SCAN Health Plan

Premera Blue Cross Names Dr. Romilla Batra as Chief Medical Officer, Senior Vice President

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星期四, 五月 2, 2024
UCLA, University of California, Irvine, University, Premera Blue Cross, Pacific Northwest, Health equity, Population health, Business administration, Business, SCAN, Indiana University, Senior, Medicare, SCAN Health Plan, Nursing

MOUNTLAKE TERRACE, Wash., May 2, 2024 /PRNewswire/ -- Premera Blue Cross, a leading health plan in the Pacific Northwest, today announced Dr. Romilla Batra joined the company as Senior Vice President and Chief Medical Officer.

Key Points: 
  • MOUNTLAKE TERRACE, Wash., May 2, 2024 /PRNewswire/ -- Premera Blue Cross, a leading health plan in the Pacific Northwest, today announced Dr. Romilla Batra joined the company as Senior Vice President and Chief Medical Officer.
  • "Romilla brings a profound understanding of clinical strategy and an enduring commitment to improve the member experience, making her an excellent choice as our new Chief Medical Officer," said Lee McGrath, Executive Vice President of Healthcare Services, Premera Blue Cross.
  • Dr. Batra has accountability for the company's clinical strategy, focused on making healthcare work better for Premera members and improving the provider experience.
  • She served as their Chief Medical Officer for nearly nine years where she was accountable for SCAN's overall clinical strategy and operations.

Waltz Health Takes on Medicare Market to Help Part D Members Lower Their Prescription Drug Costs

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星期四, 二月 22, 2024
Pharmaceutical, Medical Supplies, General Health, Health, Data Management, Health Technology, Technology, Other Technology, Pharmacy, SCAN Health Plan, Growth, Medicare, Prescription, Health insurance

Waltz Health , a digital health company developing smarter, technology-enabled ways to price, distribute and prescribe medications, today announced its entry into the Medicare market.

Key Points: 
  • Waltz Health , a digital health company developing smarter, technology-enabled ways to price, distribute and prescribe medications, today announced its entry into the Medicare market.
  • The company will offer health plans that support Medicare beneficiaries customizable configurations of its proprietary Marketplace Search technology, which lowers prescription drug prices for members and improves their experience, while also providing health plans with critical insight into adherence trends.
  • Millions of Medicare beneficiaries struggle with out-of-pocket drug costs each year, a problem that is worse for underserved populations.
  • Marketplace Search helps solve this problem, making it an appealing platform that adds significant value to a health plan’s members.

Medline announces new Food Benefit Solution for health insurance providers

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星期四, 十一月 16, 2023
MEDLINE, Nutrition, Medicine, Medicare Advantage, Organization, Health equity, Research, Conditional sentence, Food, SCAN Health Plan, RN, Snack, BSN, Value, Movement, Livewell, Cancer, Housing, Medicare, Diabetes, Quality of life, OTC, Temperature, Transport, Health insurance, Nursing, Food delivery

NORTHFIELD, Ill., Nov. 16, 2023 /PRNewswire/ -- Medline today announced a new Food Benefit Solution allowing Medicare Advantage and Managed Medicaid Organizations to offer locally sourced fresh produce, healthy groceries and prepared meals—delivered directly to member homes—as an added supplemental benefit.

Key Points: 
  • The effort is designed to help address social determinants of health —environmental conditions that impact people's health, well-being and quality of life.
  • "For healthcare insurance providers, Medline's Food Benefit Solution adds healthy food options to Medicare Advantage plans; an attractive 'extra' in a competitive market."
  • "Food is an attractive, cost-effective benefit, supporting health equity, enhancing the member experience, building loyalty, minimizing the need for end-of-year rebates, and reducing overall care costs."
  • The Medline Newsroom recently spoke with Senior Clinical Resource Manager for Medline Nutrition Amy Rogers about the food as medicine movement and Medline's new Food Benefit Solution.

MRO Announces Adrienne Morrell as New Vice President of Government Affairs

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星期一, 十一月 13, 2023
Ontario Health Insurance Plan, MRO, Health Net, Policy, SCAN Health Plan, AHIP, Privacy, Government Affairs Institute, Government, Patient, Morrell, Public policy, SCAN, Congress, Health, Medicaid, Medicare

NORRISTOWN, Pa., Nov. 13, 2023 /PRNewswire/ -- MRO, Corp. (MRO) , the leading clinical data exchange company in healthcare, announced that Adrienne Morrell has joined the company as its new Vice President of Government Affairs.

Key Points: 
  • NORRISTOWN, Pa., Nov. 13, 2023 /PRNewswire/ -- MRO, Corp. (MRO) , the leading clinical data exchange company in healthcare, announced that Adrienne Morrell has joined the company as its new Vice President of Government Affairs.
  • Morrell previously served as senior vice president of public, government and community affairs at SCAN Health Plan where she oversaw all aspects of the company's government affairs strategy as a member of the senior leadership team.
  • Prior to SCAN, Morrell was the executive vice president of federal and external affairs at America's Health Insurance Plans (AHIP), overseeing the trade association's advocacy, government affairs and public policy activities.
  • Morrell spent over a decade at Health Net, Inc. as the vice president for government relations.

Samaritan Health Plans and Medical Guardian Partner to Offer Personal Emergency Response Systems (PERS) as an Advantage Plan Supplemental Benefit in 2024

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星期四, 十一月 2, 2023
SCAN Health Plan, Ageing, Education, Falling, Health, PERS, Medicare, Life, Emergency, Medicare Advantage, Medical Guardian, Quality of life, Samaritan Health Services, Risk, Partnership, Safety, Health insurance, Samaritans

PHILADELPHIA, Nov. 2, 2023 /PRNewswire-PRWeb/ -- Samaritan Health Plans, which is part of Samaritan Health Services, a nonprofit health system serving Oregon's mid-Willamette Valley and central coast communities, today announced a partnership with Medical Guardian to offer Personal Emergency Response Systems (PERS) to Samaritan Advantage Health Plans' members. The new supplemental benefit aims to support member safety and help close gaps in care.

Key Points: 
  • Samaritan Health Plans is announcing a partnership with Medical Guardian to offer Personal Emergency Response Systems (PERS) to Samaritan Advantage Health Plans' members.
  • PHILADELPHIA, Nov. 2, 2023 /PRNewswire-PRWeb/ -- Samaritan Health Plans, which is part of Samaritan Health Services, a nonprofit health system serving Oregon's mid-Willamette Valley and central coast communities, today announced a partnership with Medical Guardian to offer Personal Emergency Response Systems (PERS) to Samaritan Advantage Health Plans' members.
  • Samaritan Advantage members enrolled in the Valor, Premier Plan, Premier Plan Plus or Dual Advantage plans will have access to a mobile or in-home medical alert system and monitoring services from Medical Guardian at no cost.
  • Medical Guardian's PERS and wellness monitoring is another example of how we are supporting that effort," said Bruce Butler, CEO of Samaritan Health Plans.

Beacon Healthcare Systems Hires Dave Meyer, Risk Adjustment Expert

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星期三, 九月 13, 2023
Stockman, Social, Risk, Risk management, SCAN Health Plan, Meyer, Health insurance, Cigna, Beacon

HUNTINGTON BEACH, Calif., Sept. 13, 2023 /PRNewswire/ -- Beacon Healthcare Systems, leaders in compliance, appeals and grievances, enrollment, and SDoH solutions for payers, has hired Dave Meyer, a 20-year healthcare risk adjustment veteran as its new SVP Risk Management & Quality.

Key Points: 
  • HUNTINGTON BEACH, Calif., Sept. 13, 2023 /PRNewswire/ -- Beacon Healthcare Systems, leaders in compliance, appeals and grievances, enrollment, and SDoH solutions for payers, has hired Dave Meyer, a 20-year healthcare risk adjustment veteran as its new SVP Risk Management & Quality.
  • Beacon HCS hires Dave Meyer, a 20-year healthcare risk adjustment veteran as its new SVP Risk Management & Quality.
  • Dave Meyer and Ken Stockman, CEO, of Beacon Healthcare Systems worked together in the risk adjustment space at Stockman's former company, Dynamic Healthcare Systems.
  • From Ken Stockman, CEO, "Dave is one of the most respected risk adjustment experts in the industry.

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

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星期二, 八月 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.

Included Health's Communities Offering Brings Support to Millions of LGBTQ+ and Black Individuals Across the Nation

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星期一, 六月 26, 2023
Surgery, Hospitals, LGBTQ+, Professional Services, Health Insurance, Other Health, Managed Care, Health, Consumer, News Corp, Oxygen Not Included, McDonald's, Macdonald, Mattress Firm, Organization, Tufts Health Plan, Community, SCAN Health Plan, Growth, Diagnosis, Salesforce, Mental health, State Farm, Conditional sentence, Geography, Nursing, Black

Included Health , a new kind of healthcare company delivering integrated care and navigation for millions of people nationwide, has experienced remarkable growth of its Communities offering since launching it in 2021.

Key Points: 
  • Included Health , a new kind of healthcare company delivering integrated care and navigation for millions of people nationwide, has experienced remarkable growth of its Communities offering since launching it in 2021.
  • Not at a time when 45% of LGBTQ+ individuals report difficulty finding a primary care physician and 35% of Black employees have experienced race-related bias in healthcare,” said Colin Quinn, president of Included Health Communities.
  • The member experience is high-touch and data-driven, led by a dedicated team that is representative of the communities they serve.
  • “Included Health believes that it is critical to ensure a member’s clinical and care teams mirror the population we serve.

Providence Health Plan Welcomes Distinguished Leaders to Executive Team, Including First Chief Equity Officer

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星期一, 六月 12, 2023
San Francisco Bay Area, Measuring Business Excellence, University, Information technology, Culture, Health equity, Business, Cambia Health Solutions, Risk management, Woman, Golden Gate University, San Francisco State University, PHP, Arizona State University Downtown Phoenix campus, Medicare, Business administration, Blue Shield, Providence Health & Services, Market, SCAN Health Plan, Consumer, Growth, Ethics, SCAN, Air force, Master of Business Administration, American City Business Journals, United States Department of the Air Force, Management

PORTLAND, Ore., June 12, 2023 /PRNewswire/ -- Providence Health Plan (PHP) is pleased to announce exciting additions to its executive leadership team. Lina Saadzoi has been named Chief Financial Officer and Timshel Tarbet has been named Chief Equity Officer, a new role at PHP. Both Tarbet and Saadzoi are tasked with helping PHP drive and shape its continued strategic direction to serve its communities in a more equitable way.

Key Points: 
  • PORTLAND, Ore., June 12, 2023 /PRNewswire/ -- Providence Health Plan (PHP) is pleased to announce exciting additions to its executive leadership team.
  • Lina Saadzoi has been named Chief Financial Officer and Timshel Tarbet has been named Chief Equity Officer, a new role at PHP.
  • "We've built a strong foundation in the health equity space at Providence Health Plan – it remains work we're incredibly proud of, and we're excited to strengthen that commitment under Timshel's leadership," said PHP CEO Don Antonucci.
  • "The addition of Lina's strategic vision and expertise to our executive team will better enable our continued growth and success as a multi-state health plan.

Alignment Health Appoints 3 New Executives to Further Drive Strategic Growth Nationally

Retrieved on: 
星期二, 六月 6, 2023
Ohio University, Aetna, Health, Ageing, Golden State, Research, Alignment, Medicare, Business administration, UnitedHealth Group, MA, SCAN Health Plan, Knowledge, Growth, Loyola Marymount University, Master of Business Administration, Management

Appointed as Health Plan Chief Growth Officer, Todd Macaluso will lead the company’s health plan growth by increasing net membership and improving the overall experience, execution, research and development efforts.

Key Points: 
  • Appointed as Health Plan Chief Growth Officer, Todd Macaluso will lead the company’s health plan growth by increasing net membership and improving the overall experience, execution, research and development efforts.
  • Macaluso is tasked with promoting better experiences, refining operational execution, conducting research and development, and driving strategic growth.
  • Before joining Alignment, Milligan served as the vice president of sales at Bright HealthCare and senior vice president at SCAN Health Plan.
  • His experience with Aetna and Centene and his master's degree in health administration from Ohio University position him well to drive meaningful growth for Alignment.