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Last updated on April 19, 2014 at 21:20 EDT

Latest Health maintenance organization Stories

2013-10-01 12:29:24

DETROIT, Oct. 1, 2013 /PRNewswire/ -- Blue Cross Blue Shield of Michigan is the only health insurer to offer coverage to people in all of Michigan's 83 counties on the federally-run health insurance marketplace that opened today at 8 a.m. Blue Cross and its affiliated HMO, Blue Care Network of Michigan, offer some of the lowest-priced plans across Michigan's 16 rating regions. In the majority of counties in Michigan, BCBSM or BCN bronze and silver plan options offer some of the most...

2013-09-24 12:29:00

'NCQA's Health Insurance Plan Rankings 2013-2014' Declared Kaiser Permanente as the Top Commercial and Medicare Health Plan in Maryland, Virginia, and Washington, D.C. ROCKVILLE, Md., Sept. 24, 2013 /PRNewswire/ -- Kaiser Permanente of the Mid-Atlantic States has been named the highest-ranked Commercial and Medicare health plan in Maryland, Virginia, and Washington, D.C., based on its outstanding scores for consumer satisfaction and quality, according to the latest rankings by the...

2013-09-19 23:02:17

Health plan president says rankings are a result of the company's commitment to quality. Albany, NY (PRWEB) September 19, 2013 The National Committee for Quality Assurance (NCQA) has released its 2013-2014 Health Insurance Plan Rankings, and all four CDPHP® commercial health plans, as well as CDPHP Medicare Choices HMO and CDPHP Select Plan (Medicaid) have been ranked as the best in New York state. “The NCQA rankings are a testament to our dedication to quality,” said John D....

2013-09-11 16:25:05

SANTA MONICA, Calif., Sept. 11, 2013 /PRNewswire-USNewswire/ -- In a complex opinion issued yesterday, the California Court of Appeal ended the Department of Managed Health Care's (DMHC) discriminatory practice of allowing HMOs to deny treatment for autistic children of state employees and low-income families enrolled in the Healthy Families program on the basis that such treatment can only be administered through state-licensed providers. The case was brought by the non-profit...

2013-09-04 20:21:52

SACRAMENTO, Calif. , Sept. 4, 2013 /PRNewswire-USNewswire/ -- Today, the National Union of Healthcare Workers (NUHW) and five other plaintiffs filed suit in the Superior Court of Sacramento, California to block Kaiser Permanente from participating in California's Health Benefit Exchange due to its substandard care that violates the Exchange's rules. In June, the California Department of Managed Health Care (DMHC) fined Kaiser $4 million for committing multiple and "serious"...

2013-09-04 12:32:09

Making a Smart Plan Decision Could Save Consumers Thousands, Improve Their Access to Quality Health Care WASHINGTON, Sept. 4, 2013 /PRNewswire-USNewswire/ -- Millions of consumers will for the first time be able to choose among multiple health insurance plans beginning Oct. 1, 2013 (with coverage to begin Jan. 1, 2014), in the health insurance marketplaces (exchanges) set up under the Patient Protection and Affordable Care Act ("Obamacare"). Making the right choice can save many of these...

2013-08-27 08:27:20

Health Integrated partners with newly-created insurance Co-Op Meritus to build their care management strategy and launch services TAMPA, Fla., Aug. 27, 2013 /PRNewswire/ -- Health Integrated, Inc., a recognized innovator in care management strategies for vulnerable, fragile and at-risk individuals, has partnered with Meritus (dba Meritus Mutual Health Partners (PPO) and Meritus Health Partners (HMO)), Arizona's first and only consumer-operated and oriented (Co-Op) insurance plan, to deliver...

2013-08-20 16:24:47

According To Blue Cross, "Any Term or Benefit" of Health Coverage Could Change Each Month SANTA MONICA, Calif., Aug. 20, 2013 /PRNewswire-USNewswire/ -- A consumer protection lawsuit that would bar Blue Cross from changing "any term or benefit" of consumers' health plans each month may proceed, a Los Angeles Superior Court judge has ruled. Judge Jane Johnson green-lighted two class action lawsuits brought by Consumer Watchdog and Shernoff Bidart Echeverria Bentley LLP challenging Blue...

2013-08-19 12:25:08

SUNRISE, Fla., Aug. 19, 2013 /PRNewswire/ -- Jeffrey T. Martorana, MD, was named chief medical director of Sunshine State Health Plan (Sunshine Health) a Sunrise-based HMO. Dr. Martorana, who has more than 20 years of clinical and managed care experience, said he was intrigued by the opportunity posed at Sunshine Health, which is the second largest Medicaid managed care company in Florida. As a member of Sunshine Health's senior management team, Dr. Martorana will participate in...

2013-08-07 16:28:16

NEW YORK, Aug. 7, 2013 /PRNewswire/ -- As a result of investments in coordination of patient care and expanded programs to improve quality and wellness, EmblemHealth informed New York State officials on July 31 that it would not seek 2014 premium rate increases for its HMO business, which covers 350,000 members, approximately 200,000 of whom are City employees. Rate increases are driven by the cost and usage of medical services. EmblemHealth's programs which focus on coordination of...