Thursday, January 18, 2018
 
Your Health Insurance Plan Company News Quick Read-
Who's making news today?  Here is HCBD-Who'sIT!
 
 
Executive Index
by Company
Ms. Joy McGee-Cory
Advanced Plan for Health (APH), a Virgin Pulse company
President CEBG/Senior Vice President
Yvonne Daugherty
Advanced Plan for Health (APH), a Virgin Pulse company
Former VP - Development
Richard A. Bankowitz MD, MBA, FACP
AHIP
Former Executive Vice President for Clinical Affairs
Lisa Chernikoff
Amendola Communications
Former Account Director
Mr. Thomas (Tom) Nickels
American Hospital Association (AHA)
Executive Vice President
Mr. Thomas Menighan
American Pharmacists Association (APhA)
Executive Vice President and CEO
Ms. Juliette Bogus
B Squared, LLC
President
Ms. Jill Flaxington
Blue Cross & Blue Shield of Rhode Island (BCBSRI)
Former Public Relations Specialist
Ms. Gail Carvelli
Blue Cross & Blue Shield of Rhode Island (BCBSRI)
Former Managing Director, Public Relations
Ms. Kim A. Keck
Blue Cross & Blue Shield of Rhode Island (BCBSRI)
Outgoing President and Chief Executive Office
Mr. Kevin Splaine
Blue Cross & Blue Shield of Rhode Island (BCBSRI)
Executive Vice President of Care Integration and Management
Trent Haywood MD, JD
Blue Cross Blue Shield Association (BCBSA)
Former Chief Medical Officer
Mr. Robert Elfinger
Blue Cross Blue Shield Association (BCBSA)
Former Senior Manager of Media Relations
Justine Handelman
Blue Cross Blue Shield Association (BCBSA)
Former Senior Vice President, Office of Policy and Representation
Chester (Chet) Burrell
CareFirst Blue Cross Blue Shield
Former President and Chief Executive Officer
Mr. Tyler McClosky
First Family Insurance
Chief Operations Officer
Mr. Dave Zito
Guidehouse
Former Managing Director and National Leader (Navigant Consulting)
Kenneth (Ken) Vander Wal
Health Information Trust Alliance (HITRUST)
Chief Compliance Officer
Mr. Allen Karp
Horizon Blue Cross and Blue Shield of New Jersey (Horizon BCBSNJ)
EVP - Healthcare and Transformation Management
Marvin Hill MBA
Humana Inc.
Former External Corporate Communications Lead - Retail Segment
Nate Kvamme MBA
Humana Inc.
Former Director - Innovation Center
Mr. Daniel (Dan) J. Hilferty
Independence Blue Cross | Independence Health Group
Former Chief Executive Officer
Donna Farrell
Independence Blue Cross | Independence Health Group
Senior Vice President - Corporate Communications
Mr. UJ Ramdas
Intelligent Change
Co-Founder
Mr. Christopher Currington
Lumeris, An EGHC Company
Former Director of Public Relations and Communications
Mr. W. Michael (Mike) Long
Lumeris, An EGHC Company
Chief Executive Officer
Richard Shinto MD, MBA
Medicaid and Medicare Advantage Products Association of Puerto Rico (MMAPA)
Board Chair
Mr. Anders Gilberg
Medical Group Management Association (MGMA)
Senior Vice President, Government Affairs
Mr. Robert Tennant
Medical Group Management Association (MGMA)
Former Director - HIT Policy
Mr. Michael Kim
MultiPlan Corporation
CIO
Mr. James (Jim) Nolan
Mutual of Omaha Insurance Company
First Vice President, Public Affairs
Mr. James Blackledge
Mutual of Omaha Insurance Company
SVP and Product Line Officer
Mr. David Liu
Quartet Health
President
Ms. Suzie Boland
RFB Communications Group
President and Founder
Ms. Brenda Schmidt
Solera Health
Founder, Executive Chairman
Begonya Klumb
UMB Healthcare Services
Former Chief Executive Officer
Mr. Kevin P. McRaith
WellDoc
President and CEO
 
Company News Headlines
     
HIP News and Announcements      
AHIP: Health Care Leaders Collaborate to Streamline Prior Authorization and Improve Timely Access to Treatment
“America’s hospitals and health systems are committed to delivering the best care for patients in the most efficient manner, goals we share with our partners in the health field. These principles provide a good starting point for providers and health plans to work together toward continuous improvement in quality of care and health outcomes while reducing unnecessary administrative burden," said Mr. Thomas Nickels , executive vice president of theprovement in quality of care and health outcomes, AHIP

[Read On...]
Daniel J. Hilferty, president and CEO of Independence Health Group, on Gov. Wolf’s declaration of opioid crisis as statewide disaster emergency
Overdose statistics from 2017 are not yet available, however, health officials estimate that there were 1,200 overdose deaths in Philadelphia alone in 2017, 300 more than in 2016. Those figures are stunning, tragic, and unacceptable. We agree with Gov. Wolf that the Commonwealth must explore every option available to address this devastating epidemic," said Mr. Daniel J. Hilferty , president and CEO of Independence

[Read On...]
 
CareFirst Continued Robust Community Giving Program, Employee Volunteerism in 2017
“Our position as a not-for-profit entity affords us the opportunity – as well as the responsibility – to identify areas of real need, target our giving through a strategic approach and ultimately enact meaningful change to the benefit of all throughout our region," said Chester Burrell , President and CEO, CareFirst

[Read On...]
 
Statement on recent Commonwealth Court hearing from Debra Smith, senior vice president of senior markets, Highmark
Today, Highmark and the Pennsylvania Attorney General's office appeared in Commonwealth Court to enforce the Highmark and UPMC Consent Decrees and to require UPMC to comply with the Court's prior order protecting vulnerable populations like seniors by not allowing UPMC to terminate the Pittsburgh and Erie area Medicare Advantage hospital contracts at the end of 2018.

[Read On...]
 
Humana Adds The Five Minute Journal Mobile App to Wellness Rewards Program, Stressing Importance of Mindfulness
“Emotional and behavioral health is an important facet in an individual’s well-being journey. As we expand our emotional well-being solutions, we’re happy and fortunate to partner with a company, like Intelligent Change , and to add this app to our Go365 wellness and rewards program. This is truly a best-in-class product for new journalers," said Mr. Nate Kvamme MBA , Vice President of Humana Wellness Solutions

[Read On...]
 
Horizon Collaborates with Quartet to Better Integrate Mental and Physical Care and Improve Total Patient Health
" Horizon BCBSNJ is committed to helping our members achieve a higher state of wellness through an integrated approach that incorporates behavioral health in the overall medical care. With Quartet Health , primary care doctors will have new tools to more easily identify patients with behavioral health needs associated with their medical conditions and connect them to the specialists best suited to address those needs," said Mr. Allen Karp , senior vice president, Healthcare Management for Horizon BCBSNJ

[Read On...]
 
UMB Healthcare Services Offers New Technology Features
" UMB is committed to investing in technology to help ensure our customers find efficiency and value in every step of their journey. Through our transformation into the digital space, we are paving the way for the ideal customer healthcare financial experience. With the addition of Apple Pay® and ReceiptVault, we are able to offer our customers a flexible and individual approach to their user experience," said Begonya Klumb , CEO of UMB

[Read On...]
 
First Family Insurance Hires 20 Licensed Health Insurance Agents
“We’ve gained a lot of recognition over the years for being visionaries. We firmly believe there is a significant amount of talent in our home town, and can benefit the community by employing them,” said Mr. Tyler McClosky , Chief Operations Officer for First Family Insurance

[Read On...]
 
MultiPlan Achieves HITRUST CSF® Certification to Manage Risk, Improve Security Posture and Meet Compliance Requirements
“Securing clients’ data has been a long-standing priority at MultiPlan . Each year, we make substantial investments in infrastructure and implement the industry’s latest best practices as part of our commitment to keep PHI secure. This certification, which is the gold standard for organizations trusted to keep PHI confidential, validates our commitment to information security and gives clients added assurance that we have the necessary controls in place to protect their sensitive data," said Mr. Michael Kim , MultiPlan’s CIO

[Read On...]
 
Blue Cross Blue Shield Association Study Shows Significant Increase in Children Who Receive All Recommended Vaccines
“Continued public health efforts can increase childhood vaccination rates by simply touting the benefits of attending regular children’s checkups. This report demonstrates that vaccine use among commercially insured people in the U. S. is increasing in the right direction. The data, however, also show large regional variation, indicating there are further improvements to be made," said Dr. Trent Haywood MD, JD , senior vice president and chief medical officer for Blue Cross Blue Shield

[Read On...]
 
Blue Cross & Blue Shield of Rhode Island names health system veteran to lead network management, pharmacy and care integration teams
" Mr. Kevin Splaine brings a deep experience working in provider systems and designing payment models to facilitate integration and innovation. Our commitment to improving access to high-quality affordable healthcare for Rhode Islanders defines Blue Cross as a local company dedicated to all the communities we serve," said Ms. Kim A. Keck , president and CEO, BCBSRI

[Read On...]
 
 
NAVIGATION - Other Sections in Today's HCBD-Who'sIT! Daily:
 
HIP Care Management and Well-Being Announcements
Solutions News and Announcements
HIP Wonk Watch

HIP Care Management and Well-Being Announcements    back to index
Solera Health and WellDoc Partner to Offer Health Plans and Employers a Holistic Approach to Diabetes Prevention and Management
[Read On...]
 
Kidney Disease and Dialysis Best Practice Guide Published by Advanced Plan for Health
[Read On...]
 
Solutions News and Announcements    back to index
Mutual of Omaha Collaborates with Lumeris to Enter Medicare Advantage Market
[Read On...]
 
HIP Wonk Watch    back to index
MMAPA to ask for an adjustment in Puerto Rico's Medicare Advantage rates as part of joint campaign
[Read On...]
 
KLAS Healthcare Management Consulting Report Rates Navigant in Top Quadrant for Engagement Complexity and Firm’s Role in Organizational Success
[Read On...]
 

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