Health Plans & Payor Services

Healthly Invests in Access Senior Healthcare, Inc.

Healthly, a company that prioritizes primary care, support services, and preventive medicine, announces an investment and partnership with Access Senior Healthcare, Inc., a restricted Knox-Keene licensed health care plan. Additionally, Healthly has entered into a management services agreement with Access Medical IPA and Access Santa Monica, two independent physician associations. Access Senior Healthcare, Inc. is

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NFP Acquires Get Medical Plans, a Health Insurance Solutions Specialist

NFP, an international middle market property and casualty broker, benefits consultant, wealth manager, HR services consultant and retirement plan advisor, has announced its acquisition of Get Medical Plans Limited, an independent private medical insurance intermediary. Get Medical Plans founders Marc Benjamin and Sanjeev Mallipeddi will continue to lead and manage the London-based business. With more

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Does Medicare Advantage Affect the Way Primary Care Practices Deliver Care?

With enrollment growing in Medicare Advantage (MA) plans, the private alternative to traditional fee-for-service Medicare, it is important to understand how they affect the health care delivered to their enrollees. While evidence largely indicates that access to care is similar for beneficiaries in MA plans and traditional Medicare, the data around quality of care has

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Employers Want to Pay Medicare Prices to Cut Health-Care Costs

Employers that directly pay their employees’ health claims are increasingly pegging the prices to Medicare to rein in out-of-control costs, though in some cases hospital systems are pushing back by balance-billing the plan participants. The use of so-called reference-based pricing gained national attention when the California Public Employees’ Retirement System adopted the practice in 2012,

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