Government Programs Medicaid


  • AmeriHealth Caritas logo

    PHILADELPHIA, PA., Oct. 17, 2013-- Michael A. Rashid, president and chief executive officer of AmeriHealth Caritas Family of Companies and chairman of Medicaid Health Plans of America's board of directors, will lead other AmeriHealth Caritas executives in addressing hundreds of Medicaid and health care industry leaders at MHPA's annual conference October 21 and 22 at the Gaylord National Resort& Convention Center in National Harbor, Md.

  • AmeriHealth Caritas logo

    PerformRx is part of the AmeriHealth Caritas Family of Companies, a majority-owned subsidiary of Independence Blue Cross; Blue Cross Blue Shield of Michigan holds a minority interest. The honor, in URAC's Care Coordination and Clinical Integration category, was announced during the 2013 Best Practices Awards Gala as part of URAC's Annual Quality Summit, held September 30– October 2, 2013 in Washington, D.C. This award recognizes the achievements of organizations that are effectively advancing the role of consumers as active participants in health care through care coordination and clinical integration best practices. "This year's Best Practices Awards winners are recognized for their leadership in driving innovation for the health care industry," said Kylanne Green, president and CEO of URAC.

  • AmeriHealth Caritas logo

    PHILADELPHIA, Oct. 9, 2013-- The AmeriHealth Caritas Family of Companies, a national leader in Medicaid managed care and other health care solutions for those most in need, announced today that it will offer a Medicare Advantage Special Needs Plan to dual eligible beneficiaries, as well as a Medicare Advantage Plan with Prescription Drug Coverage to eligible Medicare beneficiaries in the District of Columbia and select parishes in Louisiana.

  • Independence Blue Cross logo

    The Select plan is one of eight comprehensive IBC options Medicare beneficiaries can choose during this year's annual enrollment period from October 15 to December 7, with benefits effective January 1, 2014. IBC is also pleased to announce that for 2014:.

  • The new insurance marketplace will feature low cost smaller networks that advocates say may not provide suitable health care to plan members.

  • SCA

    PRINCETON JUNCTION, N.J., Sept. 16, 2013-- Coinciding with this week's National Health IT Week, the Smart Card Alliance Health and Human Services Council has announced its endorsement of the Medicare Common Access Card Act of 2013.

  • FORT LAUDERDALE, Fla., Sept. 10, 2013-- First off, there is no such thing as an "Obama Care Plan". Some will qualify for Medicaid, which is paid by the state and the Federal government. Individuals that make too much money for Medicaid, are self-employed, or do not get insurance from their jobs, must pay for their own insurance.

  • HRAA

    Plantation, FL, Aug. 1, 2013-- To help hospitals address the Hospital Readmission Reduction Program provision of the Affordable Healthcare Act, Health Revenue Assurance Holdings, Inc. has developed Readmissions Visualizer TM to improve and protect revenue by predicting which patients are at high risk for readmissions.

  • PRGX Global, Inc. Logo

    Q2 Adjusted EBITDA of $7.9 M represents an increase of 3.7% over Q2 2012 and was 15.7% of Q2 2013 revenue Q2 revenue of $50.2 M increased 11.3% and Adjusted EBITDA increased 80.6%, compared to Q1 2013 New Services revenue of $10.0 M represented 20% of consolidated Q2 2013 revenue, the highest share to date Continue to audit under Medicare RAC Program subcontracts as company awaits refined RFQ from CMS.

  • AmeriHealth Caritas logo

    PHILADELPHIA, July 23, 2013-- Michael A. Rashid, president and chief executive officer of AmeriHealth Caritas Family of Companies, a national leader in Medicaid managed care and other health care solutions for those most in need, will help kick off the 2013 National Urban League Conference by speaking after the conference's State of the Urban League keynote address on Wednesday, July 24, at 7:00 p.m., at the Kimmel Center for the Performing Arts in Philadelphia.

  • Health Care Hold More Symbolic Than Substantive: Expert

    Peter Orszag of Citigroup discusses the administration's decision to delay a key part of the Affordable Care Act and its likely impact on the health-care system.

  • Employer Health Care Postponed

    Ezekiel Emanuel, provost at the University of Pennsylvania, says the administration's delay of mandated employer health-care coverage is really not a huge thing.

  • Key Piece of Health Care Law on Hold

    Martin Mucci, Paychex president and CEO, and Howard Dean, CNBC contributor, discuss the Obama administration's decision to delay the health-care employer mandate and weigh in on what it means for businesses, workers and investors.

  • Businesses Receive Health Care Reprieve

    Mac Crawford, Crawford Ross partner, discusses the Obama administration's decision to delay the health care employer mandate and what it means for workers, health care providers and investors.

  • athenahealth, Inc. logo

    #1: Despite modest improvements, Medicaid continues to underperform. As it has for the past several years, Medicaid continues to underperform on key metrics such as Days in Accounts Receivable, which measures the average number of days it takes a practice to collect on payments.

  • Cognosante

    MCLEAN, Va., June 11, 2013-- In December 2012, Cognosante, LLC was awarded a four year contract to serve as the Independent Verification& Validation Contractor for the State of Indiana's Enterprise Medicaid System.

  • WebPT logo

    The new regulations— implemented by the Centers for Medicare and Medicaid Services at the beginning of the year— will become mandatory July 1, 2013. After that date, all PTs, OTs and SLPs must use a series of special codes to complete functional limitation reporting for Medicare patients at designated intervals.

  • desc

    WASHINGTON, May 16, 2013-- The National Association of Free and Charitable Clinics will return this July for its fourth massive free medical clinic in New Orleans, LA since 2009. This event highlights the continued need for increased access to medical care as the Affordable Care Act is implemented and as many states, including Louisiana, decide not to expand Medicaid.

  • PRGX Global, Inc. Logo

    Q1 revenue of $45.1 M and Adjusted EBITDA of $4.4 M, in line with previously announced ranges Profit Optimization Q1 revenue reflects both sequential and year-over-year growth Recovery Audit Services– Americas Q1 gross margin percentage increased over Q1 2012 despite revenue challenges, reflecting ongoing impact of the Service Delivery Model Redesign program Awaiting results of bid for Centers for Medicare& Medicaid Services Medicare Part A/B Recovery Audit Contractor Program.

  • AmeriHealth Caritas logo

    PHILADELPHIA, April 15, 2013-- AmeriHealth Mercy Family of Companies, a national leader in Medicaid managed care and other health care solutions for the underserved, today announced that it has chosen AmeriHealth Caritas as its new company name. "