Inland Empire Health Plan is in preparation mode as the Medicaid managed care plan faces the loss of up to 350,000 members as a result of the impending impact of HR 1. “We’ve got to do everything we can to…
The Latest
From Optum Health’s earnings rebound to a new chief marketing officer, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Oct. 7: 1. UnitedHealthcare and the Ohio Chamber of Commerce agreed to settle a…
Near-miss reporting is a powerful tool for preventing patient harm. But it only works when employees feel safe speaking up. Camden, N.J.-based Cooper Norcross Health set out to change that. By expanding access to safety data, stories and recognition, Cooper…
On Demand
Presented by:
- Dr. Michael Kirchhoff, Chief Innovation Officer and Patient Safety Officer, Cooper Norcross Health
- Suzanne Lane, Director of Internal Communications, Cooper Norcross Health
The Federal Trade Commission is warning 25 companies that market healthcare plans or generate sales leads to review their advertising practices as the agency increases scrutiny during open enrollment. The FTC sent warning letters to companies that market or advertise…
UnitedHealthcare and the Ohio Chamber of Commerce have agreed to settle a lawsuit that accused the insurer of using its role as the chamber’s health plan administrator to steer small businesses toward its own products. U.S. District Judge Algenon Marbley…
In the first six months of Medicare’s Wasteful and Inappropriate Service Reduction pilot, the use of targeted services fell in participating states relative to the rest of the country, according to a research letter published Oct. 26 in JAMA. The…
AmeriHealth Caritas is closing its specialty pharmacy in Orlando, Fla., leading to the elimination of 61 positions. The facility, PerformSpecialty, will shut down at the end of this year, according to regulatory documents filed with the state Oct. 29. Layoffs…
Nearly every pharmacy technology vendor says its platform integrates. Far fewer can show what that integration will look like in practice. For pharmacy leaders, the difference matters. Integration determines what data fields can be shared between systems, which APIs are…
Presented by:
- Mel Nelson, PHARMD, CSP, Vice President, Specialty Consulting Services, Fairview Pharmacy Solutions
- Derrek Seif, Chief Strategy and Product Officer, VPL
Humana’s board of directors declared a cash dividend of $0.885 per share on Oct. 29. The dividend will be paid Jan. 29 to stockholders of record as of the close of business on Dec. 24. Humana will release its third-quarter…
Most Medicare Advantage plans still run risk adjustment the way they always have — as a specialized function, staffed and led by risk adjustment experts. That specialization built deep expertise, but it also built blind spots. Leaders trained in actuarial…
On Demand
Presented by:
- Aleesa Jansick, JD, MPP, Senior Director, Government Programs, Sanford Health Plan
- Koh Kerdsri, Chief Information Officer, Clever Care Health Plan
- Nicole LaBarbera, Vice President, North America, Charta Health
