Health insurance in the United States

Infinx Prior Authorization Software Now Available in the Epic App Orchard

Retrieved on: 
Thursday, July 22, 2021
Health in the United States, Health insurance in the United States, Healthcare in the United States, Managed care, Prior authorization, Epic Card Game, Epic, Business process automation, Articles, Health

SAN JOSE, Calif., July 22, 2021 /PRNewswire/ --The Infinx Prior Authorization Software (IPA) is now available in the Epic App Orchard, a program for developers to integrate with Epic.

Key Points: 
  • SAN JOSE, Calif., July 22, 2021 /PRNewswire/ --The Infinx Prior Authorization Software (IPA) is now available in the Epic App Orchard, a program for developers to integrate with Epic.
  • IPA is a cloud-based solution that leverages artificial intelligence (AI) and robotic process automation,with exceptional handling by our experienced prior authorization and billing specialists, to provide you with a complete end-to-end prior authorization solution.
  • Prior authorization status notifications and approvals are updated directly in Epic using X12 278R responses to ensure authorization information is available for claims processing.
  • Epic and App Orchard are trademarks or registered trademarksof Epic Systems Corporation.

Cigna + Oscar Expands Convenient Access to Virtual Primary Care in Tennessee & Georgia

Retrieved on: 
Thursday, July 22, 2021
Insurance, General Health, Health, Hospitals, Professional services, Technology, Other Technology, Other Health, Oscar Health, Primary care, Healthcare in the United States, Healthcare reform in the United States, Health insurance in the United States

The Virtual Primary Care offering will be available to small businesses in Tennessee and Georgia, bringing them and their employees even more options for affordable, convenient health benefits.

Key Points: 
  • The Virtual Primary Care offering will be available to small businesses in Tennessee and Georgia, bringing them and their employees even more options for affordable, convenient health benefits.
  • Oscars Virtual Primary Care is built to deliver convenient and quality care, while lowering overall costs for both the member and the small business owner.
  • Oscar Virtual Primary Care gives members the ability to schedule unlimited appointments with a dedicated team of primary care providers.
  • 2Oscar Virtual Primary Care providers are employed by Oscar Medical Group and are not employed by Oscar Health, Inc. or its subsidiaries.

AllianceRx Walgreens Prime's home delivery pharmacy earns URAC reaccreditation

Retrieved on: 
Thursday, July 22, 2021
Health insurance in the United States, URAC, Walgreens, Health care, Healthcare in the United States, Health sciences, Specialty drugs, Pharmacies

ORLANDO, Fla., July 22, 2021 /PRNewswire/ -- AllianceRx Walgreens Prime , one of the country's largest combined specialty and home delivery pharmacies, is proud to announce it received Mail Service Pharmacy1 reaccreditation from URAC for its home delivery pharmacy services.

Key Points: 
  • ORLANDO, Fla., July 22, 2021 /PRNewswire/ -- AllianceRx Walgreens Prime , one of the country's largest combined specialty and home delivery pharmacies, is proud to announce it received Mail Service Pharmacy1 reaccreditation from URAC for its home delivery pharmacy services.
  • URAC's full accreditation status means AllianceRx Walgreens Prime's home delivery is meeting industry-leading standards of organizational quality, customer service,communications,drug utilization and pharmacy operation.
  • "It's hard to believe it was three years ago when we obtained our initial URAC accreditation for home delivery," says Tracey James , senior vice president of Pharmacy Services at AllianceRx Walgreens Prime.
  • AllianceRx Walgreens Prime (alliancerxwp.com) is a specialty and home delivery pharmacy that strives to provide exceptional care throughout a patient's treatment journey with the medications they need every day.

URAC and AmerisourceBergen Announce Strategic Relationship

Retrieved on: 
Tuesday, July 20, 2021
Health insurance in the United States, URAC, Health care quality, Health care, Health, AmerisourceBergen, Patient safety

URAC is glad to work with a world-class organization like AmerisourceBergenthatsharesthesamegoal of improving health care for individuals, concluded Griffin.

Key Points: 
  • URAC is glad to work with a world-class organization like AmerisourceBergenthatsharesthesamegoal of improving health care for individuals, concluded Griffin.
  • Founded in 1990 as a non-profit organization, URAC is the independent leader in promoting health care quality and patient safety through renowned accreditation programs.
  • URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment toquality and accountability.Learn more athttps://www.urac.org/.
  • AmerisourceBergen is ranked #8 on the Fortune 500 with more than $200 billion in annual revenue.

NYCHSRO/MedReview Achieves Prestigious URAC Imprimatur for Its Healthcare Review Services through 2024

Retrieved on: 
Tuesday, July 20, 2021
Legal, Professional services, Insurance, Finance, Health insurance in the United States, Health, URAC, Quality assurance, Health insurance, Utilization management, Accreditation, Health care quality, Beacon Health Options, Independent medical review

New York-based healthcare review organization NYCHSRO/MedReview, Inc. has been granted URAC accreditation for its Independent Review (IRO) and Health Utilization Management (HUM) services.

Key Points: 
  • New York-based healthcare review organization NYCHSRO/MedReview, Inc. has been granted URAC accreditation for its Independent Review (IRO) and Health Utilization Management (HUM) services.
  • View the full release here: https://www.businesswire.com/news/home/20210720005978/en/
    NYCHSRO/MedReview, Inc. earns URAC accreditation for Health Utilization Management and Independent Review.
  • A Washington-DC-based nonprofit organization, URAC has set the standard for the highest quality of healthcare and provided its imprimatur since 1996 to review organizations who meet nationally recognized criteria for the clinical and operational soundness of their utilization management process.
  • URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality and accountability.

Premera Blue Cross, Walgreens Community Vaccine Clinic Supports Health Equity Efforts in South King County

Retrieved on: 
Tuesday, July 20, 2021
Health insurance in the United States, Premera Blue Cross, Walgreens, COVID-19 vaccine, Healthcare in the United States, Health care, Health

The clinic is part of a larger effort by both Premera and Walgreens to improve healthcare and address access barriers within the communities they serve.

Key Points: 
  • The clinic is part of a larger effort by both Premera and Walgreens to improve healthcare and address access barriers within the communities they serve.
  • Walgreens is excited to join Premera Blue Cross and other partners to host COVID vaccination clinics, said Kristen Schmiemeier, Area Healthcare Supervisor Seattle, WA and Alaska, Walgreens.
  • The clinic will offer the Pfizer vaccine free of charge to the food banks clients as well as community members.
  • As Americas most loved pharmacy, health and beauty company, Walgreens purpose is to champion the health and wellbeing of every community in America.

WPS Health Insurance teams up with Auxiant for ASO product

Retrieved on: 
Tuesday, July 20, 2021
Insurance, Health insurance in the United States, Wisconsin Physicians Service, Health Economics, Health, Health insurance, National health insurance, WPS, Employee benefits

WPS Health Insurance and WPS Health Plan offer Administrative Services Only (ASO) products for employers that self-fund their employee benefit plan.

Key Points: 
  • WPS Health Insurance and WPS Health Plan offer Administrative Services Only (ASO) products for employers that self-fund their employee benefit plan.
  • This new partnership adds value to our group health plan product line and allows employers across Wisconsin to continue to choose WPS with confidence, said Jeremy Ott, Vice President of Health Insurance Economics for WPS Health Insurance.
  • As one of the largest health benefits providers in the state, Wisconsin Physicians Service Insurance Corporation (WPS Health Insurance) remains not-for-profit and offers high-quality health plans to the public and private sectors.
  • WPS Health Plan, Inc. (WPS Health Plan) is a fresh choice in a crowd of big, impersonal, national health insurance giants.

Fidelis Care's New Rego Park Community Office Opens to Serve Local Residents

Retrieved on: 
Thursday, July 15, 2021
New York City, Fidelis Care, Health insurance in the United States, Rego Park, Queens, Rego Park station, Fidelis, Rego, Queens, Long Island City, Railway stations in the United States

LONG ISLAND CITY, N.Y., July 15, 2021 /PRNewswire/ --Fidelis Care is pleased to announce the opening of its newest Community Office at 95-01 63rd Drive in Rego Park, Queens.

Key Points: 
  • LONG ISLAND CITY, N.Y., July 15, 2021 /PRNewswire/ --Fidelis Care is pleased to announce the opening of its newest Community Office at 95-01 63rd Drive in Rego Park, Queens.
  • Fidelis Care Representatives speak multiple languages, reflecting the diversity of the community.
  • "Fidelis Care is deeply rooted in the Rego Park community and we look forward to having an expanded presence through our newest Community Office, where we can continue to provide outstanding service, support, and care."
  • Fidelis Care has 36 Community Offices across New York State, including 21 in New York City and Long Island.

Tandigm Health Expands Patient Base to Include Medicare Advantage PPO Members

Retrieved on: 
Wednesday, July 14, 2021
Managed care, General Health, Health, Practice Management, Healthcare in the United States, Health, Managed care, Health insurance in the United States, Preferred provider organization, Medicare Advantage, Medicare, Humana, Health care, Silent PPO

Tandigm Health (Tandigm), a leading population health services organization, today announced a new expansion of its patient base.

Key Points: 
  • Tandigm Health (Tandigm), a leading population health services organization, today announced a new expansion of its patient base.
  • Tandigm will now empower its network of primary care physicians and specialists to deliver value-based care to Medicare Advantage preferred provider organization (PPO) members, specifically those with Independence Blue Cross (Independence) Personal Choice 65 PPO plans, further extending its reach into population health management for PPO populations.
  • Tandigm is eager to meet this demand and deliver patient-centered care for this growing population, said Frank Ingari, CEO of Tandigm Health.
  • Through this network, Tandigm successfully manages a population of more than 100,000 patients in the Philadelphia region, including Humana Medicare Advantage PPO members.

Blue Cross Blue Shield of Massachusetts Expedites Access to Care for Members in Florida, Georgia, South Carolina, North Carolina and Virginia Affected by Tropical Storm Elsa

Retrieved on: 
Tuesday, July 13, 2021
Health maintenance organizations, Health insurance in the United States, Blue Cross Blue Shield Association, Health care, Healthcare in the United States, Blue Cross Blue Shield of Massachusetts, Health

Blue Cross Blue Shield of Massachusetts (Blue Cross) is expediting access to care for members who may be affected.

Key Points: 
  • Blue Cross Blue Shield of Massachusetts (Blue Cross) is expediting access to care for members who may be affected.
  • Blue Cross has more than 123,000 members living in areas where states of emergency have been declared.
  • The company is working to ensure those members can access health services and medications quickly and in locations convenient to them.
  • Blue Cross Blue Shield of Massachusetts ( bluecrossma.org ) is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston.