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AHIP Coverage 11/25/2019 08:00
Making healthy lifestyle changes is hard. Maintaining those healthy lifestyle changes is even harder. Let’s say you decide to hit the gym before work three days a week or to bring a salad from home every day for lunch. Your motivation will probably be highest right when you decide to make the change. Those first […]
AHIP Coverage 11/20/2019 12:14
Today, AHIP issued a statement to the Senate Finance Committee for a hearing on Alzheimer’s Awareness and Barriers to Diagnosis and Treatment. AHIP and our members are committed to finding solutions to these barriers, and we support the Committee’s focus on addressing Alzheimer’s awareness and their commitment to caring for the people living with this […]
AHIP Coverage 11/18/2019 11:30
Background Ribera Salud partnered with the government of Spain to manage patient care for the Health Districts of Torrevieja, Denia and Vinalopó. It created an integrated healthcare organization made up of primary care centers, multidisciplinary care teams, and hospitals. Each patient is assigned a general practitioner and a nurse who are responsible for providing and […]
AHIP Coverage 11/18/2019 11:26
Background South Country Health Alliance was founded as a grassroots effort by a group of counties that shared a common vision: that rural communities benefit when healthcare is locally governed, organized and delivered. As a Minnesota Medicaid Managed Care Organization, which also administers two Medicare Advantage Special Needs plans, South Country exclusively serves public program […]
AHIP Coverage 11/18/2019 11:23
Overview Paramount, a Midwest health plan, launched an interoperability initiative to improve data exchange with providers. The new solution had to meet the Ohio Department of Medicaid requirements and allow for bidirectional exchange of timely, meaningful, and actionable data. Paramount needed an integration platform and connector solution for real-time generation of auto-triggered Continuity of Care […]
AHIP Coverage 11/18/2019 11:20
Executive Summary Implementation success eludes several vendors in the competitive care management software industry. Our survey of more than 50 health plan clients working with other vendors revealed that 25 percent of implementations exceeded the budget and 46 percent ran behind schedule. Only 53 percent actually completed installation of all modules licensed, and 36 percent […]
AHIP Coverage 11/15/2019 12:24
WASHINGTON, D.C. – (November 15, 2019) – Matt Eyles, president and CEO of America’s Health Insurance Plans (AHIP), issued this statement following the release of two rules – one final, one proposed – that would require public disclosure of privately negotiated rates between hospitals and health insurance providers: "Every American should be able to get [...]
AHIP Coverage 11/15/2019 09:17
Opioid abuse has ruined the lives of millions across the nation, and at times access to comprehensive substance use disorder treatment has lagged behind the need. However, the tide is turning, led by Medicaid plans that are increasing their flexibility to offer medication assisted treatment (MAT) such as buprenorphine and naltrexone –the gold standard of […]
AHIP Coverage 11/14/2019 16:12
Digital Health A presentation given on the AHIP Integrated Delivery Networks workgroup call on November 12, 2019. Speakers: Mark Wess, MD, M.Sc., Chief Medical Information Officer, Greenville Health System Amelia Bischoff, MHA, Director for Digital Health Services, Prism Health Click here to view the video.
AHIP Coverage 11/14/2019 09:21
On The Next Big Thing in Health, hosts Laura Evans and AHIP President and CEO Matt Eyles sat down with Sara Wajnberg, Chief Product Officer of Oscar Health, to discuss how new technology puts consumers at the center of their health care journey and what it takes to create a more personalized health care experience.
AHIP Coverage 11/14/2019 08:30
Imagine if there was a deadly and debilitating disease the affected nearly 30 million Americans, yet nearly 25% of them weren’t even aware they had the disease. We are talking about diabetes, and left undetected or untreated, diabetes can lead to a number of horrific consequences, including neuropathy, amputation, blindness, and even death. In the […]
AHIP Coverage 11/12/2019 16:25
Client Challenges Inconsistent data precludes automation. The lack of consistent data means dependency on manual processes. Data resides in individual spreadsheets that are updated manually, for each of over 2,000 plans. Outsourced work requires in-house time & resources for lengthy and repetitive change management. Being at the mercy of vendor processes, priorities, & pricing; and […]
AHIP Coverage 11/12/2019 16:16
Overview The client had contracted with an external agency to generate its complex Medicare materials (ANOC, EOC, & SB). The vendor’s SLA promised changes and a digital proof within 36-48 hours of receiving requirements from the client. Once the external vendor delivered changes, the materials proceeded through manual internal reviews by subject matter experts, which […]

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