Half Of Medicaid Plans Launching Population Health Models
Half of Medicaid managed care plans say they are piloting " population specific ” value-based payment models, the inaugural report from the Institute for Medicaid Innovation said. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - October 22, 2018 Category: Pharmaceuticals Authors: Bruce Japsen, Contributor Tags: NYSE:WCG NYSE:UNH NYSE:CNC NYSE:AET Source Type: news

Advice From Health Care ’ s Power Users
When you ’ re sick, the health care system can be scary and confusing. But in a recent survey, seriously ill Americans shared some hard-won wisdom. (Source: NYT Health)
Source: NYT Health - October 20, 2018 Category: Consumer Health News Authors: MARGOT SANGER-KATZ Tags: Health Insurance and Managed Care Medicine and Health Doctors Source Type: news

Milliman Medical Index Predicts Families Will Spend More for Healthcare in 2018 Than Previous Years; Growth Trend Could Impact Clinical Laboratories Unprepared to Collect Fees at Time of Service
Employers and consumers continue to pay more for health benefits from one year to the next, continuing a trend that is not auspicious for clinical laboratories and anatomic pathology groups Most clinical laboratories don’t have the capability to collect payments from patients at time of service the same way patients pay doctors during office visits. […] (Source: Dark Daily)
Source: Dark Daily - October 19, 2018 Category: Laboratory Medicine Authors: Jude Tags: Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Laboratory Testing Managed Care Contracts & Payer Reimbursement Management & Operations anatomic pathology Chris Girod clinical laboratory Source Type: news

1,495 Americans Describe the Financial Reality of Being Really Sick
‘ Do you pay the hospital bill or do you pay the utility bill? ’ Don ’ t count on your health insurance for serious illnesses, a new survey warns. (Source: NYT Health)
Source: NYT Health - October 17, 2018 Category: Consumer Health News Authors: MARGOT SANGER-KATZ Tags: Health Insurance and Managed Care Medicine and Health Polls and Public Opinion Source Type: news

The New Health Care: Is Medicare for All the Answer to Sky-High Administrative Costs?
It would save money compared with private plans, but would also probably shed features that some might miss. (Source: NYT Health)
Source: NYT Health - October 15, 2018 Category: Consumer Health News Authors: AUSTIN FRAKT Tags: Medicare Health Insurance and Managed Care Prices (Fares, Fees and Rates) Source Type: news

CVS Health and Aetna $69 Billion Merger Is Approved With Conditions
CVS Health, the giant drugstore and pharmacy manager, will acquire one of the country ’ s biggest insurers, another sign of industry consolidation. (Source: NYT Health)
Source: NYT Health - October 10, 2018 Category: Consumer Health News Authors: REED ABELSON Tags: Aetna Inc CVS Caremark Corporation Drugs (Pharmaceuticals) Health Insurance and Managed Care Mergers, Acquisitions and Divestitures Regulation and Deregulation of Industry Justice Department Antitrust Laws and Competition Issues Source Type: news

In Medical Reporting, the Impact of Patients ’ Stories
A highly unusual response to my article on insurance obstacles to obtaining powerful new cholesterol-lowering drugs came from the very top: the leaders of one of the two companies making the drugs. (Source: NYT Health)
Source: NYT Health - October 9, 2018 Category: Consumer Health News Authors: GINA KOLATA Tags: Cholesterol Drugs (Pharmaceuticals) Health Insurance and Managed Care Praluent (Drug) Regeneron Pharmaceuticals Inc Sanofi SA Repatha (Drug) Amgen Inc Source Type: news

These Cholesterol-Reducers May Save Lives. So Why Aren ’ t Heart Patients Getting Them?
Powerful PCSK9 inhibitors were supposed to revolutionize care for cardiac patients. But insurers and other payers balked at sky-high prices. (Source: NYT Health)
Source: NYT Health - October 2, 2018 Category: Consumer Health News Authors: GINA KOLATA Tags: Repatha (Drug) Drugs (Pharmaceuticals) Health Insurance and Managed Care Cholesterol Prices (Fares, Fees and Rates) Heart Amgen Inc CIGNA Corporation Express Scripts Inc Regeneron Pharmaceuticals Inc Source Type: news

The New Health Care: Uber, Lyft and the Urgency of Saving Money on Ambulances
‘ Don ’ t reflexively call an ambulance, ’ a Harvard researcher says. In many cases, a cheaper way makes sense. (Source: NYT Health)
Source: NYT Health - October 1, 2018 Category: Consumer Health News Authors: AUSTIN FRAKT Tags: Ambulances Health Insurance and Managed Care Uber Technologies Inc Lyft Inc Prices (Fares, Fees and Rates) Car Services and Livery Cabs Source Type: news

The New Old Age: In the Nursing Home, Empty Beds and Quiet Halls
Fewer patients are winding up in nursing homes, and hundreds of the facilities are closing each year. (Source: NYT Health)
Source: NYT Health - September 28, 2018 Category: Consumer Health News Authors: PAULA SPAN Tags: Nursing Homes Elder Care Health Insurance and Managed Care Medicare Retirement Communities and Assisted Living Home Health Care Source Type: news

Exorbitant Dental Bill? Medical Insurance May Cover Some of It
Medical insurance generally pays more than dental insurance, so your dentist may be able to bill for services extending beyond tooth care. (Source: NYT Health)
Source: NYT Health - September 20, 2018 Category: Consumer Health News Authors: DAVID TULLER, KAISER HEALTH NEWS Tags: Teeth and Dentistry Health Insurance and Managed Care Computerized Axial Tomography (CAT Scans) Medical Devices Source Type: news

Merger of Cigna and Express Scripts Gets Approval From Justice Dept.
The takeover of one of the nation ’ s largest pharmacy benefit manager by a big health insurer is expected to close by the end of the year. (Source: NYT Health)
Source: NYT Health - September 17, 2018 Category: Consumer Health News Authors: REED ABELSON Tags: Health Insurance and Managed Care Mergers, Acquisitions and Divestitures Drugs (Pharmaceuticals) CVS Caremark Corporation Express Scripts Inc CIGNA Corporation Justice Department Antitrust Laws and Competition Issues Source Type: news

Justice Department Approves Cigna-Express Scripts Merger
The takeover of one of the nation ’ s largest pharmacy benefit managers by a big health insurer is expected to close by the end of the year. (Source: NYT Health)
Source: NYT Health - September 17, 2018 Category: Consumer Health News Authors: REED ABELSON Tags: Health Insurance and Managed Care Mergers, Acquisitions and Divestitures Drugs (Pharmaceuticals) CVS Caremark Corporation Express Scripts Inc CIGNA Corporation Justice Department Antitrust Laws and Competition Issues Source Type: news

CMS Finalizes Rule Rebranding ‘Meaningful Use’ Program to ‘Promoting Interoperability’
Ongoing federal regulatory push for EHR interoperability requires medical laboratories and anatomic pathology groups to have strategies for ensuring seamless interfaces with providers and hospitals What difference does a name make? Clinical laboratories and anatomic pathology groups soon may know the answer to that question following the renaming of the Centers for Medicare and Medicaid […] (Source: Dark Daily)
Source: Dark Daily - September 17, 2018 Category: Laboratory Medicine Authors: Jude Tags: Clinical Laboratory Information Systems (LIS) Compliance, Legal, and Malpractice Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Managed Care Contracts & Payer Reimbursement Management & Operat Source Type: news

The New Health Care: Can Paying for a Health Problem as a Whole, Not Piece by Piece, Save Medicare Money?
A program called bundled payments appears promising, but we need more rigorous evaluations. (Source: NYT Health)
Source: NYT Health - September 17, 2018 Category: Consumer Health News Authors: AUSTIN FRAKT Tags: Medicare Health Insurance and Managed Care Hospitals Source Type: news

Deal propels WellCare into a benchmark stock index
WellCare Health Plans Inc. will join the S&P 500 Index next week. The index is made up of 500 of the largest companies in the United States based on market capitalization, or the aggregate value of a company based on stock price and shares outstanding. WellCare (NYSE: WCG), a Tampa managed care provider for government-sponsored health programs, has seen its mar ket cap soar to more than $15 billion in the last few months after unveiling the largest acquisition in the company’s history. WellCare’s… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - September 12, 2018 Category: Biotechnology Authors: Margie Manning Source Type: news

Kaiser pushes toward carbon neutrality with major renewable energy buy
Kaiser Permanente has finalized a renewable energy deal moving the Oakland-based managed care organization toward its commitment to becoming carbon neutral by 2020. The 180-megawatt power purchasing agreement with NextEra Energy Resources, the largest generator of wind and solar energy in North America, is enough to power 27 of the health system’s 39 hospitals. To put that number in perspective, one megawatt is enough energy to power around 250 homes for a year. Kaiser CEO and Chairman Bernard… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - September 10, 2018 Category: American Health Authors: Kevin Truong Source Type: news

How to (Maybe) Avoid Sticker Shock at the Emergency Room
Knowing whether to use an urgent care center, a retail clinic, virtual care or the emergency room can make a big difference in cost. (Source: NYT Health)
Source: NYT Health - September 7, 2018 Category: Consumer Health News Authors: RICHARD KLASCO, M.D. and RICHARD ZANE, M.D. Tags: Emergency Medical Treatment Health Insurance and Managed Care Hospitals Shopping and Retail Source Type: news

Are Patients Becoming the New Payers? Analysis by TransUnion Suggests This Might Be the Case and the Implications for Clinical Laboratories Could Be Profound
Healthcare revenue cycle consultant Jonathan Wiik suggests healthcare providers must prepare their organizations for patients who need help paying increasing medical costs When patients cannot pay their bills, all of healthcare—including clinical laboratories and anatomic pathology groups—also struggle. And, according to experts, medical laboratories already complying with federal value-based payment programs and precision medicine directives […] (Source: Dark Daily)
Source: Dark Daily - September 7, 2018 Category: Laboratory Medicine Authors: Jude Tags: Laboratory News Laboratory Operations Laboratory Pathology Laboratory Testing Managed Care Contracts & Payer Reimbursement advanced beneficiary notices anatomic pathology centers for medicare and medicaid services charity care clinical l Source Type: news

Report: CVS, Aetna may sell assets to WellCare ahead of merger
WellCare, a Florida-based managed care provider for government-sponsored health programs, is in talks to buy some of the Medicare Part D prescription drug business that CVS Health Corp. and Aetna Inc. might have to sell in order to win regulatory approval to merge, according to the Wall Street Journal. The size of the assets the two companies might have to sell couldn’t immediately be determined, and WellCare declined to comment, the Journal said. WellCare (NYSE: WCG) completed its $2.5 billion… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - September 6, 2018 Category: Biotechnology Authors: Margie Manning Source Type: news

Report: CVS, Aetna may sell assets to WellCare ahead of merger
WellCare, a Florida-based managed care provider for government-sponsored health programs, is in talks to buy some of the Medicare Part D prescription drug business that CVS Health Corp. and Aetna Inc. might have to sell in order to win regulatory approval to merge, according to the Wall Street Journal. The size of the assets the two companies might have to sell couldn’t immediately be determined, and WellCare declined to comment, the Journal said. WellCare (NYSE: WCG) completed its $2.5 billion… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - September 6, 2018 Category: Pharmaceuticals Authors: Margie Manning Source Type: news

Stan Brock, 82, Intrepid Provider of Health Care in Remote Areas, Dies
A British-born former cowboy in South America and a “ Wild Kingdom ” TV star, he went on to deploy mobile clinics to treat the underserved and uninsured. (Source: NYT Health)
Source: NYT Health - September 6, 2018 Category: Consumer Health News Authors: SAM ROBERTS Tags: Brock, Stan (1936-2018) Deaths (Obituaries) Remote Area Medical Health Insurance and Managed Care Volunteers and Community Service Source Type: news

WellCare in talks to buy some CVS-Aetna assets, Wall Street Journal reports
On the heels of wrapping up the biggest merger in the company ’s history, WellCare Health Plans Inc. is in talks on another deal, according to the Wall Street Journal. WellCare (NYSE: WCG), a Tampa managed care provider for government-sponsored health programs, is a potential buyer for some of the Medicare Part D prescription drug business that CVS Health C orp. and Aetna Inc. might have to sell in order to win regulatory approval to merge, the Journal reported. The size of the assets the two companies… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - September 6, 2018 Category: Pharmaceuticals Authors: Margie Manning Source Type: news

Legal Case to Smash Obamacare Hands the Democrats a Hammer
As arguments play out in a Texas courtroom, Democrats push back with biting ads warning that protections for people with pre-existing medical conditions could fall. (Source: NYT Health)
Source: NYT Health - September 5, 2018 Category: Consumer Health News Authors: ABBY GOODNOUGH Tags: Health Insurance and Managed Care Patient Protection and Affordable Care Act (2010) Suits and Litigation (Civil) Reed O'Connor United States Politics and Government House of Representatives Justice Department Trump, Donald J Fort Worth (Te Source Type: news

Another Case Is Threatening Obamacare. Democrats Hope It Will Help Them.
Republican and Democratic states clash in oral arguments over whether the health law is unconstitutional now that Congress has eliminated the tax penalty for not having insurance. (Source: NYT Health)
Source: NYT Health - September 5, 2018 Category: Consumer Health News Authors: ABBY GOODNOUGH Tags: Health Insurance and Managed Care Patient Protection and Affordable Care Act (2010) Suits and Litigation (Civil) Reed O'Connor United States Politics and Government House of Representatives Justice Department Trump, Donald J Fort Worth (Te Source Type: news

A New Lawsuit Threatens Obamacare. Here ’ s What ’ s at Stake and What to Expect in Oral Arguments
A federal judge in Texas will consider whether suspend or kill the law. The Trump Administration has chosen not to defend it and its coverage of pre-existing conditions. (Source: NYT Health)
Source: NYT Health - September 4, 2018 Category: Consumer Health News Authors: ABBY GOODNOUGH and JAN HOFFMAN Tags: Health Insurance and Managed Care Patient Protection and Affordable Care Act (2010) Suits and Litigation (Civil) Source Type: news

The Last Company You Would Expect Is Reinventing Health Benefits
Frustrated with insurers, some large companies — including a certain cable behemoth — are shedding long-held practices and adopting a do-it-yourself approach. (Source: NYT Health)
Source: NYT Health - September 4, 2018 Category: Consumer Health News Authors: REED ABELSON Tags: Health Insurance and Managed Care Employee Fringe Benefits Comcast Corporation Amazon.com Inc Berkshire Hathaway Inc JPMorgan Chase & Company Venrock Associates Labor and Jobs Teachers and School Employees Accolade Inc Grand Rounds Source Type: news

You ’ ll Never Guess Which Company Is Reinventing Health Benefits
Frustrated with insurers, some large companies — including a certain cable behemoth — are shedding long-held practices and adopting a do-it-yourself approach. (Source: NYT Health)
Source: NYT Health - August 31, 2018 Category: Consumer Health News Authors: REED ABELSON Tags: Health Insurance and Managed Care Comcast Corporation Amazon.com Inc Berkshire Hathaway Inc JPMorgan Chase & Company Accolade Grand Rounds Doctors on Demand Venrock Associates employee benefits Labor and Jobs Source Type: news

Requiring insurers to cover retail pharmacy vaccinations for adult Californians could save lives, study finds
Requiring health insurers to pay for adult vaccinations given at retail pharmacies could help prevent the spread of deadly communicable diseases such as influenza, pneumococcal infection and human papillomavirus, according to a  new study by the UCLA Center for Health Policy Research.Many insurers do not cover pharmacy-administered vaccines; cover a limited selection of vaccines; or require people they insure to get vaccinated only at pharmacies within their insurance network, the study reports.Overall vaccination rates in state are lowThe overall vaccination rate among adult Californians is far below federa...
Source: UCLA Newsroom: Health Sciences - August 30, 2018 Category: Universities & Medical Training Source Type: news

The New Health Care: A Little-Known Windfall for Some Hospitals, Now Facing Big Cuts
A program meant to help the poor has grown beyond its original intent. (Source: NYT Health)
Source: NYT Health - August 29, 2018 Category: Consumer Health News Authors: AUSTIN FRAKT Tags: Hospitals Drugs (Pharmaceuticals) Health Insurance and Managed Care Medicare Source Type: news

How to Tame Health Care Spending? Look for One-Percent Solutions
Maybe the answer isn ’ t something big, a group of economists is suggesting, but rather many small tweaks, such as reining in long-term care hospitals. (Source: NYT Health)
Source: NYT Health - August 28, 2018 Category: Consumer Health News Authors: MARGOT SANGER-KATZ Tags: Hospitals Health Insurance and Managed Care Research Long-Term Care Insurance United States Economy Source Type: news

TriHealth expands duties of senior leader
TriHealth has promoted Tamara Ward, previously executive director of managed care, to vice president and expanded her role within the hospital system. She filled the newly created position of vice president of managed care and network operations, CEO Mark Clement announced. In addition to retaining responsibility for TriHealth’s managed care operations, Ward has assumed executive oversight of TriHealth Benefit Solutions, which is a third-part y administrator for employee health care benefits. The… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - August 28, 2018 Category: Health Management Authors: Barrett J. Brunsman Source Type: news

TriHealth expands duties of senior leader
TriHealth has promoted Tamara Ward, previously executive director of managed care, to vice president and expanded her role within the hospital system. She filled the newly created position of vice president of managed care and network operations, CEO Mark Clement announced. In addition to retaining responsibility for TriHealth’s managed care operations, Ward has assumed executive oversight of TriHealth Benefit Solutions, which is a third-part y administrator for employee health care benefits. The… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - August 28, 2018 Category: Biotechnology Authors: Barrett J. Brunsman Source Type: news

How to Tame Health Care Spending? Here ’ s a One-Percent Solution
Maybe the answer isn ’ t something big, a group of economists is suggesting, but rather many small tweaks. (Source: NYT Health)
Source: NYT Health - August 27, 2018 Category: Consumer Health News Authors: MARGOT SANGER-KATZ Tags: Hospitals Health Insurance and Managed Care Research Long-Term Care Insurance United States Economy Source Type: news

Western Sky taps a New Mexico health care leader as CEO
Tony Hernandez of Las Cruces will lead the Western Sky Community Care team as plan president and CEO, according to a company news release. In his new role at Western Sky Community Care, Hernandez will oversee the managed care organization that provides health insurance to New Mexico residents, leading the organization’s strategic vision for growth. “As an organization committed to community health, it was important we secure a leader connected to New Mexico who had an understanding of the… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - August 25, 2018 Category: Biotechnology Authors: Maria Gomez Source Type: news

Western Sky taps a New Mexico health care leader as CEO
Tony Hernandez of Las Cruces will lead the Western Sky Community Care team as plan president and CEO, according to a company news release. In his new role at Western Sky Community Care, Hernandez will oversee the managed care organization that provides health insurance to New Mexico residents, leading the organization’s strategic vision for growth. “As an organization committed to community health, it was important we secure a leader connected to New Mexico who had an understanding of the… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - August 24, 2018 Category: American Health Authors: Maria Gomez Source Type: news

Individual, programmatic and systemic indicators of the quality of mental health care using a large health administrative database: an avenue for preventing suicide mortality - Thibodeau L, Rahme E, Lachaud J, Pelletier É, Rochette L, John A, Reneflot A, Lloyd K, Lesage A.
Suicide is a major public health issue in Canada. The quality of health care services, in addition to other individual and population factors, has been shown to affect suicide rates. In publicly managed care systems, such as systems in Canada and the Unite... (Source: SafetyLit)
Source: SafetyLit - August 23, 2018 Category: International Medicine & Public Health Tags: Program and Other Evaluations, Effectiveness Studies Source Type: news

Square Feet: If Food Is Medicine, These Are the Labs
Community meal programs founded to nourish the sick are seeking bigger industrial kitchens to meet growing demand. (Source: NYT Health)
Source: NYT Health - August 21, 2018 Category: Consumer Health News Authors: LISA PREVOST Tags: Food Delivery Services Health Insurance and Managed Care Relocation of Business Source Type: news

A Chinese Pharmacist Found Out He Had Cancer. Then He Vanished.
Rather than burden his parents with the expense of his treatment, Tang Gongwei chose to disappear. (Source: NYT Health)
Source: NYT Health - August 20, 2018 Category: Consumer Health News Authors: SUI-LEE WEE and ELSIE CHEN Tags: China Health Insurance and Managed Care Missing Persons Parenting Drugs (Pharmaceuticals) Tang, Gongwei Source Type: news

The New Health Care: The Large Hidden Costs of Medicare ’ s Prescription Drug Program
Premiums have risen very little in the years since Medicare Part D was introduced. But the same cannot be said of the burden on taxpayers. (Source: NYT Health)
Source: NYT Health - August 13, 2018 Category: Consumer Health News Authors: AUSTIN FRAKT Tags: Medicare Health Insurance and Managed Care Drugs (Pharmaceuticals) Medicine and Health Source Type: news

Companies Respond to an Urgent Health Care Need: Transportation
As people grow older and prefer to manage their health care at home, more need transportation to doctors and outpatient services. Business is surging. (Source: NYT Health)
Source: NYT Health - August 9, 2018 Category: Consumer Health News Authors: JANET MORRISSEY Tags: Elderly Health Insurance and Managed Care AI August Car Services and Livery Cabs Start-ups RoundTrip Inc Circulation Inc Source Type: news

WellCare plans stock, debt offering to pay for $2.5 million Meridian purchase
WellCare Health Plans Inc. will sell about $1.1 billion in stock and issue about $700 million in new debt as part of its plan to fund the purchase of Meridian, a Detroit-based managed care organization. The $2.5 billion purchase of Meridian, announced in May, will expand WellCare’s Medicaid portfolio to 13 states, with leading market share in six of those states. It also provides additional pharmacy benefit management capabilities and substantial revenue to WellCare (NYSE: WCG), already the th ird-largest… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - August 6, 2018 Category: Biotechnology Authors: Margie Manning Source Type: news

WellCare plans stock, debt offering to pay for $2.5 billion Meridian purchase
WellCare Health Plans Inc. will sell about $1.1 billion in stock and issue about $700 million in new debt as part of its plan to fund the purchase of Meridian, a Detroit-based managed care organization. The $2.5 billion purchase of Meridian, announced in May, will expand WellCare’s Medicaid portfolio to 13 states, with leading market share in six of those states. It also provides additional pharmacy benefit management capabilities and substantial revenue to WellCare (NYSE: WCG), already the th ird-largest… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - August 6, 2018 Category: American Health Authors: Margie Manning Source Type: news

WellCare plans stock, debt offering to pay for $2.5 billion Meridian purchase
WellCare Health Plans Inc. will sell about $1.1 billion in stock and issue about $700 million in new debt as part of its plan to fund the purchase of Meridian, a Detroit-based managed care organization. The $2.5 billion purchase of Meridian, announced in May, will expand WellCare’s Medicaid portfolio to 13 states, with leading market share in six of those states. It also provides additional pharmacy benefit management capabilities and substantial revenue to WellCare (NYSE: WCG), already the th ird-largest… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - August 6, 2018 Category: Biotechnology Authors: Margie Manning Source Type: news

NCDHHS awards $17M contract ahead of Medicaid reform
On Friday, the N.C. Department of Health and Human Services said it has signed a $17 million contract with Reston, Virginia-based Maximus for managed care enrollment broker services. The deal with the government services agency comes ahead of the state's Medicaid reform next year, which will go from a Medicaid fee-for-service model to a managed care model, and is the first procurement contract award to aid in the transition. Some of the services Maximus is expected to provide include counseling,… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - August 3, 2018 Category: American Health Authors: Jennifer Henderson Source Type: news

NCDHHS awards $17M contract ahead of Medicaid reform
On Friday, N.C. Department of Health and Human Services said it has signed a $17 million contract with Reston, Virginia-based Maximus for managed care enrollment broker services. The deal with the government services agency comes ahead of the state's Medicaid reform next year, which will go from a Medicaid fee-for-service model to a managed care model, and is the first procurement contract award to aid in the transition. Some of the services Maximus is expected to provide include counseling, enrollment… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - August 3, 2018 Category: American Health Authors: Jennifer Henderson Source Type: news

DaVita outsourcing most of pharmacy division
The move comes as the company is in the midst of selling its managed-care division and already has sold its direct-primary-care division. (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - August 2, 2018 Category: American Health Authors: Ed Sealover Source Type: news

What to Know Before You Buy Short-Term Health Insurance
The plans cover less and follow fewer rules than most insurance that you can buy now. They are also less costly and will be marketed extensively. (Source: NYT Health)
Source: NYT Health - August 1, 2018 Category: Consumer Health News Authors: MARGOT SANGER-KATZ Tags: Health Insurance and Managed Care Regulation and Deregulation of Industry Patient Protection and Affordable Care Act (2010) Source Type: news

Centene, Ascension announce Medicare Advantage joint venture
Centene, the Clayton-based managed care provider, and Ascension, the largest Catholic and nonprofit health system in the nation, have signed a letter of intent to form a joint venture to develop a Medicare Advantage plan. According to a release, the plan would become the preferred model the systems and affiliates of each company in their respective markets by 2020. "We are pleased to pursue this joint venture with Ascension to create a differentiating offering for Medicare Advantage across multiple… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - July 30, 2018 Category: Pharmaceuticals Authors: Vince Brennan Source Type: news

The New Health Care: Shopping for Health Care Simply Doesn ’ t Work. So What Might?
It ’ s often too complicated. And even when it isn ’ t, almost no one does it. (Source: NYT Health)
Source: NYT Health - July 30, 2018 Category: Consumer Health News Authors: AUSTIN FRAKT Tags: Health Insurance and Managed Care Prices (Fares, Fees and Rates) Magnetic Resonance Imagers Medicine and Health Hospitals Shopping and Retail Source Type: news