US-based UPMC Health Plan has inked an agreement with the Centers for Medicare and Medicaid Services (CMS) to offer its health insurance coverage through Qualified Health Plans (QHP) on the Federal Health Insurance Marketplace. Under the ...
Tags: Health Plan, Insurance
Caradigm has launched its new population health suite called 'Care Management' to allow healthcare firms to effectively transition to value-based care models and accountable care. Developed in collaboration with Geisinger Health Plan, ...
Tags: Care Management Suite, Caradigm
Managed Health Care Associates (MHA) and CoverMyMeds have joined hands to provide a co-branded solution to MHA's pharmacy members for facilitating a more efficient process for completing and submitting drug prior authorizations (PA). ...
Tags: MHA Partners, CoverMyMeds
North Carolina Mutual Life Insurance has partnered with Aon Hewitt to offer free support and access to a national network of Medicare insurance products to the senior African American community through Aon Hewitt Navigators. Under the ...
Tags: Health Insurance, Life Insurance
Health insurer Geisinger Health Plan (GHP) has deployed hCentive’s exchange integration and private exchange solutions to offer single sales portal. The insurer deployed cloud-based WebInsure Exchange Manager solution to manage its ...
Tags: insurer, health plans
Global professional services company has entered a web broker entity agreement with the Centers for Medicare & Medicaid Services (CMS) in the US, which will allow employers to connect eligible populations to the federally managed exchange. ...
Tags: Towers Watson, CMS
Inland Empire Health Plan (IEHP), a not-for-profit public health plan in southern California, has selected Pharmacy Quality Solutions’ (PQS’) EQuIPP platform, as its neutral intermediary for Pay-for-Performance (P4P) program for ...
The Covered California health insurance exchange has accepted Health Net Life Insurance’s bid to provide healthcare coverage to eligible small businesses for all 58 counties in the state. Health Net Life Insurance is a wholly owned ...
Tags: health insurance, Health Net Life
Texas-based private-equity firm TPG Capital is said to be considering signing an agreement to acquire Envision Pharmaceutical Holdings, an Ohio-based pharmacy-benefits manager (PBM), for an undisclosed sum. Sources familiar with the ...
Tags: Envision Pharmaceutical, TPG
From time to time I hear from readers who are convinced the Affordable Care Act will ruin us all financially. Not happening so far. Instead, it has already saved consumers billions. Exhibit A: In 2012, the law directly saved consumers ...
Tags: Obamacare, Health&Medicine
You have a few choices: Ask your doctor to prescribe a different drug from your insurance company's formulary. If that's not possible or your doctor says it's not a good idea, have your doctor petition your insurance company to cover the ...
Tags: Drug, Insurance Company
The Commonwealth of Virginia has selected Aetna for provision of a health benefits plan option to its more than 200,000 eligible employees, retirees and family members, effective from 01 July. Dubbed COVA HealthAware, the ...
Tags: Aetna, Health Benefits
CONEXIS has rolled out exchange connector and premium aggregation services to assist health plans to deal with implementing their premium-billing and collection services to meet the requirements introduced in the Affordable Care Act (ACA). ...
Maximus has been awarded a multi-year contract to operate customer contact center operations of Connecticut's Health Insurance Exchange, called Access Health CT. Scheduled to commence on 01 March 2013, the $15m contract features a ...
Tags: Maximus, Access Health CT, Connecticut's Health Insurance Exchange
Q. Our family of four gets coverage through my wife's job. This plan costs nothing for my wife alone but family coverage eats up 22 percent of our annual income. Can we get a subsidy to buy a cheaper plan on our state's exchange? A. ...
Tags: family coverage, Health Reform, healthcare