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Showing posts with label Selects. Show all posts
Showing posts with label Selects. Show all posts
Tuesday, July 17, 2012
Tuesday, June 12, 2012
Wednesday, June 6, 2012
State of Illinois Selects Coventry Health Care for Open Access Plan and HMO Health Benefit Plans
CHAMPAIGN, Ill.--(BUSINESS WIRE)--
Coventry Health Care of Illinois, Inc. (“Coventry Health Care”), formerly PersonalCare Insurance of Illinois, Inc., is pleased to announce that Coventry Health Care will continue to participate in the state of Illinois’ Open Access Plan (“OAP”) and HMO benefit plans.
On May 1, the state of Illinois and Coventry Health Care signed a long-term contract for the OAP that will allow Coventry Health Care to administer the health benefits plan through 2016.
The state also recently announced its decision to offer Coventry Health Care’s HMO plan to its employees for a 90-day period, effective July 1 to September 28. HMO members looking for a long-term solution are encouraged to consider the OAP, which offers many of the same benefits as the HMO with an expanded provider network and an option to renew through 2016.
The OAP administered by Coventry Health Care offers nationwide provider access, low-cost dependent coverage, online wellness resources and a proven track record of excellent service. Based in Champaign, Coventry Health Care’s services are delivered locally and supported by national parent company Coventry Health Care, Inc.
"We’re grateful for another opportunity to assist state employees and their families with high quality, affordable health care,” said Mike Wolff, Coventry Health Care executive director in Illinois. “The state and their employees can rest assured our local health plan staff is prepared to provide the same excellent service and benefits they have enjoyed for the past 28 years."
State employees can enroll in the plan of their choice throughout the benefit choice period, which began on May 1. The duration of the open enrollment period is being determined by the state. Employees are encouraged to stay up to date by visiting www.benefitschoice.il.gov.
About Coventry Health Care
Serving the community since 1984, Coventry Health Care, formerly PersonalCare Insurance of Illinois, Inc., is a local health plan supported by resources of its parent company, Coventry Health Care, Inc. Recognized by Consumer Reports and the National Committee for Quality Assurance (NCQA) as one of the top-ranked commercial health plans in Illinois for the sixth consecutive year in November 2011, Coventry Health Care’s employees serve customers from offices in Champaign, Downers Grove, Peoria and Rockford. Visit www.chcillinois.com to learn more.
About Coventry Health Care, Inc.
Coventry Health Care, Inc. (“Coventry”) is a national managed health care company operating health plans, insurance companies, network rental companies and workers’ compensation services companies. Coventry provides a full range of risk and fee-based managed care products and services to a broad cross section of individuals, employer and government-funded groups, government agencies, and other insurance carriers and plan administrators. The company is based in Bethesda, Md.
Thursday, March 29, 2012
Health Alliance Medical Plans Selects McKesson Analytics Advisor
Health Alliance Medical Plans, a prominent provider-sponsored health insurer in the Midwest, has signed an agreement with McKesson renewing its license for several care management solutions while adding McKesson Analytics Advisor™. McKesson Analytics Advisor is a powerful analytics and reporting tool that helps turn utilization, network, member and claim level data into actionable clinical and financial intelligence to support the organization’s business decisions as well as the clinical decisions of its providers. Together, these solutions create a platform that fully informs care management processes while enabling payers and providers to more easily optimize decision making.
Established in 1980 and headquartered in Urbana, Illinois, Health Alliance administers health plans for more than 320,000 members primarily in Illinois and Iowa. In Illinois, it is the top-ranked health plan for its commercial and Medicare plans, based on National Committee for Quality Assurance (NCQA) rankings.
“Health Alliance has worked closely with McKesson for twelve years. The company has been a consistent, collaborative partner,” explained Health Alliance chief medical officer Robert Parker. “As a provider-sponsored organization, we have always understood the importance of getting accurate and current information to our affiliated medical professionals in time to inform sound decisions. McKesson’s solutions have been a fundamental part of our success in that role.”
Health Alliance chose McKesson Analytics Advisor because of its existing partnership with McKesson, as well as the solution’s many provider-friendly attributes. For example, McKesson Analytics Advisor supplies automated communication tools that help providers reach out to their patients to proactively close gaps in care, as well as an easy-to-use interface that gives providers better visibility into quality, efficiency and pay-for-performance metrics. In addition, the clinical and financial intelligence solution has become well known for its ability to reduce pharmacy spend by identifying appropriate alternatives to patients’ current drug regimens.
“Because McKesson Analytics Advisor was designed by providers and proven in the provider setting, it establishes the strong, credible information foundation upon which payers and providers can build their performance improvement initiatives. Working together, payers and providers can more effectively balance healthcare quality and efficiency, which has been a guiding principle for Health Alliance since it was founded,” said James Evans, vice president, Payment Management, McKesson Health Solutions.
Also as part of the agreement, Health Alliance renewed its license for Coordinated Care Management System™ (CCMS™), workflow technology that integrates utilization, case and disease management into a seamless process that helps payers decide where to focus resources, better coordinate care through automation and effective communication, integrate data at key points in the workflow, and base interventions on evidence-based standards of care. The insurer also renewed its license for Clear Coverage™, utilization management software that brings intelligent, automated decision support to the point of care.
About Health Alliance Medical Plans
Health Alliance Medical Plans is a leading provider-sponsored health insurer in the Midwest, administering healthcare coverage for more than 320,000 lives. Health Alliance Commercial HMO/POS ranked #1 in Illinois and Iowa in NCQA’s Health Insurance Plan Rankings.* Nationally, Health Alliance ranked the 39th best HMO/POS for 2011-2012.** Additionally, in recognition of its exceptional commitment to quality, Health Alliance holds an Excellent accreditation from NCQA for its commercial HMO, PPO and POS plans as well as its Medicare HMO and PPO plans.
About McKesson
McKesson Corporation, currently ranked 15th on the FORTUNE 500, is a healthcare services and information technology company dedicated to making the business of healthcare run better. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting. McKesson helps its customers improve their financial, operational, and clinical performance with solutions that include pharmaceutical and medical-surgical supply management, healthcare information technology, and business and clinical services. For more information, visit http://www.mckesson.com.
*Nationally ranked 39/390 in private health plans and 27/336 for Commercial HMO plans.
**NCQA’s Health Insurance Plan Rankings 2011-12—Private.
Wednesday, March 21, 2012
Health Care DataWorks, Inc. Selects Health Language, Inc. to Map Disparate Health Data to Standard Code Sets for ...
Wed, Mar 21, 2012, 8:53 AM EDT - U.S. Markets open in 37 mins.
Sorry, I could not read the content fromt this page.Tuesday, March 13, 2012
Dovetail Health Selects Program Members Using DST Health Solutions' CareAnalyzer with Johns Hopkins ACGs to Achieve ...
BIRMINGHAM, Ala., March 13, 2012 /PRNewswire/ -- DST Health Solutions, LLC, today announced the availability of a new case study highlighting the implementation and success of its CareAnalyzer system at Dovetail Health, a Needham, Mass.-based health care organization designed to provide critical support to high-risk patients at home. The report, entitled "Dovetail Health Prevents Re-Admissions in High-Risk Patients Using CareAnalyzer from DST Health Solutions," also features results from Dovetail's recent work with Health New England, including a reduction in Medicare Advantage readmissions by 36 percent annually.
(Photo: http://photos.prnewswire.com/prnh/20120313/DE68752LOGO )
Dovetail Health used DST's CareAnalyzer to refine the process of selecting high risk health plan members by leveraging John's Hopkins ACGs (Adjusted Clinical Groups) and health plan administrative data. High risk plan members are then targeted for proactive case management and personalized treatment programs.
"High-risk patients represent an enormous financial obstacle for health plans," said Jeffrey Oberg, Director of Account Management, Dovetail Health. "That's why we work with health plans to identify patients with a high likelihood of returning to the hospital and then implement programs that stabilize and manage patients at home, keeping them out of the hospital."
As referenced in the case study, Dovetail Health uses DST's CareAnalyzer analytics to identify members at risk for adverse health outcomes after hospitalization. Industry research suggests that as much as two-thirds of adverse events that occur post-discharge are a result of medication issues. To mitigate these risks, Dovetail Health sends a clinical pharmacist into high-risk patients' homes to review medication therapies, identify potential interactions, and educate the patient on the importance of adherence. In addition, patients receive personalized chronic illness coaching to help them more effectively partner with the health plan and their doctors to better manage their own health.
The care coordination promoted by this program positively impacts both the cost and quality of care. Readmissions account for approximately 16 percent of patients discharged, and cost an average of $6,000 to $10,000 per readmission. Patient safety is improved as are health outcomes resulting from the clinical review of the medication therapy combined with the promotion of patient education and engagement.
"The majority of patients in our program have significant medication reconciliation and medication adherence issues," says Lara Terry, M.D., Medical Director for Dovetail Health. "This is a population where investing in more services and highly personalized interventions makes sense for both the health plan and the member."
"DST Health Solutions is proud to be part of the Dovetail Health transition management program provided to Health New England's members, and of the positive impact of DST's CareAnalyzer to measure and reduce clinical and financial risk," said Steve Sabino, President of DST Health Solutions. "We believe the use of this analytical solution is resulting in significant gains in the quality of patient care and an efficiency to provide that care."
To order a PDF of the case study, "Dovetail Health Prevents Re-Admissions in High-Risk Patients Using CareAnalyzer from DST Health Solutions," click here.
About Dovetail Health
With a sole focus on preventing readmissions among the highest risk patients, Dovetail Health is a leading provider of transitional care services. Combining unique in-home pharmacist care managers with comprehensive infrastructure and customized technology systems, Dovetail has delivered reductions in readmissions for its health plan, provider group and hospital partners. For more information, contact Dana McNally at dmcnally@dovetailhealth.com or visit www.dovetailhealth.com.
About DST Health Solutions
DST Health Solutions, LLC delivers systems and services that help improve efficiency, reduce operational costs, increase speed to market, and facilitate medical cost management and price containment. Our clients include commercial health plans, consumer-directed plans, government plans (Medicare Advantage, Medicare Part D and Medicaid) and physician practices. DST Health Solutions' enterprise applications and outsourcing services include claims processing, member and provider management, benefit plan management, new product development, care management and medical management, and decision support/analytics. DST Health Solutions is a wholly-owned subsidiary of DST Systems, Inc. For more information about DST Health Solutions, contact 800.272.4799, email inforequests@dsthealthsolutions.com or visit www.dsthealthsolutions.com.
Tuesday, March 6, 2012
Inland Empire HIE Selects Orion Health For Community-Wide Health Information Exchange
Gas Prices Break 27-Day RiseCNNMoney.com
The nationwide average for gasoline prices eased Tuesday, marking the first decline after 27 straight days of increases, …
Tuesday, February 21, 2012
Highmark Selects Verizon to Help Develop First Statewide Health Information Exchange to Improve Patient Care Through ...
NEW YORK and PITTSBURGH, Feb. 21, 2012 /PRNewswire/ -- Patients accessing health care services across Pennsylvania will soon benefit from fewer duplicative diagnostic tests, faster retrieval of clinical information, stronger safety measures and better coordination of care – all via a new IT platform that enables the sharing of patient information across multiple health care systems.
Highmark Inc. on Tuesday (Feb. 21) announced an agreement under which Verizon Enterprise Solutions will deploy and manage the technology infrastructure for Highmark's new health information exchange that will soon link health care organizations across western Pennsylvania that serve millions of people. Highmark also plans to extend its HIE across the state over the next two years.
The first health care organization to join the Highmark project is West Penn Allegheny Health System consisting of Allegheny General Hospital, Allegheny Valley Hospital, Canonsburg General Hospital, Forbes Regional Hospital and Western Pennsylvania Hospital. Other health care organizations intending to participate in the Highmark HIE are: Butler Health System; Jefferson Regional Medical Center; MedExpress Urgent Care; Vantage Health Network (Lake Erie College of Osteopathic Medicine, Meadville Medical Center, Millcreek Community Hospital, Saint Vincent Hospital); and The Washington Hospital. Highmark is also in discussions with other health care organizations across Pennsylvania and West Virginia.
"We welcome all hospitals, physicians and health insurers to become part of our HIE," said Deborah L. Rice, Highmark's executive vice president of health services. "At the very core of this HIE is improved patient care, and that's the foundation of what our customers want from us and their care providers. It's about working collaboratively as a health care community and using the available health care data to provide the best possible care."
As the push to transform health care through technology takes hold, health information exchanges are gaining acceptance. Health care organizations of all sizes and types are using HIEs to overcome the long-standing obstacle of incompatible health IT platforms and software used to store patient data. By facilitating the secure and compliant retrieval and sharing of patient clinical data among participating hospitals, clinics, physician practices and health care plans, the technology helps enable the quality, safety and efficiency of patient care.
"Health information exchanges address many of the interoperability, security and compliance issues that have long impeded the sharing of digital clinical information across the health care ecosystem," said Dr. Peter Tippett, vice president and chief medical officer, Verizon Connected Healthcare Solutions, the company's health IT practice group. "The work we are doing with Highmark underscores the potential health IT has to drive the development of patient-centered care models by unlocking the value of clinical information that's accessible across communities, regions and health care providers."
The Highmark HIE will be powered by the Verizon Health Information Exchange, an interoperable health IT platform delivered via Verizon's cloud-computing infrastructure. The platform consolidates patient clinical data from disparate providers and translates the information into a standardized format for secure access over the Web, offering health care professionals an effective way to obtain a more complete view of a patient's health history. The platform uses strong identity-access-management controls to provide security for sensitive patient information and enables members to retain their existing systems, processes and workflows, thereby reducing the need for additional capital expenditures.
Highmark also has leveraged the expertise of Accenture, a global leader in management consulting and technology services, to assist health care providers with connecting to Highmark's HIE, which has been in development for the past 18 months.
About Highmark Inc.Highmark Inc., based in Pittsburgh, is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Highmark serves 4.8 million members in Pennsylvania and West Virginia through the company's health care benefits business and is one of the largest Blue plans in the nation. Highmark has 19,500 employees across the country. For more than 70 years, Highmark's commitment to the community has consistently been among the company's highest priorities as it strives to positively impact the communities where we do business. For more information, visit www.highmark.com.
Highmark Inc. is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. For more information, visit www.highmark.com.
About VerizonVerizon Communications Inc. (NYSE, Nasdaq: VZ), headquartered in New York, is a global leader in delivering broadband and other wireless and wireline communications services to consumer, business, government and wholesale customers. Verizon Wireless operates America's most reliable wireless network, with nearly 109 million total connections nationwide. Verizon also provides converged communications, information and entertainment services over America's most advanced fiber-optic network, and delivers integrated business solutions to customers in more than 150 countries, including all of the Fortune 500. A Dow 30 company with $111 billion in 2011 revenues, Verizon employs a diverse workforce of nearly 194,000. For more information, visit www.verizon.com.
VERIZON'S ONLINE NEWS CENTER: Verizon news releases, executive speeches and biographies, media contacts, high-quality video and images, and other information are available at Verizon's News Center on the World Wide Web at www.verizon.com/news. To receive news releases by email, visit the News Center and register for customized automatic delivery of Verizon news releases.
The Health Information Technology Exchange of Connecticut (HITE-CT) Selects Axway and GE Healthcare for HIE Solution
Tue, Feb 21, 2012, 6:32 AM EST - U.S. Markets open in 2 hrs 58 mins
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