Tufts Health Plan

Point32Health to Eliminate Prior Authorizations for Home Health Care Services

Retrieved on: 
Tuesday, April 2, 2024
Harvard Pilgrim Health Care, Occupational therapy, Tufts Health Plan, Learning, JD, Nursing

CANTON, Mass. and BOSTON, April 2, 2024 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, announced today that it is updating its prior authorization requirements for home health care services for members in its commercial plans. Beginning April 12, home care services will not require utilization management for the first 30 days after one of the company's members is discharged from a hospital.

Key Points: 
  • and BOSTON, April 2, 2024 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, announced today that it is updating its prior authorization requirements for home health care services for members in its commercial plans.
  • Beginning April 12, home care services will not require utilization management for the first 30 days after one of the company's members is discharged from a hospital.
  • "We realize the administrative burden that prior authorization requirements can cause providers as well as our members.
  • Currently, skilled services provided in the home (physical therapy, occupational therapy, and speech-language pathology services; social work visits; home health aides; skilled nursing; nutritional counseling) require prior authorization after the initial evaluation for Harvard Pilgrim and Tufts Health Plan plans.

Pluri Inc. Announces Appointment of Jim Roosevelt, Jr. to its Advisory Board

Retrieved on: 
Wednesday, March 6, 2024
Therapy, Politics, Public policy, Regenerative medicine, Massachusetts Democratic Party, PLUR, Social, Public health, Government, Affordable Care Act, Plural, Cell, Rule, Health, Social Security, Private sector, Medicare, Harvard Kennedy School, Cambridge Public Library, Patient, Knowledge, Democratic National Committee, Medicaid, National Committee, Quality assurance, Tufts Health Plan

HAIFA, Israel, March 06, 2024 (GLOBE NEWSWIRE) -- Pluri Inc. (Nasdaq: PLUR) (TASE: PLUR) (“Pluri” or the “Company”), a leading biotech company that transforms cells into solutions that promote global wellbeing and sustainability, today announced the appointment of attorney James Roosevelt, Jr. to the Company’s Advisory Board.

Key Points: 
  • HAIFA, Israel, March 06, 2024 (GLOBE NEWSWIRE) -- Pluri Inc. (Nasdaq: PLUR) (TASE: PLUR) (“Pluri” or the “Company”), a leading biotech company that transforms cells into solutions that promote global wellbeing and sustainability, today announced the appointment of attorney James Roosevelt, Jr. to the Company’s Advisory Board.
  • The intersection of public policy and health is a passion for him.
  • As CEO of Tufts Health Plan, his leadership achieved consistent profitability while attaining the #1 ranking from the National Committee for Quality Assurance.
  • Mr. Roosevelt is also a trustee of the Cambridge Public Library, the Cambridge Community Foundation, and the Atrius Health Equity Foundation.

meQuilibrium Selected by Point32Health to Support Emotional Health and Well-being of Their Colleagues

Retrieved on: 
Wednesday, January 24, 2024
Tufts Health Plan, Workforce, Anxiety, MEQ, Science, Fatigue, Uncertainty, Absenteeism, Burnout, Motivation, Harvard Pilgrim Health Care, Health, Nursing

BOSTON, Jan. 24, 2024 /PRNewswire/ -- meQuilibrium (meQ) has been selected by Point32Health, the parent company of Harvard Pilgrim and Tufts Health Plan, to support the mental well-being of colleagues within its family of companies.

Key Points: 
  • BOSTON, Jan. 24, 2024 /PRNewswire/ -- meQuilibrium (meQ) has been selected by Point32Health, the parent company of Harvard Pilgrim and Tufts Health Plan, to support the mental well-being of colleagues within its family of companies.
  • Point32Health colleagues can now access meQ to navigate challenges and build their adaptive capacity, resilience, and agility.
  • "At Point32Health, we strive to offer innovative tools that guide better health outcomes for our colleagues," said Pete Church, chief people officer, Point32Health.
  • The meQ solution is part of a comprehensive suite of benefits we offer to our colleagues with a goal of prioritizing their health and well-being."

Point32Health and Monogram Health Expand Collaboration Aimed at Improving Chronic Kidney Care

Retrieved on: 
Tuesday, January 16, 2024
Patient, African Americans, MD, Health, Tufts Health Plan, Kidney disease, Monogram, Quality of life, Harvard Pilgrim Health Care, Chronic kidney disease, CKD, ESKD, Nursing

and NASHVILLE, Tenn., Jan. 16, 2024 /PRNewswire/ -- Point32Health , the parent company of Tufts Health Plan and Harvard Pilgrim Health Care, today announced an expansion of its relationship with Monogram Health , the nation's leading value-based provider of in-home, evidence-based care and benefit management services for patients living with chronic kidney and end stage kidney disease to include members in its Tufts Health Direct population.

Key Points: 
  • and NASHVILLE, Tenn., Jan. 16, 2024 /PRNewswire/ -- Point32Health , the parent company of Tufts Health Plan and Harvard Pilgrim Health Care, today announced an expansion of its relationship with Monogram Health , the nation's leading value-based provider of in-home, evidence-based care and benefit management services for patients living with chronic kidney and end stage kidney disease to include members in its Tufts Health Direct population.
  • Point32Health and Monogram began working together in 2022 to improve early access to kidney care for Harvard Pilgrim Health Care and Tufts Health commercial members.
  • Through the expanded collaboration, Monogram Health will assume full financial risk for Tufts Health Direct members with kidney disease, delivering industry-leading in-home specialty care services, promoting better patient outcomes while improving affordability.
  • "This powerful collaboration with Point32Health expands Monogram's ability to transform health care for CKD and ESKD patients in the commercial space," said Aash Shah, MD, chief growth officer of Monogram Health.

Harvard Pilgrim Health Care Institute Appoints New President

Retrieved on: 
Thursday, January 11, 2024
Epidemiology, Internal medicine, Therapy, Research, Pediatrics, Health, Health equity, Tufts Health Plan, Coral, Harvard Medical School, TIDE, Harvard Pilgrim Health Care, Division, Public health, NIH, Conditional sentence, Child, Harvard University, Master of Science, Chronic condition, MPH

CANTON, Mass., Jan. 11, 2024 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, today announced that Emily Oken, MD, MPH, has been appointed the new president of the Harvard Pilgrim Health Care Institute, following a nation-wide search. As part of her new role, Dr. Oken will also serve as chair of Harvard Medical School's Department of Population Medicine at the Harvard Pilgrim Health Care Institute.

Key Points: 
  • CANTON, Mass., Jan. 11, 2024 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, today announced that Emily Oken , MD, MPH, has been appointed the new president of the Harvard Pilgrim Health Care Institute, following a nation-wide search.
  • As part of her new role, Dr. Oken will also serve as chair of Harvard Medical School's Department of Population Medicine at the Harvard Pilgrim Health Care Institute.
  • Chan School of Public Health, and the Harvard Pilgrim Health Care Institute.
  • She is a professor of population medicine at Harvard Medical School and the Harvard Pilgrim Health Care Institute.

POINT32HEALTH EXPANDS PORTFOLIO TO OFFER POINT32HEALTH DENTAL AND POINT32HEALTH VISION

Retrieved on: 
Thursday, January 4, 2024
Vision, Workforce, Harvard Pilgrim Health Care, Tufts Health Plan, Health insurance

CANTON, Mass., Jan. 4, 2024 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, today announced an expansion of its portfolio to include Point32Health Dental and Point32Health Vision. The new dental and vision products will initially be offered to Harvard Pilgrim's commercial clients with 51 or more eligible members for enrollment in July 2024.

Key Points: 
  • CANTON, Mass., Jan. 4, 2024 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, today announced an expansion of its portfolio to include Point32Health Dental and Point32Health Vision.
  • The new dental and vision products will initially be offered to Harvard Pilgrim's commercial clients with 51 or more eligible members for enrollment in July 2024.
  • "As Point32Health continues to evolve, our portfolio of products and services are also growing to support employers' interest in offering comprehensive benefits to current and prospective employees," said Phil Barr, president, markets at Point32Health.
  • "We believe strongly that our new dental and vision products will deliver greater value to our employer clients with more opportunities to support their workforce."

David Mann Joins SponsorUnited as Chief Financial Officer

Retrieved on: 
Thursday, December 14, 2023
IGT, Raytheon Technologies, Research, Federal Reserve Bank, Duke University, CFO, Citibank, Treasury, FP, GTECH, Intelligence, Constant Contact, IPO, MBA, Software as a service, Growth, Tufts Health Plan, Business, Sport, Fuqua School of Business, Management, Video game

STAMFORD, Conn., Dec. 14, 2023 /PRNewswire/ -- SponsorUnited, the leading global sports and entertainment intelligence platform tracking over 1.6 million sponsorships and endorsements for 330,000 brands, is pleased to announce the latest addition to its executive leadership team with the hiring of David Mann as Chief Financial Officer (CFO). As CFO, Mann will be at the helm of all financial activities, including Controllership, Financial Planning and Analysis (FP&A), Investor Relations, and Treasury.

Key Points: 
  • Mann to steer comprehensive financial strategy and operations, enhancing the company's robust growth trajectory
    STAMFORD, Conn., Dec. 14, 2023 /PRNewswire/ -- SponsorUnited , the leading global sports and entertainment intelligence platform tracking over 1.6 million sponsorships and endorsements for 330,000 brands, is pleased to announce the latest addition to its executive leadership team with the hiring of David Mann as Chief Financial Officer (CFO).
  • As CFO, Mann will be at the helm of all financial activities, including Controllership, Financial Planning and Analysis (FP&A), Investor Relations, and Treasury.
  • Mann has an impressive track record spanning more than 20 years in finance leadership roles.
  • "His expertise in financial leadership, particularly in fast-paced companies, will steer us into the next phase of growth and success."

Movn Health Selected as Winner of Point32Health's Second Innovation Challenge

Retrieved on: 
Tuesday, December 12, 2023
Depression, LAUNCH (Innovation Challenge), Nursing, WXOS, Exercise, Panic disorder, Research, FDA, Panic, MD, Partnership, Harvard Pilgrim Health Care, PTSD, Tufts Health Plan, Innovation, Cardiac rehabilitation, Hospital, Medical device

CANTON, Mass., Dec. 12, 2023 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, has announced Movn Health as the winner of its second annual Innovation Challenge.

Key Points: 
  • CANTON, Mass., Dec. 12, 2023 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, has announced Movn Health as the winner of its second annual Innovation Challenge.
  • Based in Irvine, California, Movn Health is a leading telehealth provider for remote cardiac rehab and prevention.
  • In partnership with health plans and providers, Movn helps close cardiovascular care gaps with an evidence-based approach.
  • The other two finalists of the second Innovation Challenge were Cognoa, based in Palo Alto, California, and Curio Digital Therapeutics , based in Princeton, NJ.

Point32Health Announces Three Senior Leadership Appointments

Retrieved on: 
Monday, December 11, 2023
Massachusetts General Hospital, Peach, Centene Corporation, Project management, Business continuity planning, Blue Cross, Duals, Mass, Project management office, Mass General Brigham, Information technology, Blue Shield, Harvard Pilgrim Health Care, Retirement, Medicare, Tufts Health Plan, Knowledge, Boston, Avonlea and Ivy Bank, Management, Medicaid

CANTON, Mass., Dec. 11, 2023 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, has announced three appointments to its senior leadership team:

Key Points: 
  • CANTON, Mass., Dec. 11, 2023 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, has announced three appointments to its senior leadership team:
    "We are thrilled to have three seasoned health industry leaders join the senior leadership team at Point32Health who bring a wealth of knowledge and experience to the organization," said Cain A. Hayes, president and chief executive officer of Point32Health.
  • Susan Kee is being promoted to the role of chief legal officer, following the retirement of her predecessor.
  • Katie Catlender, who will join Point32Health in January as chief operations officer, will oversee Information Technology, Health Plan Service Operations, Business Continuity, the Project Management Office and the Integration Management Office.
  • He brings more than 25 years of managed care experience to Point32Health.

TUFTS HEALTH UNIFY TO REBRAND AS TUFTS HEALTH ONE CARE

Retrieved on: 
Tuesday, November 14, 2023
Unify, TTY, ID, Harvard Pilgrim Health Care, Disability, Medicare, Tufts Health Plan, Massachusetts health care reform, Postcard, Health insurance, Medicaid

CANTON, Mass., Nov. 14, 2023 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, today announced that its Tufts Health Unify product, available to Massachusetts residents ages 21-64 who are dually eligible for Medicare and Medicaid, will change its name to Tufts Health One Care effective January 1, 2024. 

Key Points: 
  • CANTON, Mass., Nov. 14, 2023 /PRNewswire/ -- Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, today announced that its Tufts Health Unify product, available to Massachusetts residents ages 21-64 who are dually eligible for Medicare and Medicaid, will change its name to Tufts Health One Care effective January 1, 2024.
  • "We will continue to be the same health plan that our members have come to know, as well as provide the customer service they deserve."
  • Tufts Health Unify is a health plan that contracts with both Medicare and Medicaid (MassHealth) to provide benefits of both programs to enrollees.
  • Tufts Health Plan complies with applicable Federal civil rights law and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation or gender identity，