: 
  • RANCHO CUCAMONGA, Calif., July 28, 2021 /PRNewswire/ -- In collaboration with three Inland Empire universities, 50 local medical students were awarded scholarships from Inland Empire Health Plan's (IEHP) Healthcare Scholarship Fund (HSF), totaling $40 million over the next 5 years.
  • "Growing up in the Inland Empire, I dreamed of working with the underserved," said Kathy Gomez, scholarship recipient from CSU Riverside.
  • Through the scholarship fund, aspiring healthcare professionals will be guided through the system and connected to the health plan's provider network.
  • With a mission to heal and inspire the human spirit, Inland Empire Health Plan (IEHP) is one of the top 10 largest Medicaid health plans and the largest not-for-profit Medicare-Medicaid plan in the country.

Remarkable Health Launches First Behavioral Health AI Documentation Tool; Makes Clinical Documentation Faster, Easier and Higher Quality

Retrieved on: 
Wednesday, July 28, 2021
Federal assistance in the United States, Healthcare reform in the United States, Child poverty, Medicaid, Presidency of Lyndon B. Johnson, Physician burnout

For example, rural areas have just 1.8 licensed behavioral health providers per 1,000 Medicaid enrollees (compared with 6.4 in urban counties).

Key Points: 
  • For example, rural areas have just 1.8 licensed behavioral health providers per 1,000 Medicaid enrollees (compared with 6.4 in urban counties).
  • "This administrative burden, coupled with the increased demand for mental health services, is leading to record levels of provider burnout and turnover.
  • Those providing critical and much-needed behavioral health services, particularly to the underserved Medicaid population, are drowning in documentation because of antiquated processes and tools.
  • Bells is the first virtual clinical documentation assistant for the behavioral health and human services industry.

Caravan Health Appoints Dr. Fred Wallisch as New ACO Medical Director

Retrieved on: 
Tuesday, July 27, 2021
Federal assistance in the United States, Healthcare reform in the United States, Presidency of Lyndon B. Johnson, Managed care, Wallisch, Medicare Advantage, Medicaid, Medicare, Health, United States, Government

KANSAS CITY, Mo., July 27, 2021 /PRNewswire-PRWeb/ -- Today, Caravan Health announced the appointment of Dr. Fred Wallisch as Medical Director of ACO Programs.

Key Points: 
  • KANSAS CITY, Mo., July 27, 2021 /PRNewswire-PRWeb/ -- Today, Caravan Health announced the appointment of Dr. Fred Wallisch as Medical Director of ACO Programs.
  • "All of us at Caravan welcome Dr. Wallisch to the team as we develop and refine our clinical strategies in the coming years," said Tim Gronniger, Caravan Health President and CEO.
  • Prior to joining Caravan, Dr. Wallisch served as a Medical Director at Evolent Health, focusing on utilization management policy and review for commercial, Medicaid, and Medicare Advantage lines of business.
  • Earlier in his career, Dr. Wallisch served as Executive Director of Population Health at Deaconess Medical Center in Evansville, IN.

Oak Street Health to Host Second Quarter 2021 Earnings Conference Call

Retrieved on: 
Monday, July 26, 2021
Managed care, Hospitals, Health, Regions of the United States, Healthcare reform in the United States, United States, Federal assistance in the United States, Presidency of Lyndon B. Johnson, Liberalism in the United States, Medicare, New York Stock Exchange, Virginia

Oak Street Health, Inc. (NYSE: OSH or the Company) will host a conference call on Tuesday, August 10, 2021, at 8:00 AM Eastern Time to review the Companys fiscal second quarter 2021 financial results.

Key Points: 
  • Oak Street Health, Inc. (NYSE: OSH or the Company) will host a conference call on Tuesday, August 10, 2021, at 8:00 AM Eastern Time to review the Companys fiscal second quarter 2021 financial results.
  • A press release announcing the fiscal second quarter results will be issued on Monday, August 9, 2021, after market close.
  • Founded in 2012, Oak Street Health is a network of value-based primary care centers for adults on Medicare.
  • Oak Street Health currently operates more than 80 centers across 13 states.

National Survey Finds Broad, Bipartisan Support for Medicare Dental Coverage

Retrieved on: 
Thursday, July 22, 2021
Federal assistance in the United States, Healthcare reform in the United States, Presidency of Lyndon B. Johnson, Publicly funded health care, Liberalism in the United States, Medicare, Health, Government

A new YouGov survey found an overwhelming majority of likely midterm votersincluding 82% of voters in 2022 Senate battleground statesfavor adding dental benefits to Medicare.

Key Points: 
  • A new YouGov survey found an overwhelming majority of likely midterm votersincluding 82% of voters in 2022 Senate battleground statesfavor adding dental benefits to Medicare.
  • More than three-quarters of American voters surveyed in July support adding dental coverage to Medicare as proposed in the $3.5 trillion budget plan introduced in the Senate.
  • These results make it clear to Congresstheir constituents overwhelmingly support adding dental coverage to Medicare, said FrederickIsasi, Executive Director of Families USA.
  • Of the 60 million older adults and individuals with disabilities who receive Medicare benefits, 67% of them37 milliondo not have dental coverage.