All Tags

340B : 5
340B Drug Pricing : 2
42 CFR Part 2 : 2
ACAP 101 : 1
ACAP Board of Directors : 18
ACAP Plan Services : 5
ACAP Strategic Ally : 1
Accreditation : 23
Actuarial and Data Services : 3
Actuarial Soundness : 48
Affinity Health Plan : 8
Affordable Care Act : 12
Alameda Alliance for Health : 5
AlohaCare : 7
Altegra Health : 1
Altruista Health : 3
Alumni : 1
Amber Pharmacy : 1
American Health Care Act : 3
AmeriHealth Caritas : 5
Amida Care : 7
Analytics Business Intelligence and Performance Management : 4
Avlla Specialty Pharmacy : 1
Awards : 14
Bailit Health Purchasing : 1
Banner Health : 4
Basic Health Program : 16
Beacon Health Options : 6
Behavioral Health : 94
benchmarking : 1
Berkeley 2016 : 23
Best Practices : 0
BMC HealthNet Plan : 13
Bundled Payments : 25
Business Development : 1
Business Process and IT Services : 4
Business Process Outsourcing : 3
Business Technology and Compliance Consulting : 1
CAHPS : 30
CalOptima : 4
Capitation : 28
Care Coordination : 15
Care Coordination/Management Technology Solutions : 3
Care for High Risk Members : 4
Care Management : 62
Care to Care : 3
Care transitions : 15
CareOregon : 20
CareSource : 25
case management : 1
Catalyst Solutions : 1
Central California Alliance for Health : 3
CEO Summit 2017 : 1
Change Healthcare Consulting : 2
Children : 53
Children's Community Health Plan : 10
CHIP : 64
Churn : 107
Claims : 1
Clearwater Compliance : 2
Clinical Program Strategies : 1
CMS : 4
CMS Audits : 1
Cody Consulting : 1
Cognizant : 1
collaboratives : 45
Colorado Access : 14
Commonwealth Care Alliance : 12
Commonwealth Medicine : 2
Commonwealth Purchasing Group : 1
Community Care : 1
Community Care Behavioral Health : 1
Community Care Plan : 3
Community Health Centers : 2
Community Health Choice : 11
Community Health Group : 5
Community Health Network of CT : 20
Community Health Plan of Washington : 21
CompCare : 3
ComplexCare Solutions : 2
Compliance : 85
Compliance Software : 1
Continuous Eligibility : 22
Contra Costa Health Plan : 5
Cook Children's Health Plan : 2
Coordinated Transportation Solutions : 2
COPE Health Solutions : 1
Core System Configuration & Technical Services : 1
Costs : 80
Cotiviti : 1
CountyCare Health Plan : 1
Credentialing : 1
Customer Service : 1
CVS Health : 2
Cybersecurity and HIPAA Compliance Solutions : 0
D-SNPs : 103
Data Collection : 70
Dell Services : 3
DeltaSigma : 4
Dental : 4
Denver Health Medical Plan : 7
Digital Engagement Platforms : 4
Diplomat Specialty Pharmacy : 1
Disabilities : 6
Discovery Health Partners : 2
Disease Management : 130
Disease Management - Rare Chronic Disease : 1
Disparities : 14
Dobson DaVanzo : 1
DRE : 30
Driscoll Health Plan : 8
DSRIP : 2
Dual Eligible Strategy : 3
Dual Eligibles : 84
ED usage : 31
Elderplan : 2
eli : 0
EMRs : 6
Encounter Data : 6
Enrollment : 108
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 : 28
Finance : 102
Financial Alignment Demonstrations : 37
Fly-In : 2
FMAP : 2
FQHCs : 13
Fraud Waste and Abuse : 27
Gold Coast Health Plan : 2
Gorman Health Group : 1
Governance : 37
Group Purchasing : 1
Guidance : 18
Guildnet : 3
Halfpenny : 1
HCBS : 18
Health Access Program : 0
Health Disparities : 1
Health Homes : 2
Health Integrated : 7
Health IT : 41
Health Management Associates : 1
Health Management Solutions : 1
Health Plan of San Joaquin : 5
Health Plan of San Mateo : 14
Health Reform : 68
Health Services for Children with Special Needs : 4
HealthCrowd : 3
Healthx : 2
HEDIS : 61
HEDIS Compliance and Reporting : 1
HEDIS Outreach : 3
Hennepin Health : 1
HHS : 1
High Risk Pregnancy Management : 1
High-Cost Drugs : 61
HIPAA : 21
HIPAA-HITECH Compliance Software and Consulting : 0
Home Health Monitoring Technologies : 1
Horizon NJ Health : 5
Hospital/Provider Real Time Clinical Data : 0
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 : 104
Kern Health System : 3
L.A. Care Health Plan : 18
Language : 3
LaunchPoint : 1
Legal Services : 1
Legislation : 84
Line-of-Business Comparisons : 10
Long-Term Care : 9
MACRA : 1
Management Consulting : 3
Marketing : 3
Marketing and Communications : 57
Marketplace : 6
Marketplaces : 178
MDwise : 4
MedHOK : 2
Medicaid Expansion : 38
Medicaid Learning Center : 3
Medicaid Managed Care : 295
Medical Loss Ratio : 20
Medicare : 24
Medicare Advantage : 152
Medicare Part D Audit Support : 1
Medication adherence : 45
Medication Therapy Management : 1
Mediciad Managed Care : 1
MedImpact Healthcare Systems : 5
MedMetrics : 1
MedTouch : 1
Member Assessments : 2
Member Engagement : 40
Member/Provider Communications Consulting and Software : 5
Metropolitan Health Plan : 2
Miami 2016 : 14
Milliman : 6
MLR : 3
MLTSS : 39
Mobility Benefit Management : 0
NASI : 1
Navitus Health Systems : 4
NCQA : 7
Neighborhood Health Plan : 18
Neighborhood Health Plan : 1
Neighborhood Health Plan of Rhode Island : 9
Neonatal : 1
Neonatal (NICU) Care Management : 1
network adequacy : 33
Network Development : 2
NFP Health : 1
NHPRI : 20
Non-Emergency Transportation Management : 1
Nondiscrimination : 1
NORC : 1
Not-for-Profit : 10
Operational Effectiveness & Technology Consulting : 1
Operations (Plan) : 141
Optimity Advisors : 1
Oregonian : 0
pain management : 10
Partnership for Medicaid : 2
Partnership HealthPlan : 8
Passport Health Plan : 7
Patient Centered Medical Homes : 8
Patient Communication Services : 1
Pay for Performance : 8
Payment Reform : 35
PerformCare : 1
PerformRx : 1
Pharmacy : 157
Pharmacy Benefit Management Consulting : 2
Pharmacy Benefit Managers : 6
Philadelphia 2016 : 9
Philips Lifeline : 1
Pittsburgh 2016 : 15
PopHealthCare : 5
Population Health : 9
PPSV : 3
PQS : 1
Prenatal Care : 8
Prescription Drugs : 1
Prestige Health Choice : 1
prevention : 25
primary care : 36
Priority Partners : 6
privacy : 25
Procurement : 2
ProgenyHealth : 2
Program Design and Implementation : 1
Program/Product Monitoring and Evaluation : 1
Provider Networks : 84
Public Health : 1
Qualified Health Plans : 98
Quality : 150
Quality Measurement : 111
Radiology Benefit Management : 1
Rate Setting : 40
regulation : 149
Reinsurance : 7
Reiunsurance : 1
RFP Strategy and Response : 2
Risk Adjustment : 103
Risk Corridors : 10
Safety Net Health Plans : 43
SAMHSA : 2
San Francisco Health Plan : 6
Santa Clara Family Health Plan : 5
SBIRT : 5
Sendero Health Plan : 3
SNPs : 5
social determinants : 34
Softheon : 3
Solid Benefit Guidance : 4
specialty care : 37
Specialty Pharmacy : 2
Spring Board Meeting 2017 : 1
Spring CFO Meeting 2017 : 1
Spring Medicare & MLTSS Meeting 2017 : 1
SSI : 6
SSI Reclassification for Revenue Enhancement : 1
Star Ratings : 14
State and Federal Policy : 309
Statistics : 40
Strategic Consultants : 4
Subrogation : 1
substance use disorder : 58
SummitRe : 1
Survey : 6
Surveys : 18
Taxes : 13
Technical Assistance and Training : 1
Telehealth : 5
Telemedicine : 13
Texas Children's Health Plan : 9
The Menges Group : 2
TPG Healthcare Consulting : 1
transportation : 5
TriZetto : 2
Uninsured : 65
University of Arizona Health Plan : 11
UPMC for You : 26
Valence Health : 3
Value-Based Purchasing : 32
Verisk Health : 5
Verscend : 2
Video : 4
VillageCareMAX : 3
Virginia Premier Health Plan : 12
Vision : 1
VNSNY CHOICE Health Plan : 4
Waivers : 16
Wakely Consulting Group : 2
Web Portals / SaaS : 1
WeiserMazars : 1
WellDyne : 1
YourCare Health Plan : 10