Coventry Health Care

ELMC’s Leadership Team Purchases ELMCRx Solutions

Retrieved on: 
Tuesday, October 3, 2023

ELMC Rx Solutions, LLC (“ELMCRx”) is pleased to announce its independent launch.

Key Points: 
  • ELMC Rx Solutions, LLC (“ELMCRx”) is pleased to announce its independent launch.
  • This follows its purchase by Principal Owner and CEO, Richard Fleder, from its former parent, ELMC Risk Solutions, LLC (“ELMC”).
  • “Through our strategic acquisitions and partnerships, we’re building a portfolio of service solutions that can be accessed through one entry point.
  • In addition to her eight years of executive leadership at ELMC, she has more than a dozen years of TPA and brokerage leadership.

One Call Names Howard Cutler Chief Strategy & Network Officer

Retrieved on: 
Tuesday, October 3, 2023

JACKSONVILLE, Fla., Oct. 3, 2023 /PRNewswire-PRWeb/ -- One Call, a care coordination leader within the workers' compensation industry, today announced that Howard Cutler – a highly accomplished healthcare executive – has been named the organization's chief strategy and network officer (CSNO). 

Key Points: 
  • JACKSONVILLE, Fla., Oct. 3, 2023 /PRNewswire-PRWeb/ -- One Call, a care coordination leader within the workers' compensation industry, today announced that Howard Cutler – a highly accomplished healthcare executive – has been named the organization's chief strategy and network officer (CSNO).
  • The newly created role brings together two key business functions – corporate strategy and network management and development – to further advance the organization.
  • As a member of One Call's executive committee, Cutler will be responsible for leading strategic planning efforts and driving the execution of key initiatives.
  • He will oversee the organization's provider network, product management, and marketing teams, effectively leveraging all three areas to better serve clients and injured workers.

Spatially Health Appoints Tom Fluegel to Advisory Board to Foster Advancements and Expansion in Healthcare

Retrieved on: 
Tuesday, September 19, 2023

MIAMI, Sept. 19, 2023 /PRNewswire-PRWeb/ -- Spatially Health–a cloud-based, health equity platform focused on identifying and addressing social determinants of health (SDOH) and health equity barriers–is excited to announce the appointment of healthcare leader Tom Fluegel as its newest Advisory Board member. Tom will play a pivotal role in shaping the company's strategic vision and decision-making.

Key Points: 
  • Spatially Health appoints healthcare leader Tom Fluegel as its newest Advisory Board member, playing a pivotal role in shaping the company's strategic vision and decision-making.
  • MIAMI, Sept. 19, 2023 /PRNewswire-PRWeb/ -- Spatially Health –a cloud-based, health equity platform focused on identifying and addressing social determinants of health (SDOH) and health equity barriers–is excited to announce the appointment of healthcare leader Tom Fluegel as its newest Advisory Board member.
  • Committed to driving healthcare innovation, fostering patient-centric solutions, and finding real solutions for SDOH, Spatially Health will work with Tom to identify and address health equity challenges.
  • "It's a privilege to have Tom Fluegel join our Advisory Board," stated Dr. Hillit Meidar-Alfi , the CEO and co-founder of Spatially Health.

McDermott Boosts Healthcare Managed Care Team

Retrieved on: 
Thursday, July 13, 2023

"As a top-ranked health law firm, we're entrusted to help some of the largest health companies in the world navigate complicated legal obstacles related to health plans, accountable care organizations and value-based care arrangements," said McDermott's Global Head of Healthcare Jerry Sokol .

Key Points: 
  • "As a top-ranked health law firm, we're entrusted to help some of the largest health companies in the world navigate complicated legal obstacles related to health plans, accountable care organizations and value-based care arrangements," said McDermott's Global Head of Healthcare Jerry Sokol .
  • "Erin is a solutions-oriented lawyer and a true partner to her clients, making her style of practice perfectly suited to our team's approach to client service," said Kate McDonald , co-leader of McDermott's managed care team and partner-in-charge of the healthcare practice in Washington, DC.
  • "I have come to know the McDermott team in various roles throughout my career and am thrilled to join this group of exceptional lawyers," Erin said.
  • McDermott has also received top rankings in PitchBook's League Tables as the most active firm for healthcare private equity since 2017.

Steve Goldberg, MD, MBA Joins Alivia Analytics as Chief Medical Officer

Retrieved on: 
Thursday, April 13, 2023

BOSTON, April 13, 2023 /PRNewswire-PRWeb/ -- Alivia Analytics, a leading healthcare payment accuracy solutions provider, announced the appointment of Steve Goldberg, MD, MBA, as its Chief Medical Officer (CMO).

Key Points: 
  • BOSTON, April 13, 2023 /PRNewswire-PRWeb/ -- Alivia Analytics , a leading healthcare payment accuracy solutions provider, announced the appointment of Steve Goldberg , MD, MBA, as its Chief Medical Officer (CMO).
  • Dr. Goldberg will be responsible for applying his clinical expertise to Alivia Analytics' technology that identifies and combats fraud, waste, and abuse (FWA) in the healthcare industry.
  • ‒We are thrilled to add Steve's respected medical leadership and deep healthcare cost containment credibility to our payment accuracy solutions,– said Alex Kormushoff, Chief Operating Officer of Alivia Analytics.
  • ‒His expertise will strengthen our partnerships with customers across the US healthcare industry.–
    Prior to joining Alivia Analytics, Dr. Goldberg was Chief Health Officer of Employee and Population Health at Quest Diagnostics, Chief Medical Officer at WellCare Health Plans, Senior Medical Director at Coventry Health Care, Chief of Medical Affairs at Express Scripts, Corporate Medical Director, Clinical Policy and Quality at Humana, Regional Chief Medical Officer at Excellus BCBS, Network Medical Director at Aetna Health Plans, and Medical Director at Kaiser Permanente NE.

AM Best Affirms Credit Ratings of CVS Health Corporation’s Aetna Inc. Subsidiaries

Retrieved on: 
Wednesday, March 29, 2023

AM Best has affirmed the Financial Strength Rating (FSR) of A (Excellent) and the Long-Term Issuer Credit Ratings (Long-Term ICR) of “a” (Excellent) of Aetna Life Insurance Company (ALIC) (Hartford, CT) and the other members of Aetna Health & Life Group, which are operating entities of Aetna Inc. (Aetna) and wholly owned subsidiaries of CVS Health Corporation (CVS Health) [NYSE: CVS].

Key Points: 
  • AM Best has affirmed the Financial Strength Rating (FSR) of A (Excellent) and the Long-Term Issuer Credit Ratings (Long-Term ICR) of “a” (Excellent) of Aetna Life Insurance Company (ALIC) (Hartford, CT) and the other members of Aetna Health & Life Group, which are operating entities of Aetna Inc. (Aetna) and wholly owned subsidiaries of CVS Health Corporation (CVS Health) [NYSE: CVS].
  • Concurrently, AM Best has affirmed the FSR of A (Excellent) and the Long-Term ICRs of “a” (Excellent) of Texas Health + Aetna Health Insurance Company, as well as Texas Health + Aetna Health Plan Inc.
  • Texas Health Aetna and Allina Health and Aetna Insurance Company are joint ventures with subsidiaries of Aetna Inc.
  • The ratings of Aetna Health & Life Group reflect the ultimate parent, CVS Health, and an expectation of elevated leverage due to the recently announced acquisitions.

Omaha National Appoints Dale Mackel Chief Financial Officer

Retrieved on: 
Wednesday, March 1, 2023

Omaha National Group, Inc. (“Omaha National”) a leading tech-enabled provider of workers’ compensation insurance, today announced the appointment of Dale Mackel to Chief Financial Officer.

Key Points: 
  • Omaha National Group, Inc. (“Omaha National”) a leading tech-enabled provider of workers’ compensation insurance, today announced the appointment of Dale Mackel to Chief Financial Officer.
  • View the full release here: https://www.businesswire.com/news/home/20230301005058/en/
    Omaha National CFO Dale Mackel (Photo: Business Wire)
    “As we continue to grow our premium volume and develop as a full-stack carrier, we’re very pleased to welcome Dale to our team.
  • Prior to that, he served as Chief Financial Officer of Coventry Health Care of Nebraska, Iowa, and South Dakota.
  • Bryan Connolly, who had previously served as Chief Financial Officer has been promoted to Chief Operating Officer, leading underwriting, operations, IT infrastructure, and other key functions.

Introducing Global Healthcare Cost Management Enhancements

Retrieved on: 
Wednesday, February 1, 2023

FOOTHILL RANCH, Calif., Feb. 01, 2023 (GLOBE NEWSWIRE) -- New Frontier Group, a cost management leader in global healthcare, announced several product enhancements that solidify its continued commitment to industry transformation.

Key Points: 
  • FOOTHILL RANCH, Calif., Feb. 01, 2023 (GLOBE NEWSWIRE) -- New Frontier Group, a cost management leader in global healthcare, announced several product enhancements that solidify its continued commitment to industry transformation.
  • New Frontier Group has ramped investments and focused product development since 2020 with a future-looking lens on expanded global travel and changing international healthcare needs.
  • Moving into 2023, the company continues to integrate enhancements that strengthen the company's market position.
  • "We are proud to serve industry leaders, such as Charles Taylor Assistance, Trawick International, VIRSAG, and Global Benefits Group, plus many others.

SimpliFed Expands Into Commercial Provider Networks

Retrieved on: 
Tuesday, January 31, 2023

SimpliFed’s lactation and baby feeding support services are available without prior authorization or cost sharing (typically for up to 6 visits) for Aetna® commercial members.

Key Points: 
  • SimpliFed’s lactation and baby feeding support services are available without prior authorization or cost sharing (typically for up to 6 visits) for Aetna® commercial members.
  • “SimpliFed allows organizations to provide their employees with the support they need to have a successful baby feeding experience,” said Andrea Ippolito, CEO of SimpliFed.
  • SimpliFed partners with employers and health plans to improve access to breastfeeding and baby feeding support starting in pregnancy, at no cost to families.
  • SimpliFed contracts with several national commercial, TRICARE and state Medicaid plans.