Medicare dual eligible

Elevance Health to Acquire Blue Cross and Blue Shield of Louisiana

Retrieved on: 
Monday, January 23, 2023
General Health, Health, Professional Services, Insurance, Health Insurance, Organization, Medicaid, Medicare dual eligible, White, White & Case, NYSE, Medicare, Acquisition, Workforce, Blue Cross, McGlinchey Stafford, ELV, Blue Shield, Morgan, Lewis & Bockius, Elevance Health, Environment, History, Health insurance

Elevance Health, Inc. (NYSE: ELV) and Blue Cross and Blue Shield of Louisiana announced today that the companies have entered into a definitive agreement through which Elevance Health agrees to acquire Blue Cross and Blue Shield of Louisiana (BCBSLA).

Key Points: 
  • Elevance Health, Inc. (NYSE: ELV) and Blue Cross and Blue Shield of Louisiana announced today that the companies have entered into a definitive agreement through which Elevance Health agrees to acquire Blue Cross and Blue Shield of Louisiana (BCBSLA).
  • “Elevance Health and Blue Cross and Blue Shield of Louisiana will combine strengths to provide services unique to the needs of Louisiana to better serve members through a whole health personalized approach,” said Gail Boudreaux, President and CEO, Elevance Health.
  • Upon closing, Elevance Health’s affiliated Anthem Blue Cross Blue Shield plans will now operate within 15 states across the country.
  • Cain Brothers acted as financial advisors to Blue Cross and Blue Shield of Louisiana in this transaction.

Leavitt Center for Alliances, an HMA Initiative, Drives Collaboration and Solutions

Retrieved on: 
Tuesday, November 1, 2022
Health Management Associates, United States Department of Health and Human Services, Population, Medicare dual eligible, Private sector, Science, Policy, Organization, Work, Decision-making, Government, Leavitt (surname), Foundation, Pharmaceutical distribution, Multimedia, Board of directors, Solution, HHS, PDSA, Consultant, Airline, HMA

The Leavitt Center for Alliances (Leavitt Center) is home to expert conveners who have decades of experience in the private sector and government.

Key Points: 
  • The Leavitt Center for Alliances (Leavitt Center) is home to expert conveners who have decades of experience in the private sector and government.
  • Governor Mike Leavitt served as Secretary of the United States Department of Health and Human Services (HHS).
  • "Our approach to multi-sector consensus-based alliances, rooted in collaboration, has consistently helped organizations identify and develop solutions to some of the most complicated issues.
  • The Leavitt Center guides stakeholders through each step of the process to form alliances, develop consensus within those alliances, and then put a strategic plan into action that drives results.

HIGHMARK WHOLECARE ANNOUNCES 2023 MEDICARE DUAL SPECIAL NEEDS (D-SNP) HEALTH PLAN BENEFITS

Retrieved on: 
Wednesday, October 12, 2022
Diamond, Physician, Color, Medicaid, Medicine, Centers for Medicare & Medicaid Services, Transport, Kool-Aid, Medicare dual eligible, Hospital, CMS, Multimedia, Knowledge, Blue Shield, Sex, Center, HMO, Disability, Medicare, Health, Duke Diet and Fitness Center, Food, TTY, Ruby, Pharmacy, Health insurance

PITTSBURGH , Oct. 12, 2022 /PRNewswire/ -- Highmark Wholecare, formerly Gateway Health, a leading managed care organization dedicated to caring for the total health of its members, today announced new plan benefits for its Highmark Wholecare Blue Cross and/or Blue Shield 2023 Medicare Dual Special Needs (D-SNP) health plans.

Key Points: 
  • PITTSBURGH, Oct. 12, 2022 /PRNewswire/ -- Highmark Wholecare, formerly Gateway Health, a leading managed care organization dedicated to caring for the total health of its members, today announced new plan benefits for its Highmark Wholecare Blue Cross and/or Blue Shield 2023 Medicare Dual Special Needs (D-SNP) health plans.
  • The health insurer offers medical, prescription drug, and supplemental benefits through its Highmark Wholecare Blue Cross and/or Blue Shield Medicare Assured Diamond and Ruby Plans.
  • "Highmark Wholecare Medicare D-SNP health plan benefits reflect our commitment to the whole health of our members, and our knowledge and experience caring for the unique health care challenges of people who need our help the most," said Tammy Palmgren, Vice President, Sales, Highmark Wholecare.
  • Highmark Wholecare Blue Cross and/or Blue Shield Medicare Assured Diamond and Ruby Plans (HMO D-SNP) were created for Medicare beneficiaries who are eligible for full or partial Medicaid benefits.

CareCloud Adds Chronic Care Management Service to its Digital Health Portfolio

Retrieved on: 
Wednesday, April 27, 2022
Patient, Center, CareCloud, Patient satisfaction, GLOBE, Â, Medicare dual eligible, Program, RCM, CCM, MTBC, CMS, Health information management, Review, Health, EHR, Solution, Partnership, Practice management, Centers for Medicare & Medicaid Services, PXM, Health insurance, Medicine, Medicare, Medicaid

SOMERSET, N.J., April 27, 2022 (GLOBE NEWSWIRE) -- CareCloud, Inc. (Nasdaq: MTBC, MTBCO, MTBCP), a leader in healthcare technology solutions for medical practices and health systems nationwide, has announced its new offering for chronic care management as part of its growing suite of digital health solutions that help providers enhance patient care and revenue streams. CareCloud Wellness gives practices the means to easily participate in the government’s chronic care management (CCM) program, without having to expand operations.

Key Points: 
  • CareCloud Wellness gives practices the means to easily participate in the governments chronic care management (CCM) program , without having to expand operations.
  • CareCloud Wellness is a software-enabled service that extends care to high-risk patients with multiple chronic conditions.
  • Care managers work in partnership with the provider to coordinate care plans that consider nutrition, medication, and lifestyle in a holistic approach to chronic care management.
  • Learn more about our products and services including revenue cycle management (RCM), practice management (PM), electronic health records (EHR), business intelligence, telehealth and patient experience management (PXM) at www.carecloud.com .

HealthHelp Partners with Highmark Wholecare to Manage Key Specialty Benefits Programs

Retrieved on: 
Wednesday, February 2, 2022
Technology, Hospitals, Consulting, Professional Services, Software, Managed Care, Health, General Health, Data Management, Blue Cross Blue Shield Association, Holding, CEO, Safety, Thomas Jefferson University, WNS, Patient, Medicare dual eligible, Radiation, Physician, Radiology, Business process management, Technology, Research, Medicare, BPM, Medicaid, Blue Shield, Partnership, Sleep, Medicine, Health, Education, Knowledge, Accounting, Cardiology, Industry, NYSE, United Kingdom, Solution, Hospital, Health insurance

This partnership will ensure that the most appropriate cardiology, radiation therapy, and sleep medicine care is provided to Highmark Wholecare members.

Key Points: 
  • This partnership will ensure that the most appropriate cardiology, radiation therapy, and sleep medicine care is provided to Highmark Wholecare members.
  • We are honored to be partnering with Highmark Wholecare to improve the quality of care for their members.
  • Highmark Wholecare is an industry leader in servicing the Medicaid and Medicare populations, which are central to HealthHelps commitment to clinical collaboration, said Kariena Greiten, CEO, HealthHelp.
  • HealthHelp is a separate company that supports specialty benefits programs for Highmark Wholecare.

BILENDI: Bilendi acquires the respondi Group, a European player in data collection for market research

Retrieved on: 
Monday, November 22, 2021
Regulatory News Service, Heart, University, Qualitative research, CEO, Technology, Acquisition, Data collection, PME, Customer engagement, Solution, COO, Medicare dual eligible, Research, EBIT, United Kingdom, Culture, Collection, ISIN, PEA, Growth, Financial services, Management, Network equipment, Video game, Bank

BILENDI: Bilendi acquires the respondi Group, a European player in data collection for market research

Key Points: 
  • BILENDI: Bilendi acquires the respondi Group, a European player in data collection for market research
    Dissemination of a French Regulatory News, transmitted by EQS Group.
  • Bilendi acquires the respondi Group,
    Paris, November 22nd, 2021 - Bilendi, a European leader in research technology and data, has entered into an agreement to acquire the respondi Group.
  • respondi is a key player in data collection for market research with some of the leading online panels in Europe.
  • Founded in 2005 in Cologne, Germany, by Dr. Otto Hellwig, respondi is an international player dedicated to data collection for market research in Europe.

Gateway Health Names Ellen Duffield President and Chief Executive Officer

Retrieved on: 
Wednesday, November 17, 2021
Blue Cross Blue Shield Association, Senior, Health, CEO, Medicare dual eligible, Mercy Health, DST, Medicare, Hospital, Partnership, Compliance, Physician, View, Board, Highmark, Medicaid, Ownership, Centers for Medicare & Medicaid Services, Medicine, Multimedia, Center, Growth, Management, Health insurance

PITTSBURGH, Nov. 17, 2021 /PRNewswire/ -- Gateway Health Plan, Inc. ("Gateway Health") today appointed Ellen Duffield as President and Chief Executive Officer effective immediately.

Key Points: 
  • PITTSBURGH, Nov. 17, 2021 /PRNewswire/ -- Gateway Health Plan, Inc. ("Gateway Health") today appointed Ellen Duffield as President and Chief Executive Officer effective immediately.
  • Duffield most recently served as Senior Vice President and Chief Operations Officer at Gateway Health.
  • Prior to joining Gateway Health in 2019, Duffield served as President, DST Health Solutions.
  • "Ellen Duffield is an accomplished, visionary health care leader with broad experience and demonstrated success in mission critical areas such as operations, technology solutions, compliance, and business development, combined with intimate knowledge of Gateway Health," said Karen Hanlon, Executive Vice-President and Chief Operating Officer of Highmark Health.

Highmark Wholecare Medicare Dual Special Needs (D-SNP) 2022 Health Plan Benefits Announced

Retrieved on: 
Monday, October 11, 2021
Diamond, Meal, Center, Transport, TTY, ESRD, Nursing, OTC, Glass, Health, Medicaid, Diabetes, Physician, Snyder, Multimedia, HMO, Breathe Easy, Sex, Dentures, Chronic obstructive pulmonary disease, Medicare dual eligible, Hearing, Hospital, CMS, Medicare, COPD, McKean, Chronic kidney disease, Color, Centers for Medicare & Medicaid Services, Medicine, Blue Shield, Comfort, Kool-Aid, Disability, Food, Health insurance

PITTSBURGH, Oct. 11, 2021 /PRNewswire/ --Gateway Health Plan, Inc. ("Gateway Health"), a leading managed care organization dedicated to caring for the total health of its members, today announced plan benefits and market expansion for its newly branded Highmark Wholecare Blue Cross and/or Blue Shield 2022 Medicare Dual Special Needs (D-SNP) health plans.

Key Points: 
  • PITTSBURGH, Oct. 11, 2021 /PRNewswire/ --Gateway Health Plan, Inc. ("Gateway Health"), a leading managed care organization dedicated to caring for the total health of its members, today announced plan benefits and market expansion for its newly branded Highmark Wholecare Blue Cross and/or Blue Shield 2022 Medicare Dual Special Needs (D-SNP) health plans.
  • Highmark Wholecare plans earned a 4.5-star quality rating (out of 5 stars) for contract year 2022 from the Centers for Medicare and Medicaid Services (CMS) and offer supplemental benefits through its Highmark Wholecare Blue Cross and/or Blue Shield Medicare Assured Diamond and Ruby Plans.
  • "We are proud to introduce Highmark Wholecare Medicare D-SNP health plans to the communities we serve," said Phil Barr, Chief Growth Officer, Gateway Health.
  • Highmark Wholecare plans offer special supplemental benefits through the Medicare Assured Diamond Plan for people who have certain chronic illnesses.

Illinois Selects CNSI to Support Ongoing Medicaid Modernization Efforts

Retrieved on: 
Tuesday, June 8, 2021
Healthcare reform in the United States, Federal assistance in the United States, Presidency of Lyndon B. Johnson, Fast Healthcare Interoperability Resources, JSON, Medicaid, Illinois Department of Healthcare and Family Services, Healthcare in the United States, Medicare, Health, Medicare dual eligible

CNSI will also support Illinois' MMIS migration to the Amazon Web Services (AWS) secure public cloud to power their infrastructure, become more agile, and lower costs.

Key Points: 
  • CNSI will also support Illinois' MMIS migration to the Amazon Web Services (AWS) secure public cloud to power their infrastructure, become more agile, and lower costs.
  • The Centers for Medicare & Medicaid Services (CMS) approved the four-year contract, which includes CNSI's Fast Healthcare Interoperability Resources (FHIR) based interoperability solution.
  • The Illinois Department of Healthcare and Family Services (HFS) is responsible for providing healthcare coverage for adults and children who qualify for Medicaid.
  • Illinois' medical assistance programs, consisting of Medicaid and numerous other associated health and human services programs, provide comprehensive health-care coverage to about 3.2 million Illinoisans.

Evofem Biosciences to Participate in Medicaid National Drug Rebate Program for Phexxi® Effective January 1, 2021

Retrieved on: 
Tuesday, December 22, 2020
Federal assistance in the United States, Healthcare reform in the United States, Presidency of Lyndon B. Johnson, Child poverty, Medicaid, Health, Centers for Medicare & Medicaid Services, Medicare, SCRIPT, Medicare dual eligible, Zone Program Integrity Contractor

SAN DIEGO, Dec. 22, 2020 /PRNewswire/ --Evofem Biosciences, Inc., (NASDAQ: EVFM) today announced it has entered into an agreement with the U.S. Centers for Medicare and Medicaid Services (CMS) to participate in the Medicaid National Drug Rebate Program (NDRP), providing access to Phexxi (lactic acid, citric acid and potassium bitartrate) for the Medicaid population effective January 1, 2021.

Key Points: 
  • SAN DIEGO, Dec. 22, 2020 /PRNewswire/ --Evofem Biosciences, Inc., (NASDAQ: EVFM) today announced it has entered into an agreement with the U.S. Centers for Medicare and Medicaid Services (CMS) to participate in the Medicaid National Drug Rebate Program (NDRP), providing access to Phexxi (lactic acid, citric acid and potassium bitartrate) for the Medicaid population effective January 1, 2021.
  • Medicaid provides health coverage to 69.8 million people in the United States, including approximately 25 million adult women2.
  • Medicaid is administered by states, according to federal requirements, where each state can determine specific coverage for Phexxi.
  • The Medicaid Drug Rebate Program (MDRP) is a program that includes the Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, and participating drug manufacturers that helps to offset the federal and state costs of most outpatient prescription drugs dispensed to Medicaid patients.