Managed care

MedVanta Announces Key Senior Leadership Hires to Transform Delivery of Private Practice Musculoskeletal Care

Retrieved on: 
Tuesday, June 6, 2023
Emergency medicine, Senior, George Washington University, Human, Programming Development Manager, Allscripts, Medicine, Private practice, Negotiation, Managed care, LifeBridge Health, Fertility, Acquisition, Pathology, Physician, Immediate, Digital, MSO, Management, Nursing

These strategic hires will further MedVanta's mission to elevate the future of private practice care and preserve independent medicine.

Key Points: 
  • These strategic hires will further MedVanta's mission to elevate the future of private practice care and preserve independent medicine.
  • "Private practice providers are facing mounting business challenges and financial pressures.
  • In her new role at MedVanta, Christine is responsible for payor relations, negotiating managed care contracts and developing strategies and initiatives to support MedVanta practices through ongoing payment reform.
  • To learn more about how MedVanta is creating a new era for private practice medicine, please visit MedVanta.com or contact us at [email protected] .

GSK Announces the COiMMUNITY Initiative to Help Achieve Higher Adult Vaccination Rates in the US

Retrieved on: 
Thursday, June 1, 2023
Biotechnology, Professional Services, Managed Care, Health, Philanthropy, Women, Pharmaceutical, Other Philanthropy, Men, Data Analytics, Consumer, Vaccine, Pressure, GSK, Medicaid, Education, Vaccination, Senior, Request, RFP, Public, Policy, COVID-19, Health equity, Infection, IRA, Managed care, Organization, Medicare, Inflation, GSK plc, Investment, Data, Inflation Reduction Act of 2022, Immunization, Fee-for-service, Pharmaceutical industry

GSK plc (LSE/NYSE: GSK) today announced the launch of the COiMMUNITY Initiative to help reduce health inequities and set a new precedent for adult immunization rates in the US, which continue to remain below pre-pandemic levelsi.

Key Points: 
  • GSK plc (LSE/NYSE: GSK) today announced the launch of the COiMMUNITY Initiative to help reduce health inequities and set a new precedent for adult immunization rates in the US, which continue to remain below pre-pandemic levelsi.
  • Judy Stewart, Senior Vice President, Head of US Vaccines, GSK said “This is a critical moment for public health.
  • Our industry can do more by investing in local interventions to help create healthier communities and sustain best practices from the pandemic.
  • Resource-sharing opportunities: GSK will share new resources, tools and best practices in adult vaccine confidence and delivery to help stakeholders implement tangible solutions for addressing adult immunization gaps.

MANAGED CARE DATA BREACH ALERT: Edelson Lechtzin LLP Is Investigating Claims On Behalf Of Customers Whose Personal Data May Have Been Compromised By Managed Care of North America, Inc. Data Breach

Retrieved on: 
Wednesday, May 31, 2023
Insurance, Identity theft, LLP, Information, HERE, Privacy, Managed care, Cryptocurrency

NEWTOWN, Pa., May 31, 2023 (GLOBE NEWSWIRE) -- The law firm of Edelson Lechtzin LLP is investigating claims of data privacy violations by Managed Care of North America, Inc. (“Managed Care”) resulting from a data breach that occurred between February 26 to March 7, 2023.

Key Points: 
  • NEWTOWN, Pa., May 31, 2023 (GLOBE NEWSWIRE) -- The law firm of Edelson Lechtzin LLP is investigating claims of data privacy violations by Managed Care of North America, Inc. (“Managed Care”) resulting from a data breach that occurred between February 26 to March 7, 2023.
  • The data breach compromised confidential patient information including full names, addresses, birthdates, driver’s license numbers, phone numbers, social security numbers, and protected health information.
  • Edelson Lechtzin LLP is investigating legal remedies on behalf of Managed Care customers who may have had their sensitive personal data stolen in the Managed Care data breach.
  • If you have received a data breach notice from Managed Care and have experienced identity theft, credit card fraud or other questionable uses of your personal information, it is possible that your personal data was comprised.

To Better Support Medicare and Medicaid Beneficiaries, Zocdoc Launches Search and Booking for Federally Qualified Health Centers (FQHCs) on its Marketplace

Retrieved on: 
Thursday, April 6, 2023
Spring Branch, Public health emergency (United States), Marketing, PHE, FQHC, COVID-19, Managed care, Federally Qualified Health Center, Patient, Risk, Dental care, Mental health, Pharmaceutical industry, Health insurance, Nursing, Medicaid, Medicare

NEW YORK, April 6, 2023 /PRNewswire/ -- Zocdoc, the leading healthcare marketplace that makes it easy for people to find and book in-person or virtual care across +200 specialties and +12k insurance plans, today announced that it is introducing Federally Qualified Health Centers (FQHCs) on its marketplace. FQHCs are primary care health clinics that focus on providing quality care to underserved patient populations, regardless of their ability to pay for care. The addition of this new type of care organization to Zocdoc will make it easier for Medicare and Medicaid beneficiaries, and other disenfranchised patients, to seamlessly find and book care.

Key Points: 
  • FQHCs are primary care health clinics that focus on providing quality care to underserved patient populations, regardless of their ability to pay for care.
  • With access to affordable, quality care at risk for so many Americans, Zocdoc began a concerted effort to bring more FQHCs on to its marketplace.
  • Zocdoc users booked in-network appointments using more than 1,200 different Medicaid and Medicare plans, for care across more than 170 different medical specialties.
  • Today, more than 85% of providers (excluding mental health) on Zocdoc's marketplace accept Medicare or Medicaid.

PurposeCare Announces Ann O'Heir As New Vice President of Clinical Operations

Retrieved on: 
Tuesday, February 21, 2023
Caregiver, Medicare, ACO, Acquisition, Alliance Homes Group, Patient, Family, Growth, Managed care, Nursing, Medicaid

CHICAGO, Feb. 21, 2023 /PRNewswire-PRWeb/ -- PurposeCare, a leading provider of coordinated home care and home health services in the Midwest, announces Ann O'Heir as the new vice president of clinical operations. Formed in December 2021 with the acquisition of Indiana-based Purpose Home Health, PurposeCare provides home based care services to more than 3,000 clients a month.

Key Points: 
  • CHICAGO, Feb. 21, 2023 /PRNewswire-PRWeb/ -- PurposeCare, a leading provider of coordinated home care and home health services in the Midwest, announces Ann O'Heir as the new vice president of clinical operations.
  • Formed in December 2021 with the acquisition of Indiana-based Purpose Home Health, PurposeCare provides home based care services to more than 3,000 clients a month.
  • Ann O'Heir is a nurse executive with 25 years' experience successfully leading cross-departmental teams through the healthcare continuum (home care, home health, and hospice organizations).
  • "I am excited to join the PurposeCare family at this critical season of growth as we focus on excellence," said O'Heir, vice president of clinical operations, PurposeCare.

Lou Rabeno Joins Medlogix as Sales Manager

Retrieved on: 
Tuesday, February 21, 2023
Growth, Senior, Managed care, China Pharmaceutical Industry Association, Business development

HAMILTON, N.J., Feb. 21, 2023 /PRNewswire/ -- Medlogix is pleased to announce that Lou Rabeno has joined the company as Sales Manager.

Key Points: 
  • HAMILTON, N.J., Feb. 21, 2023 /PRNewswire/ -- Medlogix is pleased to announce that Lou Rabeno has joined the company as Sales Manager.
  • In this role, Lou will be responsible for cultivating new client relationships and expanding business opportunities throughout the New York region.
  • "We are fortunate to have Lou on our Business Development team," said Steve Armenti, Senior Vice President of National Enterprise Sales.
  • "I am excited to be part of the dynamic team at Medlogix," said Rabeno, "and look forward to contributing to their future growth and success."

Lumeris Announces Seven New Health System Partnerships as Five Star Essence Health Plan Expands into Five New States

Retrieved on: 
Tuesday, November 1, 2022
News, CEO, Health, U.S. News & World Report, Partnership, Family, Managed care, Risk, CMS, Physician, Commercial, Technology, Medicare, Patient, Medicare Advantage, Multimedia, HP2, MA, Insurance, Health insurance, Medicaid, Essence

ST. LOUIS, Nov. 1, 2022 /PRNewswire/ -- Lumeris, a leading provider of the technology, insurance capabilities and expertise to support value-based care models, announced today the 2023 market expansion of Essence Healthcare, the company's wholly owned Medicare Advantage (MA) plan, into five new states and 44 new counties. This expansion is a 223% increase in county coverage in just one year, marking the company's explosive growth due to customer and provider satisfaction with Essence's distinctive MA plan and benefits.

Key Points: 
  • "While the health care delivery system in the United States has struggled to balance quality, cost, and patient and physician satisfaction, Lumeris has demonstrated that it is not only possible, but also scalable.
  • We are pleased to expand our provider partnerships to bring Essence Healthcare to a growing number of seniors."
  • "Northeast Georgia Health System and Health Partners/HP2 are excited to launch a new Medicare Advantage plan in Georgia on January 1, 2023, Essence Health," said Steve McNeilly, Northeast Georgia Health System COO Population Health & Vice President, Managed Care.
  • This new partnership with Essence Health supports our mission,to improve the health of the community in all we do."

Healthcare M&A Activity Remained Strong in Q3:22, According to Market Data Captured By Irving Levin Associates, LLC

Retrieved on: 
Friday, October 14, 2022
HC, Housing, Intelligence, Research, Q3:21, Health & Other Services Personnel Trade Union of South Africa, NEW, Chubb, Acquisition, GDP, CVS Health, Mediclinic International, Hospital, Medical device, Managed care, Pharmaceutical industry, Health care

NEW CANAAN, Conn., Oct. 14, 2022 /PRNewswire-PRWeb/ -- Healthcare merger and acquisition activity remained extremely active during the third quarter of 2022, with 734 publicly announced deals, according to new data captured by Irving Levin Associates on its LevinPro HC platform. While some sectors, like Hospitals and Managed Care, had a significant increase in activity, others like Medical Devices experienced a slowdown. Transaction volume in Q3:22 remained virtually the same with deal totals in Q2:22, but increased by nearly 20% compared with the third quarter in 2021.

Key Points: 
  • Healthcare merger and acquisition activity remained extremely active during the third quarter of 2022, with 734 publicly announced deals, according to new data captured by Irving Levin Associates on its LevinPro HC platform.
  • NEW CANAAN, Conn., Oct. 14, 2022 /PRNewswire-PRWeb/ -- Healthcare merger and acquisition activity remained extremely active during the third quarter of 2022, with 734 publicly announced deals, according to new data captured by Irving Levin Associates on its LevinPro HC platform.
  • Healthcare M&A deal value totals revealed a slight increase from $57.74 billion in Q2:22 to $58.2 billion during Q3:22.
  • "Healthcare M&A activity is showing no signs of slowing," said Glenn Kalinoski, Editor of Healthcare at Irving Levin Associates.

For Second Time, Humana Kentucky Medicare Advantage HMO Plan Achieves Prestigious 5-Star Rating

Retrieved on: 
Friday, October 7, 2022
Professional Services, Health, Insurance, Health Insurance, Managed Care, General Health, People, Quality of life, Physician, News, U.S. Securities and Exchange Commission, Dillon, St. Elizabeth Healthcare (Kentucky), Centers for Medicare & Medicaid Services, NYSE, Patient, CMS, History, Medicare Advantage, Center, HMO, ICD-10-CM, Center for Medicare and Medicaid Innovation, Medicare, Health, Star, PPO, MA, AEP, TTY, Managed care, Health Star Rating System, Inc., Health insurance, Medicine, Humana

Were proud to receive this prestigious achievement for the second year in a row, said Kathie Mancini, Medicare East Central Region President for Humana.

Key Points: 
  • Were proud to receive this prestigious achievement for the second year in a row, said Kathie Mancini, Medicare East Central Region President for Humana.
  • It recognizes our dedication to the well-being and health of Humana Medicare Advantage members and the Northern Kentucky communities we serve.
  • Humana Medicare Advantage member Pat Dillon of Erlanger, Kentucky, said the 5-star rating is well-deserved.
  • The Medicare Advantage and Prescription Drug Plan Annual Election Period (AEP) begins Oct. 15 and continues through Dec. 7, 2022.

Empire BlueCross BlueShield and Northwell Health Finalize Renewed Multi-Year Agreement Offering New Yorkers Enhanced Access and New Programs

Retrieved on: 
Thursday, August 18, 2022
General Health, Health, Professional Services, Insurance, Health Insurance, Empire HealthChoice Assurance, Inc. v. McVeigh, Multimedia, Blue Cross Blue Shield Association, New Yorkers, Medicare, Senior, Northwell Health, Hospital, Blue Shield, Feinstein Institute for Medical Research, Nursing, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, House Calls, Instagram, Twitter, Managed care, Region, Physician, LinkedIn, Medicine, Health, Medical research, Health insurance, Facebook, Medicaid

Today, Empire BlueCross BlueShield (Empire) and Northwell Health (Northwell) announced a renewed agreement offering New Yorkers enhanced access and new programs.

Key Points: 
  • Today, Empire BlueCross BlueShield (Empire) and Northwell Health (Northwell) announced a renewed agreement offering New Yorkers enhanced access and new programs.
  • Empire and Northwell represent New Yorks largest health insurer and largest health system respectively, and this latest multi-year agreement maintains access for the more than four million Empire members who can choose Northwell for their healthcare.
  • View the full release here: https://www.businesswire.com/news/home/20220817005569/en/
    Together, Empire and Northwell take care of more New Yorkers than any other payer and provider collaborative in the state, said Jordan Vidor, Regional Vice President, Provider Solutions, Empire BlueCross BlueShield.
  • Serving New Yorkers for more than 85 years, Empire BlueCross BlueShield (Empire) is on a mission to materially and measurably improve the health of New Yorkers.