Third-party administrator

SPBA Advocates on Behalf of Patients & Plans for Regulation of Air Ambulance Charges

Retrieved on: 
Tuesday, August 21, 2018
Emergency medical services, Air medical services, Ambulance, Health, Third-party administrator, Economy, Business

SPBA has actively shared its voice in the belief that reform is needed with regard to the rules and regulations that govern the air ambulance pricing structure.

Key Points: 
  • SPBA has actively shared its voice in the belief that reform is needed with regard to the rules and regulations that govern the air ambulance pricing structure.
  • The association works directly with third party administrators (TPAs) throughout the country who are seeing their plans and patients face an increasing number of cases that result in exorbitant charges up to tens of thousands of dollars for air ambulance services.
  • Confusion with workers compensation claims, as it is often unclear which laws apply to air ambulance rates in these emergency care situations.
  • She added, "What's also discouraging is that so many patients are balance-billed even after air ambulance companies accept payment from health plans."

Helmsman Management Services Appoints Karen Reading, Vice President And Managing Director

Retrieved on: 
Thursday, August 16, 2018
Liberty Mutual, Marsh & McLennan Companies, Third-party administrator, TPA, Marsh, Economy, Business, Insurance

BOSTON, Aug. 16, 2018 /PRNewswire/ -- Helmsman Management Services, Liberty Mutual's wholly-owned third-party administrator, announced the appointment of Karen Reading as Vice President and Managing Director.

Key Points: 
  • BOSTON, Aug. 16, 2018 /PRNewswire/ -- Helmsman Management Services, Liberty Mutual's wholly-owned third-party administrator, announced the appointment of Karen Reading as Vice President and Managing Director.
  • "Karen's TPA experience and deep relationships with brokers and risk managers throughout the West will help us get our message to the marketplace," notes David Dwortz, President & CEO, Helmsman Management Services.
  • Before joining Liberty Mutual, Reading was a senior vice president for Marsh & McLennan.
  • Helmsman Management Services is a leading third party administrator.

Centivo, a New Type of Health Plan, Raises $34 Million in Series A Funding

Retrieved on: 
Wednesday, July 18, 2018
Health Economics, Insurance industry, Retirement, Third-party administrator, Insurance, Economy, Self insurance, Business, Health policy, Self-insurance, Self-funded health care

NEW YORK, July 18, 2018 /PRNewswire/ -- Centivo , a new type of self-funded health plan, has raised $34 million in Series A funding.

Key Points: 
  • NEW YORK, July 18, 2018 /PRNewswire/ -- Centivo , a new type of self-funded health plan, has raised $34 million in Series A funding.
  • The Centivo model emphasizes the partnership between individuals and their primary care team as the proper model to coordinate healthcare needs.
  • Centivo serves as a health plan or third-party administrator (TPA) for employers and partners closely with local health plans to enhance their offerings.
  • Centivo is a new type of self-funded health plan built specifically for employers and their employees and families.

Derek Bridges Hired as President of BML and President of Channel Management for ValueHealth

Retrieved on: 
Tuesday, July 17, 2018
Insurance industry, Retirement, Third-party administrator, Leawood, Kansas, Economy, Business

LEAWOOD, Kan., July 17, 2018 /PRNewswire/ -- Today ValueHealth CEO Carl King announced the hiring of Derek Bridges as President of Benefit Management.

Key Points: 
  • LEAWOOD, Kan., July 17, 2018 /PRNewswire/ -- Today ValueHealth CEO Carl King announced the hiring of Derek Bridges as President of Benefit Management.
  • Mr. Bridges will replace outgoing Benefit Management President Denise Wilkens and will be responsible for providing strategic leadership for the company and for ensuring that company financial objectives are met.
  • In both roles, Mr. Bridges will report directly to Mr. King.
  • Benefit Management is a progressive third party administrator (TPA) empowering payors, employers and providers with targeted coverage and tailored contracting services.

Softheon launches new health plan business intelligence, analytics, and reporting suite

Retrieved on: 
Monday, May 21, 2018
Economy, Insurance industry, Finance, Money, Health Economics, Health insurance, Third-party administrator, Insurance

STONY BROOK, N.Y., May 21, 2018 /PRNewswire/ -- Softheon , a national leader in cloud-based health insurance exchange integration and services, announced today Foundry BI ; a new health plan business intelligence, analytics, and reporting suite within its flexible Foundry data platform designed for health plans, State-Based Marketplaces, and third-party administrators (TPAs).

Key Points: 
  • STONY BROOK, N.Y., May 21, 2018 /PRNewswire/ -- Softheon , a national leader in cloud-based health insurance exchange integration and services, announced today Foundry BI ; a new health plan business intelligence, analytics, and reporting suite within its flexible Foundry data platform designed for health plans, State-Based Marketplaces, and third-party administrators (TPAs).
  • "Softheon's technology upgrade is designed for health plans to 'run' their premium invoicing and payment collection business in real-time, not just 'observe' the business retroactively," stated Bill Gaynor , Group Executive of Health Plan Solutions at Softheon.
  • Earlier this month, Softheon released a national, multi-payer index report examining member premium invoicing and payment trends utilizing Foundry BI.
  • Softheon's cloud-based Software-as-a-Service (SaaS) and Business Process-as-a-Service (BPaaS) solutions for federal and state governments have solved complex challenges that are associated with administering public health insurance exchanges.

Ascensus Continues to Expand Retirement and Consumer-Directed Healthcare Capabilities with Agreement to Acquire Benefit Planning Consultants, Inc.

Retrieved on: 
Wednesday, April 25, 2018
Economy, Insurance industry, Retirement, Third-party administrator, Coverdell Education Savings Account, Musto, Finance, Money, Ascensus, Inc.

Headquartered in Champaign, IL, BPC is a diversified third-party administrator (TPA) that provides retirement and consumer-directed healthcare (CDH) solutions.

Key Points: 
  • Headquartered in Champaign, IL, BPC is a diversified third-party administrator (TPA) that provides retirement and consumer-directed healthcare (CDH) solutions.
  • BPC, which was founded in 1979, serves clients across the nation by providing comprehensive retirement and benefit administration solutions with unmatched customer service.
  • "BPC is a great fit for Ascensus from both business and cultural standpoints," states David Musto, Ascensus' president.
  • Ascensus supports over 54,000 retirement plans, more than 4 million 529 education savings accounts, and a growing number of ABLE savings accounts.

MedicFP Announces Partnership Agreement with CoreChoice to Provide Breakthrough, Patient-Centric Technology for Treating Opioid Addiction

Retrieved on: 
Thursday, April 19, 2018
Economy, Insurance industry, Substance dependence, Finance, Money, Opioid use disorder, Opioid, Insurance, Third-party administrator, Opioid epidemic

Under the terms of the partnership, MedicFP will provide state-of-the-art, mobile software solutions known as VerifyCare to an opioid treatment program targeted at CoreChoice clients in the group health, workers' compensation, and self-insured markets including unions and their members.

Key Points: 
  • Under the terms of the partnership, MedicFP will provide state-of-the-art, mobile software solutions known as VerifyCare to an opioid treatment program targeted at CoreChoice clients in the group health, workers' compensation, and self-insured markets including unions and their members.
  • The reports provide clinical care managers at opioid abuse treatment facilities with the information and assurance they need to develop multi-faceted opioid treatment plans tailored to each member's individual needs.
  • The program is the first of its kind to address the opioid abuse epidemic by providing breakthrough technology to patient-centered care.
  • Clients of CoreChoice include cost management companies, PPO groups, third party administrators (TPA), self-insured entities, employer group, and government organizations.