Monday, July 09, 2018
Your Health Insurance Plan Company News Quick Read-
Who's making news today?  Here is HCBD-Who'sIT!
Executive Index
by Company
Mr. Scott P. Serota
Blue Cross Blue Shield Association (BCBSA)
President and Chief Executive Officer
Ms. Margaret (Peggy) Maguire
Cambia Health Solutions, Inc. (formerly The Regence Group)
Senior Vice President - Corporate Accountability and Chief of Staff
Douglas (Doug) G. Cave PhD, MPH
Cave Consulting Group | CCGroup
Mr. Yuri Alexandrian
Cave Consulting Group | CCGroup
Mr. Keith Pugliese
John Muir Health
VP of Network Management
Ms. Laura Lott
Kaiser Foundation Health Plan - Hawaii
Director - Community and Public Relations
Anny Ching M.D.
Kaiser Permanente Hawaii
Wei-Li Hsu M.D.
Kaiser Permanente Hawaii
Kim-Lien Nguyen O.D.
Kaiser Permanente Hawaii
Eric Putz M.D.
Kaiser Permanente Moanalua Medical Center
Richard Seidman MD
L.A. Care Health Plan | LA Care Health Plan
Chief Medical Officer
Mr. Carlos A. Carrero
Molina Healthcare of Puerto Rico
President and Chief Executive Officer
Mr. Joseph M. Zubretsky
Molina Healthcare, Inc.
President and Chief Executive Officer
Ms. Carolyn Campos
Sutter Health
Davis Birthing Center Nurse Manager
Company News Headlines
HIP News and Announcements      
Cambia Supports Women Empowerment
Cambia Health Solutions understands that women play a central role in the health of families and communities. That’s why we were excited to get involved in Portland Monthly’s Woman Up! event, which brought together experts from across the city—and state—for a weekend of wellness and a celebration of the bold women shaping Oregon’s future and those who’ve paved the way.

[Read On...]
Four Physicians Added to Kaiser Permanente Team on Oahu
Four doctors have joined Kaiser Permanente on Oahu. They add to Kaiser Permanente’s award-winning staff of more than 600 health care providers in Hawaii’s largest medical practice, the Hawaii Permanente Medical Group, which serves more than 255,000 members in Hawaii.

[Read On...]
U.S. News and World Report Asks L.A. Care About Preventive Health Exams
"Clearly, preventive health care is an important part of staying healthy. Not only can it help you avoid an illness, but it is often the key to early detection of major health problems. Yet, we have learned that certain tests may not be needed as often as we once thought," said Dr. Richard Seidman MD , Chief Medical Officer, L.A. Care

[Read On...]
Molina Healthcare of Puerto Rico Awarded Contract for Island-Wide Medicaid Managed Care Program
“Being awarded an island-wide contract in Puerto Rico represents an exciting opportunity for Molina to serve even more Puerto Rico citizens with improved access to high quality care. We are honored to have the chance to be one of the health plans tasked with playing a role in the transformation of the Island’s managed care program in partnership with ASES," said Mr. Joseph M. Zubretsky , president and chief executive officer of Molina Healthcare

[Read On...]
Sutter Health Plus: The Harmony of Care and Coverage
“As health care consumers, women are now looking for choice in their birth options. The trend is growing in hospitals, where there are strict policies," said Ms. Carolyn Campos , Nurse Manager at Sutter Health Davis Birthing Center

[Read On...]
Trustmark Companies: Broker Survey Results Reinforce Starmark Leadership in Self-Funding for Small Groups
Recent broker survey* results showed Starmark and Trustmark Life Insurance Company were rated #1 in self-funding for small businesses for the following key attributes: -Overall Experience -Sales and Marketing Support -Broker Compensation Program -Claims Surplus Choices -Specific Deductible Choices for Stop-Loss Insurance

[Read On...]
Virginia Premier is soliciting proposals for a Fiscal/Employer Agent for Consumer Directed Services
The purpose of this RFP is to identify a vendor who can provide Consumer Directed services for MLTSS members enrolled with Virginia Premier Health Plan, Inc. (VPHP) and meet all the requirements as defined by DMAS for MLTSS members. Among many services, some of the key services include:

Pre-employment services including enrolling Medicaid individuals (employers) and their Personal Care Assistants (employees). This includes requesting criminal records check, child abuse and neglect checks, as well as other state and federally required background checks -Processing employee timesheets in a timely manner -Deducting, filing, and paying state and federal income and employment taxes and other withholdings

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John Muir Health Works With CCGroup to Support Provider Network Optimization and Value-Based Care Programs
“We chose to work with CCGroup for several reasons. CCGroup is a market leader in identifying key areas of medical condition practice variations. This capability will assist us in our ongoing efforts to improve quality-of-care, reduce costs, and offer a value-based care network for our patients at an affordable price," said Mr. Keith Pugliese , VP of Network Management for John Muir Health ’s Physician Network

[Read On...]
Blue Cross Blue Shield Association Statement on Risk Adjustment Payment Freeze
“We are extremely disappointed that the administration has frozen payment transfers under the Affordable Care Act’s (ACA) risk adjustment program, which is designed to keep costs down for consumers while meeting the medical needs of those requiring significant care. Risk adjustment is a Congressionally-mandated program that supports both the individual and small group health insurance markets," said Mr. Scott P. Serota , President and CEO, Blue Cross Blue Shield

[Read On...]
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