TennCare

Lynch Carpenter LLP Investigates Claims in HealthEC LLC Data Breach

Retrieved on: 
Friday, December 29, 2023
State, Division, University Medical Center, LLP, Social Security, Social, Name, ACO, Letter, Integrated care, TennCare, Princeton University

The information potentially impacted in the breach includes individuals’ names, addresses, dates of birth, Social Security numbers, Taxpayer Identification numbers, medical record number, medical information, health insurance information, and/or billing and claims information.

Key Points: 
  • The information potentially impacted in the breach includes individuals’ names, addresses, dates of birth, Social Security numbers, Taxpayer Identification numbers, medical record number, medical information, health insurance information, and/or billing and claims information.
  • Lynch Carpenter, LLP is investigating claims against HealthEC LLC related to this data breach.
  • If you received a data breach letter from HealthEC LLC informing you that your information was impacted, you may be entitled to compensation.
  • If you have received a notification from HealthEC LLC that your information was impacted, please call Patrick Donathen at (412) 322-9243, email him at [email protected] , or fill out our contact form at www.lynchcarpenter.com/contact .

Amerigroup Tennessee Health Plan to be renamed Wellpoint in January 2024

Retrieved on: 
Monday, September 25, 2023
Professional Services, Health, Insurance, Health Insurance, Managed Care, General Health, Mother, Medicare, TennCare, Transport, Hospital, ID, Nursing, Health insurance, Elevance Health

Amerigroup Tennessee, a subsidiary of Elevance Health serving TennCare and Medicare enrollees, will begin rebranding as Wellpoint in 2024, to reflect the company’s evolution to support whole health.

Key Points: 
  • Amerigroup Tennessee, a subsidiary of Elevance Health serving TennCare and Medicare enrollees, will begin rebranding as Wellpoint in 2024, to reflect the company’s evolution to support whole health.
  • There will be no impact or changes to Wellpoint members’ healthcare benefits or coverage.
  • Also, healthcare providers who serve Wellpoint members will have continued access to tools and resources to help streamline day-to-day administrative tasks.
  • Members who have questions can contact Wellpoint Member Services via the phone number on the back of their ID card.

Natalie Cooper Named President of Amerigroup Tennessee

Retrieved on: 
Thursday, June 1, 2023
General Health, Health, Professional Services, Insurance, Health Insurance, Trident, Yale University, Medicaid, Elevance Health, The Links, Health equity, TennCare, Multimedia, Business administration, Outline of health sciences, Department of Defense Serum Repository, Trident University International, Air force, Knowledge, Growth, Park University, Pregnancy, Region, Woman, Master of Business Administration, United States Department of the Air Force, Management

Amerigroup Tennessee, a wholly owned subsidiary of Elevance Health, announced today that Natalie Cooper has been named president of the health plan, a leading managed care provider of health benefits for Tennessee residents enrolled in the state’s Medicaid program, TennCare.

Key Points: 
  • Amerigroup Tennessee, a wholly owned subsidiary of Elevance Health, announced today that Natalie Cooper has been named president of the health plan, a leading managed care provider of health benefits for Tennessee residents enrolled in the state’s Medicaid program, TennCare.
  • View the full release here: https://www.businesswire.com/news/home/20230601006000/en/
    Amerigroup Tennessee, a wholly owned subsidiary of Elevance Health, announced today that Natalie Cooper has been named president of the health plan, a leading managed care provider of health benefits for Tennessee residents enrolled in the state’s Medicaid program, TennCare.
  • Most recently, Cooper was Regional Vice President at Elevance Health where she was responsible for Medicaid growth strategies and development centered on health plan retention and operations.
  • “Amerigroup Tennessee is a trusted health partner with a longstanding local commitment to improving the health of humanity,” said Cooper.

SouthEast Eye Specialists Pays $17 million to Settle Anti-Kickback, False Claims Act Allegations

Retrieved on: 
Monday, May 1, 2023
Partnership, Anti-Kickback Statute, TennCare, Forest Law Enforcement and Governance Program, Meal, False Claims Act, Optometry, Assistant, Government, Complaint, Medicare, Phillips, District court, SEES, Patient, Fraud, Assistant United States Attorney, Remuneration, Health insurance, Pharmaceutical industry, PLLC

Those optometrists provided referrals to SEES for cataract surgeries reimbursed by Medicare and TennCare, resulting in alleged violations of the False Claims Act.

Key Points: 
  • Those optometrists provided referrals to SEES for cataract surgeries reimbursed by Medicare and TennCare, resulting in alleged violations of the False Claims Act.
  • The False Claims Act allows private citizens to bring cases in the name of the government against government contractors charged with fraud.
  • Such cases—also called qui tam cases—recover damages back to the government for false claims made to government programs, including Medicare and TennCare.
  • v. SouthEast Eye Specialists, PLLC, et al., and the case number is 17-00689.

Crossroads's twin Grand Openings offer new hope in fight against opioid addiction in Murfreesboro and Hermitage, Tennessee

Retrieved on: 
Tuesday, December 27, 2022
Topical steroid withdrawal, Televisit, Patient, Family, Toxicology, Opioid use disorder, Anxiety, Tennessee Association of Christian Schools, Depression, Old Hickory Boulevard, Health, Opioid, Insurance, CDC, Call centre, FDA, Multimedia, Medicaid, MAT, Practitioner, TennCare, NIH, Puerto Rico Administration of Mental Health and Anti-Addiction Services, Drug, Pharmaceutical industry, Hospital

GREENVILLE, S.C., Dec. 27, 2022 /PRNewswire/ -- Crossroads Treatment Centers, the leader in Office-Based Opioid Treatment (OBOT), opened its newest addiction treatment centers in the Nashville area on Nov. 14. The new center in Murfreesboro hosted a grand opening from 10 a.m. – 12 p.m., and the new center in Hermitage hosted a grand opening from 2 p.m. – 4 p.m. The events were free to attend and open to the public. Crossroads opened another center in Memphis the following day.

Key Points: 
  • GREENVILLE, S.C., Dec. 27, 2022 /PRNewswire/ -- Crossroads Treatment Centers , the leader in Office-Based Opioid Treatment (OBOT), opened its newest addiction treatment centers in the Nashville area on Nov. 14.
  • "We are proud to provide our proven approach to treating opioid addiction in the underserved communities of Murfreesboro and Hermitage," said Lisa Connell, Tennessee regional director for Crossroads.
  • Crossroads Treatment Centers now has more than eight locations in Tennessee serving more than 1,400 patients statewide.
  • Their new opioid treatment centers in Nashville, Murfreesboro and Memphis bring hope to so many of our neighbors and loved ones struggling with addiction.

Pack4U Opens State-of-the-Art Pharmacy in Tennessee

Retrieved on: 
Thursday, September 29, 2022
Health, TennCare, Disability, Acquisition, Pharmacy, Patient, Technology, Medicine, Pharmacist, Medication, Hospital

MOUNTAIN VIEW, Calif., Sept. 29, 2022 /PRNewswire/ -- Pack4U, a tech-enabled health services company, has opened its newest pharmacy in Smyrna, Tennessee, just outside Nashville.

Key Points: 
  • MOUNTAIN VIEW, Calif., Sept. 29, 2022 /PRNewswire/ -- Pack4U, a tech-enabled health services company, has opened its newest pharmacy in Smyrna, Tennessee, just outside Nashville.
  • Since 2018, Pack4U has worked to provide TennCare-approved enabling technology to help people with disabilities live independently.
  • "Scaling our pharmacy footprint in Tennessee gives us the ability to rapidly provide the highest quality care to patients where we operate," said Pack4U Founder and Chief Pharmacy Officer Shane Bishop.
  • With access to real-time data, Pack4U pharmacists are playing a critical role in improving health outcomes by personalizing and improving patient care.

Delta Dental of Tennessee Honors Health Commissioner Dr. Lisa Piercey

Retrieved on: 
Thursday, May 26, 2022
Women, Seniors, Men, State, Local, Insurance, Family, Consumer, Hospitals, Professional Services, Foundation, Philanthropy, Dental, Public Policy, Government, Health, Other Education, Healthcare Reform, Continuing, Training, Education, Department, Case management, ER, Commissioner, Dentistry, Foundation, Leadership, Multimedia, Patient, Health, Dental, State, Program, California Department of Health Care Services, Dentist, Safety, Organization, TennCare, Delta Dental, Dental care, Piercey, Dental hygienist, Mouth, CEO, Health insurance

Delta Dental of Tennessee (Delta Dental) and its charitable arm, the Smile180 Foundation, have recognized outgoing Tennessee Health Commissioner Dr. Lisa Piercey with its third-ever Smile Power Award.

Key Points: 
  • Delta Dental of Tennessee (Delta Dental) and its charitable arm, the Smile180 Foundation, have recognized outgoing Tennessee Health Commissioner Dr. Lisa Piercey with its third-ever Smile Power Award.
  • But Commissioner Piercey understood the importance and urgency of addressing our dental crisis in Tennessee from the start, and played a critical role in the development and ultimate approval of the Healthy Smiles Initiative.
  • Delta Dental of Tennessee is the states largest independent dental benefits carrier with nearly 1.4 million lives covered.
  • As part of the Delta Dental Plans Association, Delta Dental of Tennessee members have access to the largest dental network in the nation with more than 154,000 providers serving more than 437,000 locations.

Cherokee Health Systems Partners with Noteworth to Boost Provider-patient Engagement, Value-based Care

Retrieved on: 
Tuesday, November 2, 2021
Mobile, Wireless, Technology, Nursing, Hospitals, Diabetes, Dental, Telecommunications, Managed Care, General Health, Health, Rhea, Health, Medicaid, Technology, TennCare, Disease, Industry, Patient satisfaction, FQHC, Partnership, CHS, Transitional care, Caregiver, Patient, Adoption, Insurance, View, Telehealth, Adult, Record, Medicare, Federally Qualified Health Center, Diabetes, Artificial intelligence, Solution, Nursing, EMR, Data analysis, Population, Pharmacy, Education, Medicine, Health insurance, Hospital, Noteworth, Cherokee Health Systems, NOTEWORTH, CHEROKEE HEALTH SYSTEMS

Cherokee Health Systems plans to deploy Noteworths full suite of products to help it address disease, finesse its telehealth delivery, and expand its digital front door.

Key Points: 
  • Cherokee Health Systems plans to deploy Noteworths full suite of products to help it address disease, finesse its telehealth delivery, and expand its digital front door.
  • Noteworth is the first end-to-end digital health platform serving the entire ambulatory care journey, known for improving patient outcomes and reducing costs.
  • Unlike other incongruent solutions, Noteworth offers a turnkey approach to digital health including:
    Telemedicine and care coordination, including pediatric and adult medicine programs.
  • As the largest health center in the state, implementing innovative ways to improve the care system and reach new patients remains an institutional priority at Cherokee Health Systems.

Humana Continues Extensive Statewide Expansion in Tennessee

Retrieved on: 
Tuesday, October 12, 2021
Managed Care, Men, General Health, Professional Services, Family, Consumer, Hospitals, Fitness & Nutrition, Dental, Insurance, Women, Seniors, Health, Well, Meal, Medicare Advantage, TTY, History, Nursing care plan, Part, AEP, OTC, Wilson, Prescription, Medicaid, Physician, COVID, HMO, Diagnosis, Duke Diet and Fitness Center, Health, Medicare, Quality of life, Veteran, TennCare, NYSE, Medicine, PPO, Tivity Health, Patient, Food, Clay, USAA, Health insurance, Hospital

Leading health and well-being company Humana Inc. (NYSE: HUM) today announced another major expansion of its Medicare Advantage (MA) offerings across Tennessee for the 2022 plan year.

Key Points: 
  • Leading health and well-being company Humana Inc. (NYSE: HUM) today announced another major expansion of its Medicare Advantage (MA) offerings across Tennessee for the 2022 plan year.
  • For 2022, Humana is introducing a new statewide Dual Eligible Special Needs Medicare Advantage (D-SNP) plan for people eligible for both Medicare and Medicaid.
  • The company will continue to offer its existing statewide D-SNP plan that includes a $35 monthly Healthy Foods Card and a $350 quarterly OTC allowance.
  • Humana is also introducing a $0 Premium PPO in 38 counties in Central Tennessee.

BlueCross Commercial and BlueCare Plans Earn High NCQA Quality Ratings for 2021

Retrieved on: 
Thursday, September 16, 2021
Managed Care, Professional Services, Health, Insurance, Blood pressure, Program, Blue Cross Blue Shield Association, Consumer Assessment of Healthcare Providers and Systems, Mental health, Overalls, National Committee for Quality Assurance, Hotel manager, Health, TennCare, Perception, Quality assurance, HEDIS, SVP, Information set, Industry, Medicine, Healthcare Effectiveness Data and Information Set, Quality, NCQA, Bolloré Bluecar, National Committee, CAHPS, Organization, Health care, Pharmaceutical industry

BlueCross BlueShield of Tennessee has earned recognition for its commercial and BlueCare Tennessee plans from the National Committee for Quality Assurance (NCQA).

Key Points: 
  • BlueCross BlueShield of Tennessee has earned recognition for its commercial and BlueCare Tennessee plans from the National Committee for Quality Assurance (NCQA).
  • The commercial plan earned 4 stars, the only commercial plan in the state of Tennessee with this rating.
  • At BlueCross, we do our best each day to improve the physical and mental health of our members, said Dr. Andrea Willis, SVP and chief medical officer at BlueCross.
  • Earning such high marks through their performance-measurement tools demonstrates the value we bring as a trusted partner in health.