All Tags

2018 MMC Reg : 3
2019 CEO Summit : 1
340B : 5
340B Drug Pricing : 3
42 CFR Part 2 : 14
508 Compliance and Remediation and Translation : 2
AbleTo : 1
abortion : 1
ACAP 101 : 1
ACAP Board of Directors : 18
ACAP Plan Services : 6
ACAP Strategic Ally : 2
access and affordability : 3
Accreditation : 25
Accreditation Consulting : 1
Actuarial and Data Services : 4
Actuarial Soundness : 69
Affinity Health Plan : 8
Affordable Care Act : 16
Alameda Alliance for Health : 5
AlohaCare : 8
alr : 1
Altarum : 1
Altegra Health : 1
Altruista Health : 13
Alumni : 2
Amber Pharmacy : 1
American Health Care Act : 1
AmeriHealth Caritas : 5
AmeriHealth Caritas Louisiana : 1
Amida Care : 10
Analytics Business Intelligence and Performance Management : 9
Association Health Plans : 3
Avlla Specialty Pharmacy : 1
Awards : 20
Babel Health : 1
Bailit Health Purchasing : 12
Banner Health : 4
Basic Health Program : 12
Beacon Health Options : 7
Behavioral Health : 97
benchmarking : 1
Berkeley 2016 : 23
BMC HealthNet Plan : 15
Bundled Payments : 26
Business Development : 2
Business Process and IT Services : 6
Business Process Outsourcing : 6
Business Technology and Compliance Consulting : 1
CAHPS : 30
Cain Brothers : 1
CalOptima : 6
Capital Raises : 1
Capitation : 24
Cardinal Innovations Healthcare : 2
Care Coordination : 13
Care Coordination/Management Technology Solutions : 16
Care for High Risk Members : 14
Care Management : 61
Care to Care : 3
Care transitions : 12
CareEnroll : 1
CareOregon : 22
CareSource : 30
case management : 1
Case Management Education Fall 2017 : 1
Catalyst Solutions : 2
Central California Alliance for Health : 3
CEO Summit : 1
CEO Summit 2018 : 1
CHAMPIONING HEALTHY KIDS Act : 1
Change Healthcare Consulting : 2
Children : 44
Children with Special Health Care Needs : 2
Children's Community Health Plan : 13
CHIP : 75
Churn : 77
CipherHealth : 2
Claims : 1
Clearwater Compliance : 2
Clinical Program Strategies : 2
CMS : 27
Cody Consulting : 2
Cognizant : 2
collaboratives : 45
Colorado Access : 14
Command Direct : 2
Commonwealth Care Alliance : 12
Commonwealth Fund : 1
Commonwealth Medicine : 4
Commonwealth Purchasing Group : 1
Community Care : 1
Community Care Behavioral Health : 3
Community Care Plan : 3
Community Health Centers : 5
Community Health Choice : 12
Community Health Group : 7
Community Health Network of CT : 21
Community Health Plan of Washington : 25
CompCare : 3
ComplexCare Solutions : 2
Compliance : 88
Compliance Software : 1
Congressional Briefing : 1
Continuous Eligibility : 22
Contra Costa Health Plan : 5
Cook Children's Health Plan : 2
Coordinated Transportation Solutions : 4
COPE Health Solutions : 1
Core System Configuration & Technical Services : 1
cost : 1
Costs : 72
Cotiviti : 1
CountyCare Health Plan : 1
Credentialing : 1
CSR : 7
Customer Service : 1
CVS Health : 2
cybersecurity : 1
Cyft : 3
D-SNPs : 117
Data Collection : 67
Dell Services : 3
DeltaSigma : 5
Dental : 2
Denver Health Medical Plan : 7
Digital Engagement Platforms : 11
Diplomat Specialty Pharmacy : 1
Disabilities : 9
Discovery Health Partners : 2
Disease Management : 123
Disease Management - Rare Chronic Disease : 0
Disparities : 11
Dobson DaVanzo : 1
DRE : 30
Driscoll Health Plan : 8
DSH : 2
DSRIP : 2
Dual Eligible Strategy : 4
Dual Eligibles : 86
ED usage : 24
Elderplan : 3
EMRs : 6
Encounter Data : 7
Encounter Submission Accuracy : 1
Energy and Commerce : 4
Enrollment : 108
Essential Health Benefits : 19
Evolent Health : 2
Excelsior Solutions : 1
Exchange Integration : 8
Executive Search and Recruitment : 1
Faegre Baker Daniels : 6
Fall Pharmacy Meeting 2017 : 1
Fall Quality Meeting 2017 : 1
Family Health Network of Chicago : 6
family services : 1
February fly-in 2019 : 1
Federal Communications Commission : 3
Fee-for-Service : 26
Finance : 106
Financial Alignment Demonstrations : 35
Fly-In : 11
Fly-in June 2018 : 1
FMAP : 2
FQHCs : 12
Fraud Waste and Abuse : 32
Funding : 7
Geisinger Health Plan : 1
Gold Coast Health Plan : 2
Gorman Health Group : 1
Governance : 37
Group Purchasing : 1
Guidance : 24
Guildnet : 3
Halfpenny : 1
HCBS : 14
Health Homes : 2
Health Integrated : 9
Health IT : 42
Health Management Associates : 2
Health Management Solutions : 3
Health Plan Administration & TPA : 1
Health Plan of San Joaquin : 6
Health Plan of San Mateo : 18
Health Reform : 75
Health Services for Children with Special Needs : 5
HealthCrowd : 5
HealthScape Advisors : 1
Healthx : 3
HEDIS : 66
HEDIS Compliance and Reporting : 3
HEDIS Outreach : 8
HELP : 3
Hennepin Health : 3
HFI : 2
HHS : 2
High Risk Pregnancy Management : 2
High-Cost Drugs : 62
HIPAA : 29
Home Health Monitoring Technologies : 0
Horizon NJ Health : 5
Housing : 2
HRA : 2
Human Resources : 22
ICD-10 : 7
Independent Living Systems : 1
Individual and Group Enrollment and Premium Billing : 8
Individual and Group Private Exchange Portal : 8
Individual Mandate : 7
Infographics : 3
Inland Empire Health Plan : 22
Insurance/Reinsurance Brokerage & Consulting : 1
Integrated Care : 99
Investment Banking : 1
Kern Health System : 3
L.A. Care Health Plan : 26
Language : 3
LaunchPoint : 1
leadership in advocacy : 2
Legal Services : 1
Legislation : 89
Line-of-Business Comparisons : 8
Long-Term Care : 5
LTSS Strategic Management & Clinical Services : 2
Lucina Health : 1
MA-PD : 1
MACRA : 2
Managed Healthcare Resources : 1
Management Consulting : 5
Marketing and Communications : 63
Marketplace : 58
Marketplaces : 218
Mazars USA : 1
MDwise : 5
MedHOK : 3
Medicaid : 38
Medicaid Expansion : 32
Medicaid Learning Center : 3
Medicaid Managed Care : 296
Medical Loss Ratio : 22
Medical Management : 1
Medicare : 50
Medicare Advantage : 155
Medicare Compliance and Operational Consulting : 1
Medicare Part D Audit Support : 1
Medication adherence : 45
Medication Therapy Management (MTM) : 3
MedImpact Healthcare Systems : 7
MedMetrics : 1
MedTouch : 1
Mega Reg : 19
Member Assessments : 2
Member Engagement : 35
Member/Provider Communications Consulting and Software : 8
Mental Health : 2
Miami 2016 : 14
Milliman : 8
mlr : 1
MLTSS : 46
MMPs : 7
Mobile Engagement Platforms : 4
Mom's Meals NourishCare : 1
monthly medicaid roundtable : 9
Monthly medicare networking call : 2
mPulse Mobile : 2
NACHC : 1
NASI : 1
Navitus Health Systems : 5
NCQA : 20
Neighborhood Health Plan : 19
Neighborhood Health Plan of Rhode Island : 15
Neonatal : 3
network adequacy : 33
Network Development : 3
NFP Health : 1
NHPRI : 21
Non-Emergency Transportation Management : 3
Nondiscrimination : 1
NORC : 5
Not-for-Profit : 10
NTT DATA Services : 2
Nutrition : 1
Operational Effectiveness & Technology Consulting : 1
Operations (Plan) : 140
opioids : 24
Optimity Advisors : 1
pain management : 11
part d : 1
Partnership for Medicaid : 12
Partnership HealthPlan : 11
Passport Health Plan : 8
Patient Centered Medical Homes : 8
Patient Communication Services : 1
Pay for Performance : 6
Payment Reform : 39
Per Capita Caps : 7
Performance Analytics : 1
PerformCare : 1
PerformRx : 2
Pharmacy : 154
Pharmacy Benefit Management Consulting : 4
Pharmacy Benefit Managers : 11
Philadelphia 2016 : 9
Philips Lifeline : 1
Phoenix : 3
Pittsburgh 2016 : 15
PopHealthCare : 15
Population Health : 8
PPSV : 3
PQS : 2
Predictive Analytics : 5
Prenatal Care : 7
Prescription Drugs : 5
Prestige Health Choice : 1
Prevention : 25
Primary Care : 32
Printing and Mailing Automation : 2
Priority Partners : 7
privacy : 27
Procurement : 1
ProgenyHealth : 2
Program Design and Implementation : 4
program integrity : 1
Program/Product Monitoring and Evaluation : 3
Provider Directory Solutions : 3
Provider Networks : 83
public charge : 6
Public Health : 1
Qualified Health Plans : 111
Quality : 189
Quality Measurement : 130
Radiology Benefit Management : 0
Rate Setting : 48
rbc : 1
regulation : 160
Reinsurance : 9
Repeal and Replace : 25
request for input : 3
RFP Strategy and Response : 4
risk : 3
Risk Adjustment : 128
Risk Corridors : 13
RubiconMD : 1
safe harbors : 1
Safety Net Connect : 2
Safety Net Health Plans : 46
Safety Net Program : 2
SAMHSA : 2
San Francisco : 3
San Francisco Health Plan : 6
Santa Clara Family Health Plan : 6
SBIRT : 5
Sellers Dorsey : 1
Sendero Health Plan : 3
social determinants : 41
social risk factors : 1
Softheon : 7
Solid Benefit Guidance : 5
specialty care : 32
Specialty Pharmacy : 1
Spring Board Meeting 2017 : 1
Spring Board Meeting 2018” : 0
Spring CFO Meeting 2017 : 1
Spring Medicare & MLTSS Meeting 2017 : 1
Spring Medicare & MLTSS Meeting 2018 : 1
SSI : 5
SSI Reclassification for Revenue Enhancement : 3
Star Ratings : 16
state and : 0
State and Federal Policy : 340
Statistics : 33
STLDI : 17
Strategic Consultants : 7
Subrogation : 2
substance abuse : 12
substance use disorder : 85
Summer Board Meeting 2018 : 1
SummitRe : 1
Superior Vision : 1
Survey : 20
Syrtis Solutions : 2
Taxes : 20
Technical Assistance and Training : 3
Telehealth : 1
Telemedicine : 18
Texas Children's Health Plan : 8
The Menges Group : 4
TPG Healthcare Consulting : 2
transportation : 4
TriZetto : 2
Uninsured : 42
University of Arizona Health Plan : 12
UPMC for You : 34
Valence Health : 4
Valuation : 1
Value-Based Payment : 13
Value-Based Purchasing : 42
VBP : 2
Verisk Health : 5
Verscend : 2
Video : 5
VillageCareMAX : 3
Virginia Premier Health Plan : 14
Vision : 2
VNSNY CHOICE Health Plan : 4
Waivers : 22
Wakely Consulting Group : 4
Web Portals / SaaS : 4
WeiserMazars : 1
Well Sense Health Plan : 1
WellDyne : 1
Welltok : 2
YourCare Health Plan : 10