From the category archives:

Managed Care

DETROIT — Blue Cross Blue Shield of Michigan has designated approximately 2,500 physicians in roughly 770 practices across the state as patient-centered medical homes (PCMH), a 28 percent increase over the 1,800 designatedPCMH physicians in 2010. This is the nation’s largest PCMH effort for the third consecutive year. In the patient-centered medical home model, primary care [...]

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NEW YORK–(BUSINESS WIRE)–MagnaCare, a health plan services company with national reach, announces the release of a White Paper significant to the health care industry and reform efforts nationwide: “The New Face of Chronic Care Management” explores the new paradigm of chronic care management in which coordinated specialty care helps to prevent minor health problems from [...]

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DETROIT, May 16, 2011 /PRNewswire/ — Health Plan of Michigan announced its new Patient Centered Medical Home (PCMH) Incentive Program. This program encourages providers to become PCMH by providing financial assistance during the practice certification phase. It also rewards providers who have already received PCMH designation. The concept of a Patient Centered Medical Home is an approach to [...]

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April 14, 2011 | Foster City, Calif., and Pittsburgh, Pa. — A new generation of personalized wellness powered by genetic knowledge will be offered to Highmark members and individuals through a partnership between Highmark and Navigenics, the two companies announced today. The first partnership of its kind in the nation between Highmark, one of the [...]

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CHATTANOOGA, Tenn. — As part of its Patient-Centered Medical Home strategy, BlueCross BlueShield of Tennessee is partnering with local health care provider groups and hospitals to roll out technology designed to positively impact the quality of patient care once that person leaves the hospital. Holston Medical Group in Kingsport, TN, is the first to incorporate Smart [...]

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SCHENECTADY, NY – Through an unprecedented collaboration with CDPHP and MVP Health Care, Ellis Medicine is essentially guaranteeing the quality of its care. Under this unique program, if a patient undergoes coronary artery bypass (CABG) at Ellis and is readmitted to the hospital for related complications within 90 days of discharge, Ellis will share with [...]

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Jan. 19, 2011 | Camp Hill, Pa. In order to give Highmark members more health care options, Highmark is working with certified registered nurse practitioners (CRNPs) to expand their role to serve Highmark members in much the same capacity as a primary care physician (PCP). “The health care reform legislation that was passed earlier this [...]

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BLOOMINGTON, Minn.–(BUSINESS WIRE)–HealthPartners today announced that primary and specialty care groups earned more than $700,000 for meeting quality measures on care and patient satisfaction. The bonuses are part of the pay-for-performance program which will pay out a total of $28.4 million for goals met in 2009. That’s a significant increase from last year, when the [...]

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(Newark, NJ, January 12, 2011) – What happens when high-quality medical care meets state-of-the art communications technology? Patients – even those with a serious chronic disease – can get the clinical attention they need right from their homes, when they need it, resulting in healthier outcomes and fewer visits to the hospital. That’s what Horizon [...]

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HARTFORD, Conn., December 20, 2010 — Three years ago Aetna (NYSE: AET) began working with doctor groups, specialists and health care facilities to create a more personalized, connected and accountable way to provide health care. Today, Aetna’s early accountable care organization (ACO) model is improving health care quality and lowering the cost of care. Beginning in [...]

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