Moda Health

AM Best Withdraws Credit Ratings of Moda Health Plan, Inc. and Oregon Dental Service

Retrieved on: 
Friday, March 15, 2024
Banking, Professional Services, Insurance, Finance, ODS, ERM, ALL, News, FSR, Fair, Capital adequacy ratio, Moda, Credit, AM Best, Moda Health, Good, Risk management

Concurrently, AM Best has downgraded the FSR to B (Fair) from B+ (Good) and the Long-Term ICR to “bb+” (Fair) from “bbb-” (Good) of Oregon Dental Service (ODS).

Key Points: 
  • Concurrently, AM Best has downgraded the FSR to B (Fair) from B+ (Good) and the Long-Term ICR to “bb+” (Fair) from “bbb-” (Good) of Oregon Dental Service (ODS).
  • Furthermore, AM Best has withdrawn these ratings as the companies have requested to no longer participate in AM Best’s interactive rating process.
  • For additional information regarding the use and limitations of Credit Rating opinions, please view Guide to Best's Credit Ratings .
  • For information on the proper use of Best’s Credit Ratings, Best’s Performance Assessments, Best’s Preliminary Credit Assessments and AM Best press releases, please view Guide to Proper Use of Best’s Ratings & Assessments .

Empowering Change: AMCP Foundation partners with Moda Health and Novo Nordisk Inc., launching a Health Disparities Research Internship

Retrieved on: 
Wednesday, April 3, 2024
Pharmacist, Health, Doctor of Pharmacy, Health equity, Partnership, Diabetes, Howard University, Knowledge, Regression analysis, Research, Moda Health, Walker, Chronic kidney disease, Geography, Hypertension, Collection, Medicine, Assistant director, Nursing

Sinclair brings a wealth of knowledge and a passion for health care research with a keen interest in addressing health disparities.

Key Points: 
  • Sinclair brings a wealth of knowledge and a passion for health care research with a keen interest in addressing health disparities.
  • The collaboration among AMCP Foundation and intern alumni Carly Rodriguez, PharmD, FAMCP VP & Chief Pharmacy Officer, Moda Health, and Courtney Walker, PharmD, RPh, Medical Account Director – Employers West, Novo Nordisk Inc. represents a critical alliance in health disparities research, focusing on unveiling insights into medication adherence disparities.
  • This strategic partnership exemplifies the synergy essential for impactful research, emphasizing a collective commitment to addressing health disparities.
  • In her unique role, Sinclair is at the forefront of research addressing health disparities related to GLP-1s, medications crucial in diabetes treatment.

Comagine Health Strengthens Its Board of Directors With New Members

Retrieved on: 
Tuesday, February 20, 2024
Seattle Children's, Group Health Cooperative, Health, Hospital, MBA, Data science, HCA, MHA, Moda Health, Medicare, MSIS, CMMI, Management

Seattle, WA, Feb. 20, 2024 /PRNewswire/ -- Comagine Health, a leading national nonprofit health care consulting firm, named additional board members recently. The organization continues to seek a broad range of diverse expertise at the board level to achieve the organization's mission and vision.

Key Points: 
  • Comagine Health, a leading national nonprofit health care consulting firm, named additional board members recently.
  • Seattle, WA, Feb. 20, 2024 /PRNewswire/ -- Comagine Health, a leading national nonprofit health care consulting firm, named additional board members recently.
  • "Comagine Health remains committed to reimagining health care, together," Dorothy Teeter, MHA, Comagine Health's board chair said.
  • "Comagine Health remains committed to reimagining health care, together," Dorothy Teeter, MHA, Comagine Health's board chair said.

Sempre Health Unveils New Adherence and Affordability Solutions for Medicare Populations

Retrieved on: 
Friday, February 16, 2024
SAN, Inflation, CMS, Health, Blue Shield, Part, SMS, Moda Health, IRA, PBM, Ageing, Medicine, Health insurance

SAN FRANCISCO, Feb. 16, 2024 /PRNewswire/ -- Sempre Health, the leading solution for behavior-based healthcare pricing, today announced that it has surpassed $20 million in patient savings to date, made possible by a total of 18 payer and PBM partners on the platform including, Alluma, Blue Cross and Blue Shield of North Carolina, Blue Cross Blue Shield of Arizona, Blue Shield of California, Highmark, Maxor, Moda Health, Navitus Health Solutions, UPMC Health Plan, and other large health plans in Michigan, Massachusetts, Pennsylvania, New York, Tennessee, and nationally. The company is on track to deliver an additional $60 million in member savings by the end of 2024.

Key Points: 
  • Growth of the platform has also driven the launch of Sempre's innovative adherence and affordability solutions tailored specifically for Medicare populations in the United States.
  • This launch marks a significant step in enhancing healthcare outcomes and efficiency within the Medicare system.
  • Sempre's solutions are designed to address these challenges by improving access to essential medications and supporting adherence to prescribed treatments.
  • Sempre's new solutions focus on the critical aspects of medication adherence, a key factor in the Centers for Medicare & Medicaid Services (CMS) Star Ratings system.

AM Best Downgrades Credit Ratings of Moda Health Plan, Inc. and Affirms Credit Ratings of Oregon Dental Service

Retrieved on: 
Friday, July 28, 2023
Insurance, Professional Services, Moda Health, Good, AM Best, Dental Service Organizations, ALL, ERM, ODS, Credit, FSR, Delta Dental, AM, Moda, News, Risk management

Concurrently, AM Best has affirmed the FSR of B+ (Good) and the Long-Term ICR of “bbb-” (Good) of Oregon Dental Service (ODS).

Key Points: 
  • Concurrently, AM Best has affirmed the FSR of B+ (Good) and the Long-Term ICR of “bbb-” (Good) of Oregon Dental Service (ODS).
  • The ratings of Moda Health reflect its balance sheet strength, which AM Best assesses as weak, as well as its marginal operating performance, limited business profile and appropriate ERM.
  • The rating downgrades for Moda Health are a result of its risk-adjusted capitalization, as measured by BCAR.
  • For additional information regarding the use and limitations of Credit Rating opinions, please view Guide to Best's Credit Ratings .

Moda Health Expands Offerings, Brings Large Group Plans to Idaho

Retrieved on: 
Monday, July 24, 2023
Professional Services, Health, Insurance, Health Insurance, Human Resources, General Health, Moda Health, Partnership, Central Idaho, Employers Group, PQA, Reindeer, Culture, Saint Alphonsus, Multimedia, Medicare, Individual, Pennsylvania Health Care Quality Alliance, Hospital, Physician, Individual Family Service Plan, Power, Medigap, Health insurance, Nursing, Points of the compass

“We were excited last year to begin offering Idaho more choice,” says Jason Gootee, VP of Sales & Strategic Market Development at Moda.

Key Points: 
  • “We were excited last year to begin offering Idaho more choice,” says Jason Gootee, VP of Sales & Strategic Market Development at Moda.
  • To help deliver on this promise, Moda Health focuses on:
    Helping members get the care they need: Moda Health combines its robust Idaho networks in Treasure Valley, South Central Idaho and Southeast Idaho with a national network to support today’s workforce.
  • Tools to help improve health and wellness: Moda Health offers tools, discounts, coaching and care programs that put members in the driver seat of their health.
  • There are no phone trees for Moda Health, just access to experts that care and are ready to guide and help.

Spring Health Launches New Behavioral Health Partnership with Moda Health

Retrieved on: 
Tuesday, October 18, 2022
General Mills, Mental health, Moda Health, Delta Dental, Meditation, Population, List of American Medical Association journals, JAMA Network Open, Health, Patient, Instacart, Kaiser Family Foundation, Multimedia, Partnership, Technology, Behavior, Emergency Health Services, DocuSign, View, Ageing, Health minister, Depression, ODS, Absenteeism, Health insurance, Medicine

NEW YORK, Oct. 18, 2022 /PRNewswire/ -- Spring Health, the most comprehensive global mental health solution for employers and health plans, today announced its agreement with Moda Health to deliver measurement-based mental health care to select employer groups through Moda's innovative Behavioral Health 360 platform. The new partnership expands Spring Health's offering into the payer and health plan market.

Key Points: 
  • NEW YORK, Oct. 18, 2022 /PRNewswire/ -- Spring Health , the most comprehensive global mental health solution for employers and health plans, today announced its agreement with Moda Health to deliver measurement-based mental health care to select employer groups through Moda's innovative Behavioral Health 360 platform.
  • Moda Health is a regional health plan providing health insurance to employers across Idaho, Alaska, Texas, Oregon, and Washington.
  • "Moda has always sought to stay out front in providing best-in-class behavioral health services for our members," said Dan Thoma, Director of Behavioral Health at Moda.
  • The Moda family of enterprises includes Moda Health, Ardon Health, Arrow Dental, Astra Practice Partners, BenefitHelp Solutions, Eastern Oregon Coordinated Care Organization, Emerging Health, Moda Assurance Company, ODS Community Dental, OHSU Health IDS, and Summit Health.

Moda Health Brings Innovative Health Insurance Options to Idaho

Retrieved on: 
Monday, October 3, 2022
Insurance, Seniors, Hospitals, Professional Services, Health Insurance, Family, Health, Consumer, General Health, Bed, VP, PACE, Hospital, Employers Group, Reindeer, Treasure Valley, Physician, Medigap, Family, National Association Medical Staff Services, Multimedia, ODS, Idahoan Foods, Emergency Health Services, Moda Health, Insurance, Partnership, Moda, Delta Dental, Encompass Health, Individual Family Service Plan, Power, PQA, Trinity Health, Catholic (term), Organization, Health insurance, Gemstone

Idahoans soon will have exciting new options for their medical insurance as Moda Health brings to the Gem State a wide range of its evidence-based plans, innovative programs and signature customer service.

Key Points: 
  • Idahoans soon will have exciting new options for their medical insurance as Moda Health brings to the Gem State a wide range of its evidence-based plans, innovative programs and signature customer service.
  • Founded in the Northwest almost 70 years ago, Moda Health currently serves communities in Oregon, Alaska, and Texas.
  • PQA is delighted to enter into a partnership with Moda Health that will bring more options to insurance plan purchasers throughout Southeast Idaho, says Brock Merrill, Executive Director of PQA.
  • The Moda family of enterprises includes Moda Health, Ardon Health, Arrow Dental, Astra Practice Partners, BenefitHelp Solutions, Eastern Oregon Coordinated Care Organization, Emerging Health, Moda Assurance Company, ODS Community Dental, OHSU Health IDS, and Summit Health.

Curebase and Meru Health to Partner on Clinical Research for App-based Mental Health Treatment Program

Retrieved on: 
Tuesday, September 20, 2022
Moda Health, RCT, Occupational burnout, Trial of the century, United States Public Health Service, Twitter, National Institute of Mental Health, Telehealth, Shadow King, LinkedIn, Population, Humana, Lists of diseases, Social support, Harvard University, Patient, Program, DCT, Clinical trial, Mental health, Physician, Data collection, Small Business Innovation Research, Standard of care, SBIR, Stanford University, Heart rate, Anxiety, Randomized controlled trial, Sleep, UC, SAN, University of California, Davis, Research, Cigna, Depression, National Institute, Pharmaceutical industry, Medicine, Medical imaging, Medical device, Facebook

The Meru Health Program is a therapist-guided app-based treatment program for depression, burnout, and anxiety.

Key Points: 
  • The Meru Health Program is a therapist-guided app-based treatment program for depression, burnout, and anxiety.
  • Curebase enables patients to take part in the Meru Health research within the context of their primary healthcare.
  • Nearly one in five U.S. adults lives with mental illness and only half of Americans with mental health issues receive treatment, according to the National Institute of Mental Health.
  • Meru Health partners with major health insurance providers like Cigna, Humana and Moda Health, as well as leading businesses who want to provide best-in-class mental health care for their employees or members.

AM Best Removes From Under Review With Negative Implications and Affirms Credit Ratings of Oregon Dental Service and Moda Health Plan, Inc.

Retrieved on: 
Wednesday, June 22, 2022
Professional Services, Health, Insurance, Dental, Credit, Industry, Review, FSR, Good, Moda, ALL, Insurance, LLC, Pressure, AM, Affordable Care Act Health Insurance Rate Review Program, Ownership, Program, Delta Dental, Moda Health, Acquisition, News, Care Act 2014, Risk management, Dental Service Organizations, ODS, AM Best

Concurrently, AM Best has removed from under review with negative implications and affirmed the FSR of B+ (Good) and the Long-Term ICR of bbb- (Good) of Moda Health Plan, Inc. (Moda Health).

Key Points: 
  • Concurrently, AM Best has removed from under review with negative implications and affirmed the FSR of B+ (Good) and the Long-Term ICR of bbb- (Good) of Moda Health Plan, Inc. (Moda Health).
  • The ratings of ODS and Moda Health were removed from under review with negative implications and affirmed following AM Bests analysis of the repurchase of the minority stake of Moda Partners, Inc., from Delta Dental of California.
  • Moda Health receives ratings enhancement from ODS, and that enhancement had been pressured by the repurchase of Moda Partners.
  • For additional information regarding the use and limitations of Credit Rating opinions, please view Guide to Best's Credit Ratings .