Health policy

EQS-News: Efficient benefit management: The Versicherungskammer Group continues to put its trust in adesso insurance solutions

Retrieved on: 
Wednesday, December 13, 2023
VKB, Health policy, Automation, Growth, Software, Health, Partnership, Risk management, Dortmund

The health and travel insurers of the Versicherungskammer (VKB) Group (Bayerische Beamtenkrankenkasse and Union Krankenversicherung) are continuing to modernize their systems with software from adesso insurance solutions.

Key Points: 
  • The health and travel insurers of the Versicherungskammer (VKB) Group (Bayerische Beamtenkrankenkasse and Union Krankenversicherung) are continuing to modernize their systems with software from adesso insurance solutions.
  • During the four-year project, adesso insurance solutions will work closely with the VKB Group to help incorporate and customize the new software, and will also take over the maintenance of the system.
  • "What's more, the fact that VKB is now introducing in|sure Health Claims is proof of our successful partnership with the Group."
  • After having already achieved first place among IT employers in 2016, 2018 and 2020, adesso was ranked first again in 2023.

Neuronetics Announces Continued Momentum from Health Plans for TMS Therapy Coverage

Retrieved on: 
Thursday, November 9, 2023
Health policy, Policy, OH, MDD, TMS, STIM, Blue Cross Blue Shield Association, HI, Neuronetics, Major depressive disorder, DSM-IV codes, Psychotherapy, Criterion, OR, Quality of life, Marketing, Aetna, Transcranial magnetic stimulation, BCBS, SSM Health, CO, Patient, Regenerative Medicine Advanced Therapy, Pharmaceutical industry, Health insurance, Ferdinand Magellan, UnitedHealth Group, MD

Dean Health Plan has also removed the requirement for a prior trial of psychotherapy.

Key Points: 
  • Dean Health Plan has also removed the requirement for a prior trial of psychotherapy.
  • The policy updates from BCBS Kansas City and Dean Health Plan are effective immediately, with the Magellan update going into effect on November 18, 2023.
  • Neuronetics is the only TMS company in the industry with a dedicated health policy team that partners with both providers and payors to advocate for health policy changes.
  • For more information about NeuroStar TMS Therapy, please visit NeuroStar.com .

PolicyLab at Children's Hospital of Philadelphia Welcomes New Director

Retrieved on: 
Wednesday, November 8, 2023
Health policy, Child, Policy, Psychology, Health, Research institute, Public health, Children's Hospital of Philadelphia, Population health, Johns Hopkins Bloomberg School of Public Health, Research, Infant, CHOP, University, Caregiver, Medicine, Health equity, Social work, Public, Biostatistics, Hospital, Nursing, Management

PHILADELPHIA, Nov. 8, 2023 /PRNewswire/ -- PolicyLab at Children's Hospital of Philadelphia (CHOP) welcomed Dr. Meredith Matone as the center's new director on October 23. She succeeds Dr. David Rubin, who co-founded and directed the center for 15 years and is taking a new role at the University of California.

Key Points: 
  • PHILADELPHIA, Nov. 8, 2023 /PRNewswire/ -- PolicyLab at Children's Hospital of Philadelphia (CHOP) welcomed Dr. Meredith Matone as the center's new director on October 23.
  • She succeeds Dr. David Rubin, who co-founded and directed the center for 15 years and is taking a new role at the University of California.
  • Dr. Matone, who received her doctor of public health from Johns Hopkins Bloomberg School of Public Health, has been a member of PolicyLab for 13 years, most recently serving as its scientific director.
  • "This is an exciting new chapter for PolicyLab," said Dr. Susan Furth, executive vice president and chief scientific officer of CHOP's Research Institute.

David J. Meyers, Ph.D., honored with the 2023 AJMC® Seema S. Sonnad Emerging Leader in Managed Care Research Award

Retrieved on: 
Tuesday, November 7, 2023
Brown University School of Public Health, Health policy, Seema, Mentorship, Health, Public health, Interest group, AJMC, Research, Student, The American Journal of Managed Care, American Journal, Doctor of Philosophy, Nursing, Management, Medicare, Policy

CRANBURY, N.J., Nov. 07, 2023 (GLOBE NEWSWIRE) -- The American Journal of Managed Care® (AJMC), the leading peer-reviewed journal dedicated to issues in managed care, is thrilled to announce that David J. Meyers, Ph.D., has been recognized with the prestigious 2023 AJMC Seema S. Sonnad Emerging Leader in Managed Care Research Award.

Key Points: 
  • CRANBURY, N.J., Nov. 07, 2023 (GLOBE NEWSWIRE) -- The American Journal of Managed Care® (AJMC), the leading peer-reviewed journal dedicated to issues in managed care, is thrilled to announce that David J. Meyers, Ph.D., has been recognized with the prestigious 2023 AJMC Seema S. Sonnad Emerging Leader in Managed Care Research Award.
  • Meyers’ commitment to advancing managed care research is truly commendable,” said Mike Hennessy Jr., president and CEO of MJH Life Sciences®, parent company of AJMC.
  • “He exemplifies the qualities that the Seema S. Sonnad Emerging Leader in Managed Care Research Award seeks to celebrate, and we are proud to honor him for his achievements.”
    The award was established in honor of Seema S. Sonnad, Ph.D., former associate editor of AJMC, who passed away in June 2015.
  • Dr. Sonnad served as a mentor to many young researchers and was the inspiration for an award that recognizes individuals who exemplify the spirit of innovation and leadership in managed care research.

Warner Pacific Welcomes Janet Trautwein as Compliance and Government Affairs Executive

Retrieved on: 
Monday, November 6, 2023
National Association, Health policy, Insurance, Warner Pacific University, Government, NAHU, Congress, Trautwein, Janet, Financial adviser

WESTLAKE VILLAGE, Calif., Nov. 6, 2023 /PRNewswire/ -- Warner Pacific, a leading health insurance General Agency supporting health care brokers in California, Colorado, Oklahoma, Texas and Florida, is pleased to announce that Janet Trautwein is joining the company as its Compliance and Government Affairs Executive. Trautwein's appointment to Warner Pacific will open new opportunities for the General Agency's employees, brokers, carrier partners and more.

Key Points: 
  • Trautwein brings wealth of compliance experience, unique perspective to top-producing General Agency
    WESTLAKE VILLAGE, Calif., Nov. 6, 2023 /PRNewswire/ -- Warner Pacific, a leading health insurance General Agency supporting health care brokers in California, Colorado, Oklahoma, Texas and Florida, is pleased to announce that Janet Trautwein is joining the company as its Compliance and Government Affairs Executive.
  • Trautwein's appointment to Warner Pacific will open new opportunities for the General Agency's employees, brokers, carrier partners and more.
  • Janet Trautwein joins Warner Pacific.
  • As Warner Pacific's Compliance and Government Affairs Executive, Trautwein will serve as a critical resource for the agency's broker partners in compliance-related matters, providing hands-on guidance and insight to support brokers in navigating policies that impact the industry.

Internationally Renowned Public Health Expert Sten Vermund Appointed President of the Global Virus Network (GVN)

Retrieved on: 
Thursday, November 2, 2023
Health policy, Research fellow, Notifiable disease, Adolescence, Policy, AIDS, Dean, Global Virus Network, Public health, Vice, Viral, SARS-CoV-2, History, Yale school, Coronavirus, Anna, HIV, USF Health Byrd Alzheimer's Institute, Organization, Health, Doctor of Philosophy, GVN, Virus, Fellow, Research, Epidemic, Disease, COVID-19, Yale School of Public Health, World Health Organization, Partnership, University of South Florida Tampa Library, University, Pleasure, Public, Yale School of Medicine, European, Sten, Management, Vaccine, Pharmaceutical industry, MD, Pediatrics, Network

BALTIMORE, Nov. 02, 2023 (GLOBE NEWSWIRE) -- The Global Virus Network (GVN) today announced the appointment of Sten Vermund, MD, PhD , as President of the GVN.

Key Points: 
  • BALTIMORE, Nov. 02, 2023 (GLOBE NEWSWIRE) -- The Global Virus Network (GVN) today announced the appointment of Sten Vermund, MD, PhD , as President of the GVN.
  • Lauder Professor of Public Health, former Dean of the Yale School of Public Health (2017-2022) and serves as a Professor in Pediatrics at the Yale School of Medicine.
  • Dr. Vermund transitions into his new role as Christian Bréchot, MD, PhD, ends his second term as GVN President, becoming Vice Chairman of the GVN Board of Directors.
  • Dr. Vermund became increasingly engaged in health policy, particularly related to sustainability of HIV/AIDS programs and their expansion to non-communicable diseases, the coronavirus pandemic response and prevention, and public health workforce development.

ACA open enrollment starts Nov. 1, giving consumers a chance to compare health plans and potentially save money

Retrieved on: 
Monday, October 30, 2023
Health policy, Insurance, ACA, HMO, Family, Health maintenance organization, IRA, Care Act 2014, American Rescue Plan Act of 2021, EPO, PPO, Inflation Reduction Act of 2022, Inflation, POS, Health insurance, Nursing, Affordable Care Act, Marketplace

Minneapolis, MN, Oct. 30, 2023 (GLOBE NEWSWIRE) -- As the Affordable Care Act (also called ACA or Obamacare) open enrollment period nears, healthinsurance.org released tips today to help people compare plans and potentially save money.

Key Points: 
  • Minneapolis, MN, Oct. 30, 2023 (GLOBE NEWSWIRE) -- As the Affordable Care Act (also called ACA or Obamacare) open enrollment period nears, healthinsurance.org released tips today to help people compare plans and potentially save money.
  • Open enrollment for ACA plans starts Nov. 1, 2023, and ends Jan. 15, 2024, in most states.
  • “Open enrollment is an important time to review plans and see what’s best for you and your family,” said Louise Norris, a health policy analyst for healthinsurance.org .
  • For example, many POS and HMO plans require a referral to see a specialist, but some POS and HMO plans don’t.

PicnicHealth Announces Three New Advisors and Expands Expertise in Regulatory-ready Research

Retrieved on: 
Monday, November 6, 2023
Software, Research, Professional Services, Pharmaceutical, Data Management, Oncology, Consumer, Technology, Data Analytics, Science, Other Consumer, Biotechnology, Health, Food, Johns Hopkins University, Public health, Life, Registry, Merck, Brody, Acquisition, Regulation of tobacco by the U.S. Food and Drug Administration, Harvard University, Professional degrees of public health, Aetion, UnitedHealth Group, University of North Carolina at Pembroke, Cerner Enviza, Faculty of Management Studies – University of Delhi, Disease, Medicine, Health policy, University, Public, Harvard T.H. Chan School of Public Health, Cancer, Center for Drug Evaluation and Research, Health policy and management, Doctor of Philosophy, IQVIA, Pharmaceutical industry, Management, Psychology, Pharmacovigilance, New York University, Epidemiology

PicnicHealth , a leading patient-centered healthcare evidence generation company, appointed three advisors in clinical research design – Nancy Dreyer, Solomon Iyasu, and Jeremy Brody.

Key Points: 
  • PicnicHealth , a leading patient-centered healthcare evidence generation company, appointed three advisors in clinical research design – Nancy Dreyer, Solomon Iyasu, and Jeremy Brody.
  • These new advisors are joining PicnicHealth in an advisory capacity to support the company’s expansion into regulatory use cases.
  • Dr. Dreyer is an internationally recognized expert in the use of real-world evidence for regulatory purposes.
  • Dr. Dreyer holds a Ph.D. in epidemiology and Master of Public Health from the University of North Carolina, Chapel Hill.

Pharmacy Benefit Managers Expose Patients to Negative Health Outcomes, GHLF Updated Studies Shows

Retrieved on: 
Thursday, November 2, 2023
Podcast, Practice Management, Professional Services, Other Health, Other Communications, Health, Pharmaceutical, Entertainment, Communications, Insurance, Finance, JIA, Steroid, Pioneer Institute, PBM, Research development, Government, EST, Mortality, Doctor of Philosophy, Disease, Research, Communication, Caregiver, Risk, Doctor of Pharmacy, Pharmacy, Health policy, Progressive Policy Institute, ESI, CVS, Epilepsy, Patient, MS, CVS Health, Nursing, Pharmaceutical industry, Health insurance

The updated research found that more than half the exclusions (57%) had questionable medical or economic benefits for patients.

Key Points: 
  • The updated research found that more than half the exclusions (57%) had questionable medical or economic benefits for patients.
  • The original peer-reviewed research and its update, which is not yet published, focuses on ESI, the second largest pharmacy benefit manager in the United States.
  • This forced switch to different medications also adds to the challenges patients and their caregivers face, and it ends up costing more for everyone involved in health care — patients, caregivers, employers, and the government.
  • GHLF will host a webinar concerning formulary exclusions and their impact on patients on November 9 at 12 pm EST.

Questco Partners with Gradient AI to Streamline Health Insurance Underwriting, Fueling Expansion

Retrieved on: 
Tuesday, October 31, 2023
Professional Services, Technology, Insurance, Human Resources, Software, Artificial Intelligence, SAIL, Artificial intelligence, Health policy, Professional employer organization, Growth, PEO, Gradient, Luigi, HR, Sales, Medical device

Dedicated to serving the small to mid-sized businesses (SMBs) market, Questco offers a range of cost-effective, high-value benefit packages, including payroll, health insurance, HR services, workers’ compensation, and more, for its member companies.

Key Points: 
  • Dedicated to serving the small to mid-sized businesses (SMBs) market, Questco offers a range of cost-effective, high-value benefit packages, including payroll, health insurance, HR services, workers’ compensation, and more, for its member companies.
  • Committed to continuous innovation, Questco was looking to enhance its health insurance underwriting process to better serve its customers as its business grew.
  • After evaluating competitive solutions, Questco selected SAIL, Gradient AI’s group medical underwriting solution due to its advanced AI analytics capabilities and rich data source of medical, prescription, and lab data.
  • By leveraging Gradient AI-powered products, Questco can offer competitive solutions on an entirely new level.