UnitedHealth Group

Carenet Health Announces the Formation of its New Shared Services Department

Retrieved on: 
Tuesday, August 22, 2023
Data Management, Practice Management, Technology, Managed Care, Health, Health Technology, Health Insurance, Telecommunications, Software, Hospitals, Telemedicine, Virtual Medicine, Workforce, Shared services, Shared, University, PwC, Blue Shield, Health Net, UnitedHealth Group, Management, Carenet Health

Carenet Shared Services will encompass workforce management, training and development, continuous improvement, facilities and real estate, procurement and vendor management, and contract management.

Key Points: 
  • Carenet Shared Services will encompass workforce management, training and development, continuous improvement, facilities and real estate, procurement and vendor management, and contract management.
  • The company’s new organization will be led by Executive Vice President of Shared Services Michael Thomas, who was recently promoted to this new role.
  • Since joining the company in 2021, Thomas has been an asset to Carenet Health, having played a pivotal role in establishing the Commercial Services Organization in 2022.
  • “I’m very excited to lead the newly formed Shared Services group as we strive to continually improve the industry-leading products and services our clients have come to expect from Carenet,” Thomas said.

60% of Patients Trust Independent Practices Over Corporate Healthcare, Despite Valuing Speedy Care

Retrieved on: 
Tuesday, August 22, 2023
Health, Technology, Health Technology, Other Technology, Telecommunications, Software, General Health, Telehealth, Communication, Marketing, CVS, Hims & Hers Health, Patient, Software Advice, BetterHelp, MinuteClinic, UnitedHealth Group, Social media, SmileDirectClub, Medical imaging, Nursing, Pharmaceutical industry, Amazon

Although large providers offer rapid and streamlined services, independent practices hold a trust advantage, with 60% of patients expressing greater confidence in them.

Key Points: 
  • Although large providers offer rapid and streamlined services, independent practices hold a trust advantage, with 60% of patients expressing greater confidence in them.
  • By leveraging technology, practices can harness their strengths in patient trust and personal connection to gain an edge on corporate practices.
  • Beyond integrating modern tools, healthcare practices have the opportunity to sway 54% of patients with no preference between independent or corporate practices by applying smart marketing strategies that highlight the numerous benefits independent practices provide.
  • View the full report on Software Advice to learn more about how independent practices can compete successfully against corporate providers.

For Medicare Advantage Plans, Trust and Problem Resolution Closely Associated with Likelihood to Renew, J.D. Power Finds

Retrieved on: 
Tuesday, August 22, 2023
Seniors, Consumer, Health, Baby Boomers, Health Insurance, J.D. Power, Friends, Kaiser Permanente, Blue Cross Blue Shield Association, Life, Medicare Part D, Trust, Medicare Advantage, Medicare, SM, UnitedHealth Group, SCAN Health Plan, Health insurance, Retail, Humana, Highmark

Power 2023 U.S. Medicare Advantage Study,SM released today, the biggest factors influencing retention in this fast-moving, highly competitive market are trust and the ability to resolve problems or complaints.

Key Points: 
  • Power 2023 U.S. Medicare Advantage Study,SM released today, the biggest factors influencing retention in this fast-moving, highly competitive market are trust and the ability to resolve problems or complaints.
  • SCAN Health Plan ranks highest in overall customer satisfaction with Medicare Advantage plans in California, with a score of 708.
  • Excellus BlueCross BlueShield ranks highest in overall satisfaction with Medicare Advantage plans in New York, with a score of 700.
  • The 2023 U.S. Medicare Advantage Study is based on the responses of 5,887 members of Medicare Advantage plans in five market-based U.S. regions: California, Florida, New York, Pennsylvania and Texas.

Press Ganey Names David Shapiro as GM and SVP, Member Experience

Retrieved on: 
Monday, August 21, 2023
Software, Technology, General Health, Health, Health Star Rating System, Heart, NPS, Growth, Human, UnitedHealth Group, SVP, GM, HX, Accenture

Press Ganey, the renowned leader in transforming the Human Experience (HX) across the healthcare ecosystem of patient, employee, member, and consumer journeys, today announced the appointment of David Shapiro as GM and SVP of Member Experience.

Key Points: 
  • Press Ganey, the renowned leader in transforming the Human Experience (HX) across the healthcare ecosystem of patient, employee, member, and consumer journeys, today announced the appointment of David Shapiro as GM and SVP of Member Experience.
  • Mr. Shapiro will lead the continued growth of Press Ganey’s Member Experience business and will be focused on delivering solutions, analytics, and insights to improve the quality, experience, and retention for all health plans.
  • “I’m thrilled to welcome David to the Press Ganey organization.
  • I look forward to working with clients to accelerate their member experience efforts, while supporting Press Ganey capitalize on its growth opportunities ahead.” — David Shapiro, GM and SVP Member Experience, Press Ganey

Equality Health Foundation Sponsors Well-Child & Back to School Drives

Retrieved on: 
Monday, August 21, 2023
Arizona Department of Health Services, Arizona Department, Partnership, Student, Health education, Aetna, Health care, Patient, UnitedHealth Group, Health, Commerce, Nursing, Operation

PHOENIX, Aug. 17, 2023 /PRNewswire-PRWeb/ -- Equality Health Foundation, in partnership with Mercy Care, UnitedHealthcare, Aetna, Arizona Department of Health Services, and community partners distributed over 3,600 backpacks, school supplies and health and well-being resources to students in advance of the new school year. Pediatric primary care practices in Arizona and Texas participated in the drive, helping to prepare students for a healthy and prosperous academic year.

Key Points: 
  • "Students need to have equal access to comprehensive health care and well-being resources," said Tomás León, Equality Health Foundation President.
  • "In order to reach their full potential, students need to have equal access to comprehensive health care and well-being resources," said Tomás León, Equality Health Foundation President.
  • "We are thrilled to partner with Equality Health Foundation to distribute backpacks and school supplies to our patients for the upcoming school year."
  • For more information on Equality Health Foundation and the well-child & back to school dive, please visit https://www.equalityhealthfoundation.org/ .

UnitedHealthcare Selected by New Mexico Human Services Department To Serve Medicaid Members via Turquoise Care

Retrieved on: 
Thursday, August 17, 2023
Seniors, Insurance, Managed Care, Health, Hospitals, Professional Services, Health Insurance, Consumer, Organization, Medicare, Medicaid, Hospital, Physician, New Mexican, UnitedHealth Group, Pharmaceutical industry, Health insurance

The New Mexico Human Services Department has announced its intention to award UnitedHealthcare as one of four organizations to administer Turquoise Care, the state’s Medicaid program, statewide.

Key Points: 
  • The New Mexico Human Services Department has announced its intention to award UnitedHealthcare as one of four organizations to administer Turquoise Care, the state’s Medicaid program, statewide.
  • After contract negotiations conclude, UnitedHealthcare expects its Medicaid offering to be available to members beginning July 1, 2024.
  • “We are honored to once again have the opportunity to serve New Mexicans with a quality member-centered Medicaid program that meets the needs of every community across the state,” said Drew Peterson, CEO, UnitedHealthcare Community & State of New Mexico.
  • Currently, UnitedHealthcare serves more than 210,000 members enrolled in employer-sponsored, individual and Medicare plans in New Mexico, with a network of 49 hospitals, and over 11,000 physicians and other care providers statewide.

Napoli Shkolnik Files Insulin Pricing Scheme Complaint on Behalf of Cattaraugus County, New York Against 19 Major Players in Pharma Industry

Retrieved on: 
Thursday, August 17, 2023
Professional Services, Medical Supplies, Health, Diabetes, Legal, Pharmaceutical, Lawsuit, Insulin, Gestational diabetes, Mariya Shkolnik, Pharmacy, Racketeer Influenced and Corrupt Organizations Act, Express Scripts, UnitedHealth Group, Sanofi, Eli Lilly and Company, Prediabetes, Plaintiff, CVS Caremark, Pharmaceutical industry

Cattaraugus County claims the defendants - all major players in the pharma industry - engineered these price increases via an opaque, conspiratorial kickback scheme (referred to in the lawsuit as the “Insulin Pricing Scheme”), which has exponentially increased their profits at the expense of payors like Plaintiff and its plan members.

Key Points: 
  • Cattaraugus County claims the defendants - all major players in the pharma industry - engineered these price increases via an opaque, conspiratorial kickback scheme (referred to in the lawsuit as the “Insulin Pricing Scheme”), which has exponentially increased their profits at the expense of payors like Plaintiff and its plan members.
  • The Insulin Pricing Scheme is a multibillion-dollar industry with many of the corporate defendants listed in the top 20 of the 2022 Fortune 500 list.
  • The price range for insulin today can range from $300 to $700 despite costing manufacturers as little as $2 to produce.
  • Approximately 1.7 million people in New York, or 10.7% of the adult population, have diabetes.

UnitedHealthcare Donates $2.85 Million To Help Health Service Workers Better Care For Indiana’s Seniors

Retrieved on: 
Tuesday, August 15, 2023
Professional Services, Managed Care, Other Health, Health, Philanthropy, General Health, Other Philanthropy, Health Insurance, Other Professional Services, Fund Raising, Insurance, Hospice, National Association for Home Care & Hospice, DSW Entertainment, Disability, COVID-19, ECHO, Quality of life, Falls, Child care, Person, Organization, Project Echo, Indiana University School of Medicine, Patient, UnitedHealth Group, Occupation, Learning, Indiana University School of Nursing, Knowledge, Under Secretary of Defense for Personnel and Readiness, Office of Community Planning and Development, Geriatrics, Ivy Tech Community College of Indiana, Hoosier, Nursing

UnitedHealthcare Community Plan of Indiana has provided $2.85 million to four organizations working to advance the direct service health workforce in the state.

Key Points: 
  • UnitedHealthcare Community Plan of Indiana has provided $2.85 million to four organizations working to advance the direct service health workforce in the state.
  • Direct service workers (DSWs) are essential in providing care to the long-term services and supports recipients who choose to age and live in their homes, especially those in underserved communities and rural areas.
  • DSWs include certified nursing assistants, home health aides, direct support professionals, personal care aides and other nonlicensed workers.
  • Indiana University School of Medicine Geriatrics — $500,000 for a Project ECHO initiative and Learning Collaborative to share know-how among providers.

Advocates to Picket OptumRx over PBM’s Abuse, Greed, says AHF

Retrieved on: 
Tuesday, August 15, 2023
Infectious Diseases, Advocacy Group Opinion, Public Policy, Government, Healthcare Reform, AIDS, White House, Federal Government, Health, State, Local, Pharmaceutical, AHF, HIV, Pharmacy, IG, Patient, AIDS Healthcare Foundation, UnitedHealth Group, National Directorate for Personal Data Protection, Hospital, Health care

Healthcare advocates from across the country will join AIDS Healthcare Foundation ( AHF ) to protest unethical charges by United Healthcare and its OptumRx pharmacy benefits manager to independent and specialty pharmacies providing the sensitive, lifesaving medical needs of individuals living with HIV and other critical illnesses.

Key Points: 
  • Healthcare advocates from across the country will join AIDS Healthcare Foundation ( AHF ) to protest unethical charges by United Healthcare and its OptumRx pharmacy benefits manager to independent and specialty pharmacies providing the sensitive, lifesaving medical needs of individuals living with HIV and other critical illnesses.
  • Healthcare advocates with AHF from across the country.
  • “It is outrageous how United Healthcare and its Optum Rx PBM continue to put profit over people.
  • To learn more about AHF, please visit our website , find us on Facebook , follow us on IG and Twitter , or subscribe to our “AHFter Hours” podcast.

Oxford Health Founder, Steve Wiggins, launches a new type of health insurance plan with nirvanaHealth’s Aria platform on Microsoft Azure

Retrieved on: 
Monday, August 14, 2023
Health Technology, Health Insurance, Insurance, Technology, Robotics, Pharmaceutical, Practice Management, Apps, Applications, Professional Services, Venture Capital, Artificial Intelligence, Software, Networks, Health, Medical Supplies, Oxbridge, RPA, Medicaid, Partnership, Oxford, PPO, Oxford Health Plans, HealthMarkets, Payer, HMO, Point, Multimedia, Preferred provider organization, Pharmacy, Government, Acos, Private health services plan, Health maintenance organization, Medicare, Patient, Risk, Machine learning, PBM, Architecture, Point of service plan, Health insurance, Apple, UnitedHealth Group

These capabilities will be linked to the Oxbridge platform to enable creative use of bundled payments and episode of care allowances in benefit plan designs.

Key Points: 
  • These capabilities will be linked to the Oxbridge platform to enable creative use of bundled payments and episode of care allowances in benefit plan designs.
  • “We are excited to work with Oxbridge to drive innovation and to help them launch with a highly competitive cost structure.
  • The Oxbridge platform has been designed to move up to 50% of an employer’s annual health benefit spending into episode of care programs.
  • The Aria platform was designed to administer any type of health benefit program, whether a Medicare or Medicaid plan, a commercial health insurance program, an employer self-funded plan or prescription drug programs.