All Tags

340B : 5
340B Drug Pricing : 2
42 CFR Part 2 : 2
508 Compliance and Remediation and Translation : 1
ACAP 101 : 1
ACAP Board of Directors : 18
ACAP Plan Services : 5
ACAP Strategic Ally : 1
Accreditation : 23
Actuarial and Data Services : 4
Actuarial Soundness : 57
Affinity Health Plan : 8
Affordable Care Act : 11
Alameda Alliance for Health : 5
AlohaCare : 7
Altegra Health : 1
Altruista Health : 3
Alumni : 1
Amber Pharmacy : 1
American Health Care Act : 1
AmeriHealth Caritas : 5
Amida Care : 7
Analytics Business Intelligence and Performance Management : 5
Avlla Specialty Pharmacy : 1
Awards : 15
Bailit Health Purchasing : 1
Banner Health : 4
Basic Health Program : 12
Beacon Health Options : 6
Behavioral Health : 92
benchmarking : 1
Berkeley 2016 : 23
BMC HealthNet Plan : 13
Bundled Payments : 25
Business Development : 1
Business Process and IT Services : 4
Business Process Outsourcing : 4
Business Technology and Compliance Consulting : 1
CAHPS : 27
CalOptima : 4
Capitation : 24
Care Coordination : 11
Care Coordination/Management Technology Solutions : 3
Care for High Risk Members : 5
Care Management : 58
Care to Care : 3
Care transitions : 12
CareOregon : 20
CareSource : 26
case management : 1
Catalyst Solutions : 1
Central California Alliance for Health : 3
CEO Summit 2017 : 1
Change Healthcare Consulting : 2
Children : 43
Children with Special Health Care Needs : 1
Children's Community Health Plan : 11
CHIP : 57
Churn : 77
Claims : 1
Clearwater Compliance : 2
Clinical Program Strategies : 1
CMS : 6
CMS Audits : 1
Cody Consulting : 2
Cognizant : 1
collaboratives : 45
Colorado Access : 14
Command Direct : 1
Commonwealth Care Alliance : 10
Commonwealth Fund : 1
Commonwealth Medicine : 3
Commonwealth Purchasing Group : 1
Community Care : 1
Community Care Behavioral Health : 1
Community Care Plan : 3
Community Health Centers : 2
Community Health Choice : 10
Community Health Group : 5
Community Health Network of CT : 20
Community Health Plan of Washington : 22
CompCare : 3
ComplexCare Solutions : 2
Compliance : 84
Compliance Software : 1
Continuous Eligibility : 22
Contra Costa Health Plan : 5
Cook Children's Health Plan : 2
Coordinated Transportation Solutions : 3
COPE Health Solutions : 1
Core System Configuration & Technical Services : 1
Costs : 69
Cotiviti : 1
CountyCare Health Plan : 1
Credentialing : 1
CSR : 1
Customer Service : 1
CVS Health : 2
cybersecurity : 1
Cyft : 1
D-SNPs : 102
Data Collection : 67
Dell Services : 3
DeltaSigma : 4
Dental : 2
Denver Health Medical Plan : 7
Digital Engagement Platforms : 6
Diplomat Specialty Pharmacy : 1
Disabilities : 6
Discovery Health Partners : 2
Disease Management : 122
Disease Management - Rare Chronic Disease : 1
Disparities : 10
Dobson DaVanzo : 1
DRE : 30
Driscoll Health Plan : 8
DSRIP : 2
Dual Eligible Strategy : 3
Dual Eligibles : 78
ED usage : 24
Elderplan : 2
EMRs : 6
Encounter Data : 6
Enrollment : 100
Essential Health Benefits : 17
Excelsior Solutions : 1
Exchange Integration : 3
Executive Search and Recruitment : 1
Family Health Network of Chicago : 6
family services : 1
February Fly-In 2016 : 1
February Fly-in 2017 : 1
Fee-for-Service : 23
Finance : 97
Financial Alignment Demonstrations : 35
Fly-In : 2
FMAP : 2
FQHCs : 12
Fraud Waste and Abuse : 27
Gold Coast Health Plan : 2
Gorman Health Group : 1
Governance : 37
Group Purchasing : 1
Guidance : 20
Guildnet : 3
Halfpenny : 1
HCBS : 13
Health Disparities : 1
Health Homes : 2
Health Integrated : 7
Health IT : 40
Health Management Associates : 1
Health Management Solutions : 1
Health Plan of San Joaquin : 5
Health Plan of San Mateo : 14
Health Reform : 66
Health Services for Children with Special Needs : 5
HealthCrowd : 4
Healthx : 2
HEDIS : 59
HEDIS Compliance and Reporting : 1
HEDIS Outreach : 5
HFI : 1
HHS : 1
High Risk Pregnancy Management : 1
High-Cost Drugs : 60
HIPAA : 22
Home Health Monitoring Technologies : 1
Horizon NJ Health : 5
Human Resources : 22
ICD-10 : 7
Independent Living Systems : 1
Individual & Group Enrollment and Premium Billing : 3
Individual & Group Private Exchange Portal : 3
Infographics : 2
Inland Empire Health Plan : 14
Insurance/Reinsurance Brokerage & Consulting : 1
Integrated Care : 96
June 2017 Fly-in : 2
Kern Health System : 3
L.A. Care Health Plan : 18
Language : 3
LaunchPoint : 1
Legal Services : 1
Legislation : 83
Line-of-Business Comparisons : 8
Long-Term Care : 5
LTSS Strategic Management & Clinical Services : 1
MACRA : 1
Management Consulting : 3
Marketing : 3
Marketing and Communications : 58
Marketplace : 12
Marketplaces : 175
Mazars USA : 1
MDwise : 5
MedHOK : 2
Medicaid Expansion : 31
Medicaid Learning Center : 3
Medicaid Managed Care : 271
Medical Loss Ratio : 18
Medicare : 22
Medicare Advantage : 142
Medicare Part D Audit Support : 1
Medication adherence : 45
Medication Therapy Management : 1
Medication Therapy Management (MTM) : 1
MedImpact Healthcare Systems : 5
MedMetrics : 1
MedTouch : 1
Mega Reg : 19
Member Assessments : 2
Member Engagement : 35
Member/Provider Communications Consulting and Software : 7
Mestropolitan Health Plan : 2
Miami 2016 : 14
Milliman : 7
MLR : 2
MLTSS : 32
MMPs : 2
Mobile Engagement Platforms : 1
mPulse Mobile : 1
NASI : 1
Navitus Health Systems : 4
NCQA : 8
Neighborhood Health Plan : 18
Neighborhood Health Plan : 1
Neighborhood Health Plan of Rhode Island : 9
Neonatal : 1
Neonatal (NICU) Care Management : 1
network adequacy : 32
Network Development : 3
NFP Health : 1
NHPRI : 21
Non-Emergency Transportation Management : 2
Nondiscrimination : 1
NORC : 2
Not-for-Profit : 10
Operational Effectiveness & Technology Consulting : 1
Operations (Plan) : 140
Optimity Advisors : 1
pain management : 10
Partnership for Medicaid : 4
Partnership HealthPlan : 7
Passport Health Plan : 7
Patient Centered Medical Homes : 7
Patient Communication Services : 1
Pay for Performance : 6
Payment Reform : 31
Per Capita Caps : 2
PerformCare : 1
PerformRx : 1
Pharmacy : 153
Pharmacy Benefit Management Consulting : 4
Pharmacy Benefit Managers : 6
Philadelphia 2016 : 9
Philips Lifeline : 1
Pittsburgh 2016 : 15
PopHealthCare : 6
Population Health : 8
PPSV : 3
PQS : 1
Predictive Analytics : 1
Prenatal Care : 7
Prescription Drugs : 1
Prestige Health Choice : 1
prevention : 25
primary care : 32
Printing and Mailing Automation : 1
Priority Partners : 7
privacy : 25
Procurement : 1
ProgenyHealth : 2
Program Design and Implementation : 1
Program/Product Monitoring and Evaluation : 1
Provider Directory Solutions : 1
Provider Networks : 82
Public Health : 1
Qualified Health Plans : 96
Quality : 145
Quality Measurement : 109
Radiology Benefit Management : 1
Rate Setting : 42
regulation : 149
Reinsurance : 7
Reiunsurance : 1
Repeal and Replace : 10
RFP Strategy and Response : 2
Risk Adjustment : 107
Risk Corridors : 10
Safety Net Health Plans : 40
SAMHSA : 2
San Francisco Health Plan : 6
Santa Clara Family Health Plan : 5
SBIRT : 5
Sendero Health Plan : 3
social determinants : 33
Softheon : 3
Solid Benefit Guidance : 5
specialty care : 33
Specialty Pharmacy : 2
Spring Board Meeting 2017 : 1
Spring CFO Meeting 2017 : 1
Spring Medicare & MLTSS Meeting 2017 : 1
SSI : 5
SSI Reclassification for Revenue Enhancement : 2
Star Ratings : 13
State and Federal Policy : 280
Statistics : 33
Strategic Consultants : 5
Subrogation : 1
substance use disorder : 61
SummitRe : 1
Survey : 4
Surveys : 13
Taxes : 13
Technical Assistance and Training : 1
Telehealth : 5
Telemedicine : 12
Texas Children's Health Plan : 8
The Menges Group : 2
TPG Healthcare Consulting : 2
transportation : 4
TriZetto : 2
Uninsured : 41
University of Arizona Health Plan : 11
UPMC for You : 27
Valence Health : 4
Value-Based Purchasing : 30
Verisk Health : 5
Verscend : 2
Video : 4
VillageCareMAX : 3
Virginia Premier Health Plan : 12
Vision : 1
VNSNY CHOICE Health Plan : 3
Waivers : 17
Wakely Consulting Group : 2
Web Portals / SaaS : 1
WeiserMazars : 1
WellDyne : 1
YourCare Health Plan : 10