Health Insurance News

Keep your finger on the pulse of news about companies providing managed healthcare and public policy related to healthcare. Topics covered include HMOs, PPOs, provider networks, health insurance premiums, legal issues, primary and supplementary health insurance, Medicare, and new products and services aimed at consumers and industry professionals.

Nation’s Kidney Community Deeply Disappointed with Supreme Court Ruling in Marietta Memorial Hospital Employee Benefit Health Plan v. DaVita

Kidney Care Partners (KCP) – the nation’s largest non-profit, non-partisan coalition of more than 30 organizations, comprising patients, dialysis professionals, physicians, nurses, researchers, therapeutic innovators, transplant coordinators, and manufacturers – today, expressed... - June 21, 2022 - Kidney Care Partners

Mid-State Group Offers At-Home Virtual PT for Injured Workers

The at-home support an injured worker receives often determines how well—and how soon—the employee recovers and can return to work. That’s why The Mid-State Group is pleased to announce Plethy RecupeTM physical therapy virtual care solution as a new facet of its High-Performance Network (HPN). - June 02, 2022 - The Mid-State Group

North American Pet Insurance Market More Than Doubles in Four Years

North American Pet Insurance Market More Than Doubles in Four Years

The North American Pet Health Insurance Association (NAPHIA) announced that the pet insurance sector exceeded $2.83 B USD at year end 2021, and industry growth more than doubled over the past four years (2018 - 2021). NAPHIA’s 2022 State of the Industry Report shows a record $2.837 billion USD in total in-force premiums in 2021 (up over 30.5% from $2.175 billion USD in 2020) and over 4.41 million insured pets across North America (up 27.7% from over 3.45 million pets insured in 2020). - May 17, 2022 - NAPHIA - North American Pet Health Insurance Association

Carisk® Partners Announces Completion of SOC 2(SM) Type II Certification Furthers Commitment to Data Security and Compliance

Carisk® Partners Announces Completion of SOC 2(SM) Type II Certification Furthers Commitment to Data Security and Compliance

Carisk Partners announced today that the company has completed the System and Organization Controls (SOC) 2 Type II audit. - May 04, 2022 - Carisk Partners

GrandCare Health Services, In-Home Orthopedic Rehabilitation Specialist, Announces the Launch of Its New In-Home Outpatient Therapy Business

GrandCare Health Services, In-Home Orthopedic Rehabilitation Specialist, Announces the Launch of Its New In-Home Outpatient Therapy Business

GrandCare Health Services, the leading provider of in-home orthopedic rehabilitation, is proud to announce the launch of its new in-home outpatient therapy business. - April 11, 2022 - GrandCare Health Services

ConnectionPoint Systems Raises Seed Round to Help Healthcare Providers Increase Access to Quality Care and Save Millions of Americans from Bankruptcy

ConnectionPoint Systems Raises Seed Round to Help Healthcare Providers Increase Access to Quality Care and Save Millions of Americans from Bankruptcy

ConnectionPoint Systems Inc, the premier platform for collaborative funding, has raised USD$1.5M for the launch of CoCoPay, the first community-centric healthcare payment solution that tackles the issue of quality care affordability. Every year, around 137 Million Americans face financial hardship... - March 10, 2022 - CoCoPay

8 Oaks Recovery Opens Sober Living Facility on 68-Acre Farm

8 Oaks Recovery’s live-in treatment program is now accepting patients. The sober living facility is housed in a rustic cabin located on a 68-acre farm in West Point, Tennessee. The facility offers a unique treatment experience in a relaxing rural setting that blends Christian pastoral... - February 28, 2022 - 8 Oaks

Dynamic Healthcare Systems to Host a Roundtable at 2022 RISE National Summit

Dynamic will be hosting the roundtable discussion: Understanding Overpayments and OIG involvement in Risk Adjustment. - February 27, 2022 - Dynamic Healthcare Systems

National Kidney Partners Announces Launch of Statewide Nephrology Practice

National Kidney Partners (NKP) is a newly formed physician owned and physician led organization resulting from the merger of over fifty providers from six independent nephrology practices in Florida. NKP’s founding members span the state, and include Renal Hypertension Center, Kidney and... - February 01, 2022 - National Kidney Partners

Dynamic Healthcare Systems Provides Conformity to Health Plans Amid CMS’ Chart Review Reject Edit Software Improvements

Effective November 5, 2021, CMS introduced an edit to determine if submitted records are duplicates based on several data elements. - December 15, 2021 - Dynamic Healthcare Systems

Adobe Care & Wellness Receives URAC Accreditation Accreditation Committee Votes to Grant Full Accreditation Pursuant to Case Management

Adobe Care & Wellness Receives URAC Accreditation Accreditation Committee Votes to Grant Full Accreditation Pursuant to Case Management

Adobe Care & Wellness was recently commended for its commitment to promoting quality health services by obtaining URAC accreditation. The award is effective beginning Wednesday, December 1, 2021, through December 1, 2024, which grants Adobe Care & Wellness full accreditation for Case... - December 10, 2021 - Adobe Care & Wellness

Tava Health Raises $10M Series A to Provide Access to Mental Health Services for Employees Everywhere

Tava Health Raises $10M Series A to Provide Access to Mental Health Services for Employees Everywhere

Tava matches employees with the therapist that best meets their needs and facilitates therapy sessions virtually through its seamless, intuitive platform. - December 09, 2021 - Tava Health

Global Excel Achieves Type II SOC 1 & 2 Certification

Global Excel Achieves Type II SOC 1 & 2 Certification

Global Excel Management Inc., a leader in Healthcare Risk Management, today announced that it is now officially Type II SOC 1 & CSAE 3416 and Type II SOC 2 & CSAE 3000 compliant across the organization - which examines internal and connected external reporting controls confirming they properly designed, in place, and validated. - November 30, 2021 - Global Excel Management

Cornerstone Healthcare Consulting and Azeros Health Plans Partner to Introduce Health Plan Innovation

Cornerstone Healthcare Consulting and Azeros Health Plans Partner to Introduce Health Plan Innovation

Cornerstone Healthcare Consulting and Azeros Health Plans intend to bring change to Western New York healthcare delivery and funding. "Our goal is not to do what is easy," says Melissa (Missy) Marsocci, Owner of Cornerstone. "We will do what is necessary for the employer community that to date has been ill-served by the healthcare infrastructure.” - November 19, 2021 - Cornerstone Healthcare Consulting and Management

Saeidan Inc. Joins Techstars' Future of Longevity Accelerator

Saeidan Inc., a company transforming the experience for those navigating Medicare, has joined the 2021 Techstars Future of Longevity Accelerator program, run in partnership with Pivotal Ventures. Working with Techstars will significantly boost the company’s efforts to scale Ask Claire®... - November 10, 2021 - Saeidan

New York Cancer & Blood Specialists and AdvantageCare Physicians Collaborate in Bethpage

New York Cancer & Blood Specialists and AdvantageCare Physicians Collaborate in Bethpage

New York Cancer & Blood Specialists (NYCBS), one of the leading oncology practices in the Nation, has once again teamed up with AdvantageCare Physicians (ACPNY), one of New York’s largest primary and specialty care practices, to provide state-of-the-art cancer care in Bethpage, New York. - November 02, 2021 - New York Cancer & Blood Specialists

innoviHealth® Partners with CareerWize to Offer Online Medical Coding and Billing Education in West Africa

Initiative Pairs Leading Find-a-Code Software with CareerWize Training Expertise to Educate Underserved African Students - November 02, 2021 - innoviHealth

Arthritis Foundation and Innovation and Value Initiative Release Paper Highlighting Patient Perspectives in Rheumatoid Arthritis

Arthritis Foundation and Innovation and Value Initiative Release Paper Highlighting Patient Perspectives in Rheumatoid Arthritis

The Arthritis Foundation and the Innovation and Value Initiative (IVI) have partnered with people living with rheumatoid arthritis (RA) to publish a new report highlighting the need for healthcare research and value assessment that reflects patient experience and outcomes. The paper, First-Hand... - November 01, 2021 - Innovation and Value Initiative

PrimeTime Health Plan Rated a 5-Star Plan by CMS

The Centers for Medicare and Medicaid Services (CMS) awarded AultCare's PrimeTime Health Plan with a 5 out of 5-star rating for 2022. Medicare Star Ratings provide an indicator of how well a healthcare plan is performing. These ratings help Medicare-eligible individuals compare healthcare plans to... - October 22, 2021 - AultCare

Long-Term Care Insurance Association Offers Awareness Month Banners

Banner artwork for Long-Term Care Awareness Month (November 2021) is being made available by the American Association for Long-Term Care Insurance (AALTCI). "This marks the 20th anniversary for the event which we created to generate heightened awareness among both insurance professionals and... - October 20, 2021 - American Association for Long-Term Care Insurance

2022 Medicare Drug Plan Premiums Reported for Top 10 Metro Markets

Millions of Medicare beneficiaries will soon be able to switch drug plans. An analysis of rates for 2022 by the American Association for Medicare Supplement Insurance finds a significant range of available pricing. "In Philadelphia, the lowest cost Medicare Part D drug plan costs $7.50... - October 17, 2021 - American Association for Medicare Supplement Insurance

CareAdvisors White Paper Reveals the Hidden Health Disparities from Safety Net Interoperability Challenges

CareAdvisors White Paper Reveals the Hidden Health Disparities from Safety Net Interoperability Challenges

Healthcare interoperability is a well-known industry challenge. The interoperability tools that providers rely upon for clinical data exchange may be continually improving, but they overlook a significant and growing need across the country. "Hidden Disparities in Clinical Data Sharing for... - October 15, 2021 - CareAdvisors

Carisk Partners Ranked #32 Among the Modern Healthcare Best Places to Work in 2021

Carisk Partners Ranked #32 Among the Modern Healthcare Best Places to Work in 2021

Carisk Partners has been ranked No. 32 among healthcare suppliers in Modern Healthcare’s 2021 Best Places to Work award program. The complete list of this year’s winner rankings is available at Best Places to Work in Healthcare. Carisk Partners is committed to transforming the way... - September 23, 2021 - Carisk Partners

Ellen A. Hughes, RN, ACA, LNC Celebrated with a Lifetime Achievement Award by P.O.W.E.R.-Professional Organization of Women of Excellence Recognized

Ellen A. Hughes, RN, ACA, LNC Celebrated with a Lifetime Achievement Award by P.O.W.E.R.-Professional Organization of Women of Excellence Recognized

Ellen A. Hughes, RN, ACA, LNC of Mansfield, Ohio has been celebrated with a Lifetime Achievement Award by P.O.W.E.R. (Professional Organization of Women of Excellence Recognized) for her outstanding achievements and high level of success in the fields of healthcare and consulting. These women are... - September 16, 2021 - P.O.W.E.R. Professional Organization of Women of Excellence Recognized

Dynamic Healthcare Systems’ Charts and Projects Module Addresses Health Plans’ Critical Need for Integrated Chart Audit Management for Revenue and Risk Mitigation

The Charts and Projects capabilities embedded within the HCC Analytics solution allow Health Plans to build and track chart retrieval projects. - September 15, 2021 - Dynamic Healthcare Systems

Visitor Guard® Expands Its Portfolio to Include Visitor Insurance Plans with COVID-19 Coverage

Visitor Guard® Expands Its Portfolio to Include Visitor Insurance Plans with COVID-19 Coverage

US visitors can include COVID-19 coverage in their visitor health insurance. Travel plans of millions of people across the globe were hampered by the COVID-19 outbreak. Countries all over the world went into complete lockdown, resulting in a travel ban. The tourism industry suffered a great... - September 11, 2021 - Visitor Guard®

PQHH Recommends Rescinding Behavioral Assumption Cuts in 2022 Final Payment Rule

Home health leaders present detailed report highlighting technical concerns with elements of the HHPPS proposed rule for 2022. - September 02, 2021 - Partnership for Quality Home Healthcare

Nation’s Largest Kidney Coalition Prioritizes, Advances Key Policies to Promote, Support Home Dialysis Care, Choice, Quality

Kidney Care Partners Advocates for Patient-Centric Home Dialysis Policies with Quality Measure Development; Bipartisan Legislation; and Regulatory Reform to Remove Silos, Promote Innovations - August 23, 2021 - Kidney Care Partners

Medicare AEP Marketing Kit Offered by Medicare Supplement Insurance Association

A new marketing tool from the American Association for Medicare Supplement Insurance will support insurance agents seeking leads during the upcoming Medicare Open Enrollment. "Medicare's annual enrollment period begins October 15 and is the most competitive time of the year for Medicare... - August 20, 2021 - American Association for Medicare Supplement Insurance

Cancer Expert Now Ranks No. 333 as Inc. Magazine Reveals Their Annual List of America’s Fastest-Growing Private Companies - the Inc. 5000

Cancer Expert Now Ranks No. 333 as Inc. Magazine Reveals Their Annual List of America’s Fastest-Growing Private Companies - the Inc. 5000

Inc. magazine revealed today that Cancer Expert Now (CEN) is No. 333 on its annual Inc. 5000 list of the fastest-growing privately held companies in the United States. The list represents a unique look at the most successful companies within the American economy’s most dynamic segment - its... - August 18, 2021 - Cancer Expert Now, Inc.

Florida Association of ACOs Announces Strategic Partnership with RX2Live

Florida Association of ACOs Announces Strategic Partnership with RX2Live

FLAACOs adds additional services to its portfolio to improve patient care, increase revenue and reimbursement while lowering overall medical costs. - July 29, 2021 - Florida Association of ACOs

Medicare Supplement Insurance Rates Expected to Increase Four Percent Annually

Costs for Medicare Supplement insurance are expected to increase by roughly 4.5 percent annually according to a survey of pricing professionals conducted by the American Association for Medicare Supplement Insurance. "Most people purchase Medicare Supplement coverage when they turn 65,"... - July 09, 2021 - American Association for Medicare Supplement Insurance

Medicare Supplement Insurance Conference July Discount Announced

A special discount for new registrants interested in attending the National Medicare Supplement Insurance Summit was announced by the American Association for Medicare Supplement Insurance (AAMSI). "We are looking forward to the in-person industry event and anticipate a record-breaking... - July 01, 2021 - American Association for Medicare Supplement Insurance

innoviHealth® Launches “Code Basket” Functionality for HCC Coder Enterprise Solution at RISE Risk Adjustment Forum

innoviHealth® Launches “Code Basket” Functionality for HCC Coder Enterprise Solution at RISE Risk Adjustment Forum

Leading Tool for Diagnostic Medical Coding Now Includes Customer-driven Claim Accelerator for Improved Accuracy, Speed, Risk Mitigation, and Revenue Potential - June 30, 2021 - innoviHealth

Dynamic Healthcare Systems Upgrades Correspondence Capabilities of Medicare Member Enrollment Solution

The enhanced automated templates ease CMS compliance and improve efficiency. - June 30, 2021 - Dynamic Healthcare Systems

CMS Proposed Rule Maintains 4.36% Assumption-Based Rate Cut to Medicare Home Health Despite Sector Concerns

Home health leaders support nationwide expansion of the Home Health Value-Based Purchasing (HHVBP) Model to support the delivery of high-quality care to American seniors. - June 29, 2021 - Partnership for Quality Home Healthcare

New Multi-Million Dollar Healthcare Lawsuit Alleges Stanford Children's Hospital Billing Fraud

New Multi-Million Dollar Healthcare Lawsuit Alleges Stanford Children's Hospital Billing Fraud

The Wonderful Company filed a new lawsuit in the Superior Court of the State of California against Stanford for alleged healthcare fraud at the Stanford Lucile Packard Children’s Hospital. The multi-million dollar lawsuit is captioned The Wonderful Company vs. Anthem Blue Cross Life and... - June 29, 2021 - GJLaw

Gaylan Hendricks and Taylor Martin Announce SSB as New Name for Insurance Company, Senior Security Benefits, Inc.

Gaylan Hendricks and Taylor Martin Announce SSB as New Name for Insurance Company, Senior Security Benefits, Inc.

Gaylan Hendricks, Chief Executive Officer, and Taylor Martin, Chief Marketing Officer, announced that “SSB” is the newly rebranded name of the company Senior Security Benefits, Inc. (SSBI) and Insurance Marketing Group, a leader in the U.S. health insurance industry. With rapid growth of the $80 million company, 2021 was the time to consolidate the company under one unified brand name. SSB has a newly redesigned logo and website with changes to social media accounts coming soon. - June 24, 2021 - Senior Security Benefits, Inc.

Non-Profit Taxpayers Against Fraud Urges the Federal Court to Rule Against Stanford Hospital for $468 Million Alleged Healthcare Billing Fraud

Non-Profit Taxpayers Against Fraud Urges the Federal Court to Rule Against Stanford Hospital for $468 Million Alleged Healthcare Billing Fraud

The Non-Profit Foundation Taxpayers Against Fraud Education Fund (TAFEF) just filed its first "Amicus Brief" urging the Federal Court to rule against Stanford Health Care (formerly Stanford Medicine, and Stanford Hospitals and Clinics) on the Government's healthcare billing fraud lawsuit against Stanford. - June 22, 2021 - GJLaw

innoviHealth® Adds Intelligent Search Functionality to Market-Leading Find-A-Code™ Medical Coding Solution

innoviHealth® Adds Intelligent Search Functionality to Market-Leading Find-A-Code™ Medical Coding Solution

New IntelliSearch Feature Represents Most Intuitive, Accurate and Agile Search Engine Available for Today’s Coding Professionals - June 22, 2021 - innoviHealth

Number of Medicare Advantage Plans Available Increases by 13 Percent Reports AAMSI

Medicare Advantage (MA) plan growth continues according to the American Association for Medicare Supplement Insurance. There are now some 3,500 different MA plans available across the United States. - June 18, 2021 - American Association for Medicare Supplement Insurance

Congresswoman Calls for Ohio Healthcare Institutions to  “Band Together” for American Rescue Plan Act Funding

Congresswoman Calls for Ohio Healthcare Institutions to “Band Together” for American Rescue Plan Act Funding

Cleveland-area healthcare leaders recently gathered with Congresswoman Marcy Kaptur, representing Ohio’s 9th Congressional District, to discuss constricted access to social services. - June 14, 2021 - CareAdvisors

Innovative Medical Fitness Program Featured in The International Journal of Sports and Exercise Medicine

Innovative Medical Fitness Program Featured in The International Journal of Sports and Exercise Medicine

Power Wellness is proud to announce that the International Journal of Sports Medicine has published “Medically Integrated Fitness Program Review to Improve Health and Functional Outcomes,” a retrospective investigation into the effectiveness of prescriptive exercise. Outcomes data from... - June 08, 2021 - Power Wellness Management

Giving Health Partners with Emory University’s Rollins School of Public Health to Study Delivery of Telemedicine Services to Low-Income, Uninsured Chronic Patients

Giving Health Partners with Emory University’s Rollins School of Public Health to Study Delivery of Telemedicine Services to Low-Income, Uninsured Chronic Patients

Unique cooperative study being undertaken by Emory University and Giving Health to advance the reach and power of Telehealth for underserved communities. - June 05, 2021 - Giving Health Inc.

New York Health Welcomes Family Medicine Physician Mahendra Shah, MD

New York Health Welcomes Family Medicine Physician Mahendra Shah, MD

New York Health (NYHealth) is proud to announce that board-certified Family Medicine physician Mahendra Shah, MD, has joined its multidisciplinary team of physicians. He will be practicing at 1866 Wading River Manor Road, Wading River, NY... - June 02, 2021 - New York Health

Texas Medicare Insurance Costs Reported by AAMSI

Texas seniors who are about to turn 65 will find a significant cost difference for Medigap insurance reports the American Association for Medicare Supplement Insurance (AAMSI). "Costs are higher in Houston than they are in San Antonio or Dallas," reports Jesse Slome, director of the... - May 28, 2021 - American Association for Medicare Supplement Insurance

Traffic to Medicare Supplement Insurance Association's Online Directory Grows

Consumer traffic to the American Association for Medicare Supplement Insurance website increased 52 percent for the month of April compared to the prior year. "The vast majority of individuals visiting the Association website are consumers seeking local Medicare insurance agents,"... - May 12, 2021 - American Association for Medicare Supplement Insurance

Donald L. Trump, MD, FACP, FASCO Joins Cancer Expert Now as Director of Institutional Relationships

Donald L. Trump, MD, FACP, FASCO Joins Cancer Expert Now as Director of Institutional Relationships

Cancer Expert Now is thrilled to announce that Donald L. Trump, MD, FACP, FASCO, has officially joined the leadership team as the Director of Institutional Relationships. Dr. Trump will continue to serve on their Expert faculty as a GU cancer expert and will utilize his extensive knowledge to... - May 11, 2021 - Cancer Expert Now, Inc.

National Medicare Broker Directory Aids Seniors Seeking Local Advisors

The American Association for Medicare Supplement Insurance has added enhanced information to assist seniors looking for Medicare insurance information and local professionals available to answer questions. - May 06, 2021 - American Association for Medicare Supplement Insurance

North American Pet Health Insurance Market Continued Double-Digit Growth in 2020

The North American Pet Health Insurance Association (NAPHIA) today reported that North America’s pet insurance sector exceeded $2.174 billion USD in 2020, recording its sixth consecutive year of double-digit growth. The industry continued its growth trajectory despite the... - May 04, 2021 - NAPHIA - North American Pet Health Insurance Association

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