Podcasts about commonwealth care alliance

All links and images can be found on CISO Series. This week's episode is hosted by me, David Spark (@dspark), producer of CISO Series and Andy Ellis (@csoandy), partner, YL Ventures. Joining us is Tim Jacobs, vp, CISO, Commonwealth Care Alliance. In this episode: Starting from zero Prepare for decisive decisions Working back from unacceptable Discovering inefficiencies  A huge thanks to our sponsor, ThreatLocker ThreatLocker® is a global leader in Zero Trust endpoint security, offering cybersecurity controls to protect businesses from zero-day attacks and ransomware. ThreatLocker operates with a default deny approach to reduce the attack surface and mitigate potential cyber vulnerabilities. To learn more and start your free trial, visit ThreatLocker.com.  

In this episode, Chris Palmieri, President and CEO of Commonwealth Care Alliance, discusses key insights from the healthcare landscape, including lessons from the Steward Health System crisis, areas ripe for innovation, and the critical alignment between nonprofit missions and private capital.

In this episode, Chris Palmieri, President and CEO of Commonwealth Care Alliance, discusses key insights from the healthcare landscape, including lessons from the Steward Health System crisis, areas ripe for innovation, and the critical alignment between nonprofit missions and private capital.

HealthLeaders Innovation Editor Eric Wicklund talks with Chris Palmieri, president and CEO of the Commonwealth Care Alliance, about the current M&A landscape, and how private equity can and should be used to support healthcare innovation.

Peter Hagan is the Digital Health Director at Commonwealth Care Alliance, and former team member at Iora Health. Iora was a start up that created a new model for value-based care, to improve health outcomes and lower costs. Ten years after launching, it was acquired by One Medical, a primary care provider, which was later acquired by Amazon. Peter initially started out as a patient at one of Iora's first pilot sites, and later became a health coach, playing a critical role in Iora's team-based care model. His third role before leaving Iora to pursue his MPH was to work on the backend of Iora's digital health products, which included a patient-friendly electronic health record system that allowed each patient and their care team to seamlessly coordinate care. In this episode, Pete and I discuss the challenge of shifting from the dominant fee-for-service care model in the U.S., to the value-based care model which focuses on improving people's health rather than profiting from their care needs. Rather than waiting and hoping for existing players to make these changes, could it be the new entrants into the field that disrupt and transform it?

Benjamin Reigle, founder and host of the Revenue Cycle podcast "My Good Friends," shares his extensive experience in the healthcare industry, including co-founding Health Rise Consulting Firm and leading initiatives at companies like McKinsey & Company and Accredited Health (now R1). He is also the CEO of Tarpon Health, a community driving automation for healthcare providers. In this episode, Benjamin dives into the topic of healthcare change, emphasizing the importance of understanding industry shifts. Stay tuned to gain insights into the evolving landscape of healthcare. The Change Healthcare breach, as discussed in the podcast episode with Benjamin Reigle, has had a profound impact on the healthcare industry. The breach resulted in challenges with claim submission, cash flow, and data security, affecting not only the operations of Change Healthcare but also having a ripple effect on healthcare providers, payers, and patients. The breach led to issues with claim submission, as some payers who relied solely on Change as their intermediary were unable to process claims. This created a backlog of claims and disrupted the revenue cycle for many healthcare organizations. Some providers resorted to manual processes, such as printing and mailing claims, which added complexity and delays to the billing process. Cash flow was significantly impacted by the breach, especially for smaller healthcare entities like physician groups and community hospitals. With claims not being processed efficiently, these organizations faced financial strain due to delayed payments and uncertainty about when the situation would be resolved. The lack of cash flow threatened the financial stability of these smaller entities, highlighting the importance of having contingency plans and backup systems in place. Data security concerns arose as a result of the breach, with questions about the extent of the data compromised and the potential implications for patient privacy. The breach raised questions about the adequacy of security measures in place and the vulnerability of healthcare systems to cyber threats. The need for enhanced data security protocols and proactive measures to prevent future breaches became a pressing issue for healthcare organizations. Experian Health Client Communication February 23, 2024 Experian Health is aware of Change Healthcare's (Optum's) announcement on February 21 about a cybersecurity incident affecting its systems. Experian's Cyber Incident Response team and Cyber Threat Intelligence teams have been engaged and are closely monitoring the situation. We have not seen evidence of a threat to Experian. Out of an abundance of caution and consistent with Experian's security practices, Experian has temporarily severed connectivity to Change Healthcare. During the period of this severed connectivity, there will be an impact to batch and EDI authorizations, claims and remits, claim status, eligibility, and notice of care transactions that Experian Health sends to Change Healthcare. Experian will resume connectivity to Change when it receives assurances from Change Healthcare that it has adequately contained the threat. Payers work with a variety of clearinghouses to process data. In many cases, multiple payer connections are available although sometimes payer connectivity may be limited or even exclusive to a single clearinghouse. In the majority of cases, transactions from Experian Health route directly to the requestedpayer. When connectivity is limited or certain routes are unavailable, however, it is common to route traffic through another clearinghouse. Below is a list of potentially impacted payers. Our teams are actively evaluating and rerouting transactions when an alternative route is available and will provide an update to this list as soon as possible. BCBS-MA Blue Cross Blue Shield of Massachusetts Claims 13162 1199 National Benefit Fund 93044 A & I Benefit Plan Administrators 37283 AAG-American Administravie Group 72467 ACS Benefit Services Inc. © Experian Health, Inc. Experian Confidential Information Page 2 of 28 83077 Advantek Benefit Administrators CB159 Advisory Health Administrators 65093 Advocate Physician Partners CB637 Aegis Administrative Services 128CA Aetna Better Health of California 128FL Aetna Better Health of Florida 68024 Aetna Better Health of Illinois 128KS Aetna Better Health of Kansas 128KY Aetna Better Health of Kentucky 128LA Aetna Better Health of Louisiana 128MD Aetna Better Health of Maryland 128MI Aetna Better Health of Michigan 46320 Aetna Better Health of New Jersey 34734 Aetna Better Health of New York 50023 Aetna Better Health of Ohio 23228 Aetna Better Health of Pennsylvania 38692 Aetna Better Health of Texas (Medicaid & CHIP) 128VA Aetna Better Health of Virginia 128WV Aetna Better Health of West Virginia 26337 Aetna Better Health Premier Plan MMAI 45221 Aetna OhioRISE 13334 Affinity Health Plan 46594 AFFINITY MEDICAL GROUP 37280 AGA 20048 Agate Resources Inc. (LIPA) 64158 Agency Services Inc ARA01 AgeRight Advantage AWNY6 Agewell New York 95422 AIDS Healthcare Foundation 12K01 Alabama Medicaid 91136 Alaska Carpenters Trust 44423 Alexian Brothers Community Services of TN 13550 ALICARE AHCA1 Alignment Healthcare 26160 AllCare Advantage 58234 Alliant Health Plans of Georgia 50749 Allianz Global Assistance 37308 Allied Benefit Systems A0701 Alta Bates Medical Group RP016 Alterwood Advantage 13343 Amalgamated Life - PA / Alicare 75137 AmeriBen Solutions Inc. TH095 American Family Insurance 62030 American General © Experian Health, Inc. Experian Confidential Information Page 3 of 28 31135 American Health Advantage of Mississippi 31125 American Health Advantage of Oklahoma 31130 American Health Advantage of Tennessee 31155 American Health Advantage of Texas 1066 American Healthcare Alliance 74048 American National Ins. Co. (ANICO) 44444 American Postal Workers Union Health Plan 48055 American Progressive Life and Health Insurance Company 56195 American Trust Administrators Inc. 54763 AmeriHealth Administrators 77799 AmeriHealth Caritas Delaware 77003 AmeriHealth Caritas Florida 27357 Amerihealth Caritas Louisiana (LACare) 47073 AmeriHealth Caritas Next - A Product of AmeriHealth Caritas VIP Next, Inc. 45408 AmeriHealth Caritas Next A Product of AmeriHealth Caritas Florida, Inc. 83148 AmeriHealth Caritas Next North Carolina 81671 AmeriHealth Caritas North Carolina 84243 AmeriHealth Caritas Ohio 22248 AmeriHealth Caritas Pennsylvania 77062 AmeriHealth Caritas VIP Care 87406 AmeriHealth Caritas VIP Care - Delaware DSNP 77013 AmeriHealth Caritus VIP Care Plus (Michigan) 77002 Amerihealth District of Columbia 77001 AmeriHealth NorthEast 64090 AmFirst Insurance Company (payer only accepts Secondary claims) 24818 Amida Care 79966 Amida Care Medicare 37105 Amita Health Medical Care Group 34192 Antares Management Solutions 29370 Anthem Ohio Medicaid 34196 Apex Benefit Services 83112 Apex Health 11081 Arcadia Healthcare Solutions - IPG 36364 Arcadia Healthcare Solutions - NPA 39185 ARISE 61184 Arkansas Superior Select 6603 ASAGEHA AAMG1 Asian American Medical Group 46156 Aspire Health Plan 36483 Aspirus Medicare Advantage 75068 Assurant Health Self Funded 74240 Assured Benefits Administrators 84320 Astiva Health 87020 Atlantic Coast Life © Experian Health, Inc. Experian Confidential Information Page 4 of 28 AVA01 Avalon Administrative Services 46045 Avera Health Plans 87098 Avesis (Vision) 59274 AvMed Inc. 65101 AXA Assistance_USA 77005 Bakersfield Family Medical Group 12X42 Banner Health SX145 Banner Health AZ 84323 Banner Medicare Advantage Prime HMO 81079 BayCare Select Health Plans 63100 Behavioral Health Systems 99320 Benefit & Risk Management Services 48611 Benefit Management Inc. of KS 37212 Benefit Management Systems Inc 88052 Benefit Plan Administrators 39081 Benefit Plan Administrators Co. (Eau Claire WI) 38238 BeneSys, Inc. 95606 Berkshire Lehigh Partners 62183 Better Health Plans Inc. CB987 Black Hawk 3036 Blue Benefit Administrators of MA 12B54 Blue Cross Blue Shield of Alabama 77078 Blue Cross Blue Shield of Arizona Advantage SB580 Blue Cross Blue Shield of District of Columbia (Carefirst) 12000 Blue Cross Blue Shield of District of Columbia (Carefirst) SB971 Blue Cross Blue Shield of Hawaii (HMSA) SB690 Blue Cross Blue Shield of Maryland (Carefirst) 12011 Blue Cross Blue Shield of Maryland (Carefirst) 12B15 Blue Cross Blue Shield of Missouri (Blue Cross) BCSVT Blue Cross Blue Shield of Vermont BOONG Boon Administrative Services 22286 BritCay 35182 Brodart 51037 Brokerage Concepts 94316 Brown & Toland Medical Group BTHS1 Brown and Toland Health Services 42020 Buckeye Ohio Medicaid 42150 Butler Benefit 23708 C&O Employees Hospital Association CAIPA California IPA 71057 Cannon Cochran Management Services Inc. Metairie LA 95399 CAP Management Systems 12X03 Capital District Physicians Health Plan 95112 Capital Health Plan © Experian Health, Inc. Experian Confidential Information Page 5 of 28 68011 Capitol Administrators 12K89 Care Access Health Plan (CAHP) 77082 Care Improvement Plus 66010 Care N' Care 57116 Care1st Health Plan of Arizona - Medicaid (DOS < 11/30/22) 11345 CareCentrix 14182 CareCore National 14180 CareCore National LLC (Oxford Radiology Claims) 14188 CareCore/WCNY RAD 75191 CareFirst Administrators/NCAS (Charlotte, NC) 75190 CareFirst Administrators/NCAS (Fairfax, VA) 93975 CareOregon Inc. 16307 CarePartners of Connecticut 31500 CareSource Ohio Medicaid 65391 CBHNP - HealthChoices 95167 Cedars-Sinai Medical Network Services 68063 Celtic Insurance 99111 Cencal Health 94312 Center for Elders Independence 13360 CenterLight Healthcare 23626 Central Pennsylvania Teamsters Fund 13193 Central Reserve Life Ins Co-Medicare Supplement 36215 Central States Health & Welfare Funds 84146 CHAMPVA - HAC CHERO Cherokee Nation Comprehensive Care Agency 34154 Chesterfield Resources Inc. 80141 Childhealth Plus by Healthfirst (CHP) 94321 Children First Medical Group 33065 CHOC - Children's Hospital Of Orange County Health Alliance 38308 Christian Brothers Services 59355 Christian Care Ministries 10629 Christus Health Medicare Advantage 52106 Christus Health TX HIX 38219 ClaimChoice Administrators (DOS >1.1.21) 11752 ClaimsBridge HPN 85468 Clear Spring Heath 13285 Clover Health 51579 Coastal Communities Physician Network 42049 Cofinity - Group Resources 22284 Colonial Medical 88091 Commercial Travelers/PHX 14315 Commonwealth Care Alliance 14316 Commonwealth Care Alliance - Medicare Advantage 60995 Community Care Inc. - Family Care (Wisconsin) © Experian Health, Inc. Experian Confidential Information Page 6 of 28 73143 Community Care Managed Health Care Plans of Oklahoma 35193 Community Health Alliance 48145 Community Health Choice 75261 Community Health Electronic Claims/CHEC/webTPA 37322 Companion Life 37363 Compsych 6105 ConnectiCare Inc 75284 Consolidated Associates Railroad 87843 Consolidated Health Plans 45321 Consumers Choice Health SC 99433 Contessa Health 46478 Continuum (formerly Marrick WRx) 55544 Conversion Plan-APWU THCP9 Cook Children STAR Plan 58231 Core Administrative Services 43160 Corizon Inc. 35202 Cornerstone Benefit Adminstrators CB268 Cornerstone Preferred Resources CMSP1 County Services Medical Program 58102 Covenant Administrators, Inc. 64068 Creative Medical Systems CC304 Curaechoice 38261 Dell Children's Health Plan (DCHP) 63740 DentaQuest Vision 84133 Denver Health and Hospital Authority DESRT Desert Medical Group 44006 Desert Oasis Healthcare 27133 Dignity Health MSO 12001 District of Columbia Medicaid 6102 Diversified Administration Corporation 74284 Driscoll Children's Health Plan 35186 Dunn and Associates Benefits Administrators Inc. TH084 Early Intervention Central 66122 Eastland Medical Group 31074 EBMC 31625 ElderPlan Inc. 4326 Element Care Inc. EMP01 Empire Physician's Medical Group 42149 Employee Benefit Systems 35112 Employee Plans LLC 20818 Essence Healthcare RP037 Eternal Health 35605 Everence I & P 32052 Everpointe © Experian Health, Inc. Experian Confidential Information Page 7 of 28 62160 eviCore 59313 Evolutions Healthcare Systems (New Port Richey FL) 22344 Exceedent LLC 12B38 Excellus - BCBS Utica Watertown 12B40 Excellus - Blue Cross Blue Shield Rochester Area 71412 ExclusiCare 22254 Fallon Community Health Plan 88055 First Agency FCC01 First Carolina Care 91131 First Choice Health Administrators 57103 First Choice Next (SC) 32456 First Choice VIP Care (SC - DSNP) 77009 First Choice VIP Care Plus by Select Health of South Carolina 59322 Florida Health Care Plan 48116 Florida Hospital Waterman 48117 FMH Benefit Services Inc. 64069 Fox-Everett Inc. 99660 Fresno PACE 34171 FrontPath Health Coalition 25169 Gateway Health Plan Medicaid PA 75273 Geisinger Health Plan 31140 Georgia Health Advantage 7205 Gilsbar Inc. 7689 Global Care Inc. GEM01 Global Excel Management GHOKC Global Health GMICC Global Medical Management 47083 GMS Inc. 76923 Good Shephard Hospice Inc. 45235 Government Employees Health Association (Multiplan) GRV01 Gravie Inc. 36338 Group Administrators Ltd. CB951 Group Benefit Services Inc. 39167 Group Health Cooperative of South Central Wisconsin 64246 Guardian Life Insurance Company of America 47738 Hamaspik Choice 59143 Harrington Health Non-EPO 62061 Harrington Health-Kansas (formerly known as Fiserv Health-Kansas) 4245 Harvard Community Health Plan 4271 Harvard Pilgrim 12K62 Hawaii Medicaid 62180 Health Change Pathway 62179 Health Choice Arizona 46221 Health Choice Insurance Co © Experian Health, Inc. Experian Confidential Information Page 8 of 28 62111 Health Cost Solutions 34158 Health Design Plus (Hudson OH) RP039 Health First Health Plans TH049 Health Management Administrators (HMA) 4286 Health New England SX030 Health Options Inc (FL - BCBS HMO) 80142 Health Partners of Philadelphia 20270 Health Payment Systems Inc. 83253 Health Plan of Michigan 68035 Health Plan of San Joaquin 44273 Health Plans Inc. 37290 Health Services for Children with Special Needs HCH01 Healthcare Highways 56731 Healthcare Resources NW 73147 Healthcare Solutions Group 71064 HealthChoice Oklahoma 85729 Healthcomp Inc. 56144 Healthgram Inc. 55204 Healthnow Division 94267 Healthpartners 59140 HealthPlan Services 75237 Healthsmart Accel 37272 HealthSmart Benefit Solutions 87815 HealthSmart Benefit Solutions fka Wells Fargo TPA.Inc. 75250 HealthSmart Preferred Care Inc. 60058 Hennepin Health 30862 Heritage Victor Valley Medical Group 95393 High Desert Medical Group 95461 Highmark Senior Solutions (WV) 46 Hill Physicians Medical Group HPIPA Hispanic Physicians IPA (Encounters Only) 12T11 HMA - Health Management Admin 86066 HMA Hawaii 75318 HMC HealthWorks aka Health Management Co 84555 HMO Louisiana Inc 91164 HMSO-Highline Medical Service Organization HLSTA Holista (Novant Health Direct to Employer) 88023 Hometown Health Plan Nevada 37224 HSBS Memphis 37256 HSBS Oklahoma City 31172 HSBS World Trade Center Health Program 37137 HSHS Medical Group IPA 61103 Humana Ohio Medicaid 94154 Humboldt-Del Norte Foundation for Medical Care © Experian Health, Inc. Experian Confidential Information Page 9 of 28 54750 Huron PACE 37279 IAA 19028 IBM Business Transformation Outsourcing Insurance Services Corporate 26054 iCare Health Solutions 97661 IEC Group - AmeriBen 41600 I'Mcare 40585 INDECS Corporation TA720 Independence Administrators MHM01 Independence Medical Group 12X01 Independent Health SX073 Independent Health INDPM Independent Physicians at Mercy 12X75 Indian Health Services SX171 Indian Health Services 35600 Indiana Childrens Special Health Care Services 35107 Indiana Teamsters Health Benefits Fund (Indianapolis IN) 95444 Indiana University Health Plan 26212 Indiana University Health Plan (Commercial) 30360 Individual Assurance Company 31053 Individual Health Insurance Companies 43471 Inetico Inc. 52196 Informed LLC 38343 Ingham Health Plan Corporation 31182 InnovAge TH012 Insurance Services of Lubbock 39182 InsuranceTPA.com 86304 Insurers Administrative Corp. 51020 Integra Administrative Group (Seaford DE) 31127 Integra Group 20050 Integrated Medical Solutions LLC 23287 Intergroup Services Corporation 93116 Interlink 11329 International Benefit Administrator RP075 Iowa Health Advantage 47262 IU Health Transplant Evaluation Program JLSFE JLS Family Enterprises 38310 JOHN MORRELL COMPANY CO. - AHPBA 68036 John Muir Mt. Diablo Health System 66003 Johns Hopkins Health Advantage 52189 Johns Hopkins Healthcare (EHP/PP) 52123 Johns Hopkins Healthcare (USFHP) 43178 Joplin Claims / Benefit Management Inc 34136 JP Farley Corporation 91617 Kaiser Foundation Health Plan of Colorado © Experian Health, Inc. Experian Confidential Information Page 10 of 28 94123 Kaiser Foundation Health Plan of Hawaii 94135 Kaiser Foundation Health Plan of Northern CA Region 52095 Kaiser Foundation Health Plan of the Mid-Atlantic States Inc. 21313 Kaiser Permanente of Georgia 94320 Kaiser Self Funded 40137 Kalos Heath KCIPA Kane County BCBS 71066 Kansas Superior Select 95279 Keenan Associates (CA) 73100 Kempton Company 77039 Kern Health Systems 37217 Key Benefit Administrators (Indianapolis IN) 37321 Key Select 37323 Key Solution 23284 Keystone First 42344 Keystone First Community HealthChoices 77741 Keystone First VIP Choice 34145 Klais & Company KPS01 KPS-Kitsap Physician Services 72107 LA Blue Advantage Louisiana LACAR LA Care Health Plan 37116 Lake County Physicians Association 66125 Lakeside Medical Group LNDMK Landmark Healthcare Inc 52193 LBA Health Plans 37316 Leon Medical Center Health Plan LIB01 Liberty Advantage Health Plan (HMO SNP) 87071 Liberty Health Advantage 37281 Liberty Union 25181 LIFE Pittsburgh 41136 Life Trac 71498 LifeCircles PACE 76870 LifePath Hospice Inc LWA01 Lifeworks Advantage CB752 Lockard & Williams 37267 Loma Linda University Adventist Health Sciences Center Employee Health Plan 33036 Loma Linda University Healthcare SKLA2 Louisiana Medicaid - Ambulance claims 37175 Loyola Physician Partners 88056 Lucent Health Solutions 82694 Lucentis Copay Program 35183 Luminare Health (CoreSource OH) 35187 Luminare Health Internal (CoreSource-Internal) © Experian Health, Inc. Experian Confidential Information Page 11 of 28 75136 Luminare Health Little Rock (CoreSource Little Rock) 36334 MacNeal Health Providers- CHS 56139 Maestro Health Plan MCC01 Magellan Complete Care of Arizona MCC02 Magellan Complete Care of Virginia 1260 Magellan Health Services 11303 Magnacare 45341 Maine Community Health Options 35162 Managed Care Services LLC 52461 March Vision Care Inc. 53275 MARTINS POINT HEALTH CARE 83269 Mary Washington Health Plan 37121 Mashantucket Pequot Tribal Nation 86220 Mass Advantage 12T52 Masters Mates and Pilots Program TH111 Masters Mates and Pilots Program 88090 Mayo Clinic FL/GA 83028 MBA Benefit Administrators Inc (Salt Lake UT) 25160 MCA ADMINISTRATORS 88058 MED PAY 74323 MedBen (Newark OH) 56821 Medcost Benefit Services Bundled Billing 78857 Medica HealthCare Plan of Florida MAHC1 MEDICAL ASSOCIATES HEALTH PLAN L0170 Medical Card System ( MCS ) 62177 Medical Reimbursements of America L0210 Medicare y Mucho Mas ( MMM ) 95655 MediGold 35205 MedPartners Administrative Services RP062 Medstar Family Choice, Inc (DC) RP063 Medstar Family Choice, Inc (MD) 37050 Mental Health Consultants Inc. 86087 Merchants Benefit Administration 86052 Mercy Care Plan (AHCCCS) 33628 Mercy Maricopa Integrated Care 41124 Meritain Health Minneapolis 13265 MetroPlus Health Plan 23550 MFC & HealthPlus Peoria 47080 Midlands Choice Inc. 76079 Midwest Health Partners SKMS0 Mississippi Medicaid 12K17 Mississippi Medicaid SKMS1 Mississippi Medicaid 12K18 Mississippi Medicaid © Experian Health, Inc. Experian Confidential Information Page 12 of 28 64084 Mississippi Physicians Care Network 37233 Mississippi Public Entity Employee Benefit Trust MMS01 Missouri Medicare Select 13350 Moda Health 12X09 Molina Healthcare 38333 Molina Healthcare of California 51062 Molina Healthcare of Florida 61799 Molina Healthcare of Idaho 20934 Molina Healthcare of Illinois 38334 Molina Healthcare of Michigan 77010 Molina Healthcare of Mississippi MLNNV Molina Healthcare of Nevada 9824 Molina Healthcare of New Mexico - Salud 20149 Molina Healthcare of Ohio 46299 Molina Healthcare of South Carolina SX109 Molina Healthcare of Utah (aka American Family Care) 38336 Molina Healthcare of Washington ABRI1 Molina Healthcare of Wisconsin 73160 Molina Ohio Medicaid 7316V Molina Ohio Medicaid Vision 12M77 Montana Medicare 13174 Montefiore Contract Management Organization TLINS Monumental Life Insurance Company (AR) TRCLF Monumental Life Insurance Company (IA) TRP1E Monumental Life Insurance Company (IA, MD, PA) TRLTC Monumental Life Insurance Company (TX) SB941 Mountain State Blue Cross Blue Shield of West Virginia 20572 MSA Care Guard 80019 MSC (Medical Service Company) Group, Inc. RP036 Multicare Connected Care (MCC) 34080 Multiplan Wisconsin Preferred Provider Network 81883 Municipal Health Benefit Fund 27004 My Choice Wisconsin 65085 NAA (North America Administrators L.P.) (Nashville TN) 53011 NALC/Affordable 58182 NAPHCARE INC. ASHC1 National General 52104 National Telecommunications Cooperative Association (NTCA - Staff) 52103 National Telecommunications Cooperative Association (NTCA) SKNE0 Nebraska Medicaid 12K19 Nebraska Medicaid 12M19 Nebraska Medicare 96107 Neighborhood Health Partnership (NHP) 5047 Neighborhood Health Plan Rhode Island © Experian Health, Inc. Experian Confidential Information Page 13 of 28 96240 Neighborhood Health Plan Rhode Island - Exchange, Unity, Integrity 66055 Netcare Life and Health Insurance (Hagatna Guam) 77076 Network Health Insurance Corp-Medicare 39144 Network Health Plan of Wisconsin Inc. 95998 NEW AVENUES INC. NCH11 New Century Health - IEHP Oncology NCH09 New Century Health - Vista Cardiology 75281 New Era Life Insurance Company 12K90 New Hampshire Medicaid 12K22 New Mexico Medicaid 7707C New York Hotel Fund 81085 Next Level Health Partners 38225 NGS American Inc 88050 NHBCAUX NHC01 NHC Advantage 81264 Nippon Life Insurance Company of America 36347 Northern Illinois Health Plan 88027 Northern Nevada Trust Fund OSCAR Novanet 71080 Novasys Health Network PHMD1 NP Providence Health Plan Commercial PHMD2 NP Providence Health Plan Medicare PHMD3 NP Providence Health Plan OHP PHMD4 NP Yamhill County CCO 37299 Nyhart 14142 NYS DOH UCP 36400 Oak West Physician Association 69879 OCRW Orange County Health Services Dept - Ryan White Program 34189 Ohio Health Choice PPO 74431 Ohio PPO Connect 71065 Oklahoma DRS DOC 65074 Olympus Managed Health Care 22321 One Call Medical 56190 OptiCare Managed Vision 96277 Optimed Health Plans 13382 Orthonet - Uniformed Services Family Health Plan OSFC9 OSF Healthcare Central OSFE9 OSF Healthcare East I & P 72436 PACE Central Iowa 86711 PACE Southeast Michigan 20416 PacificSource Community Solutions 93029 PacificSource Health Plans 20377 PacificSource Medicare 94115 Palo Alto Medical Foundation © Experian Health, Inc. Experian Confidential Information Page 14 of 28 4218 Pan American Life Insurance Group 52613 PARTNERS BEHAVIORAL HEALTH MANAGEMENT PARTH Partners In Health 66008 Passport Advantage 61325 Passport Health Plan by Molina Healthcare 20510 Patient Physician Cooperatives 27048 Payer Fusion 20172 Pennsylvania Pace 72126 Peoples Health Network 72099 PHCS Claims (formerly American LIFECARE) PA513 Physician Associates of the Greater San Gabriel Valley 36345 Physicians Care Network (Rockford IL only) MHM03 Physicians Health Network 83276 Physicians Health Plan of Michigan Medicare PMGSC Physicians Medical Group of Santa Cruz County 47027 Physicians Mutual Insurance Company 91171 Physicians of Southwest Washington 55768 PIEDMONT COMMUNITY HEALTH PLAN 24735 Pinnacle Claims Management Inc. 84109 Pinnacol Assurance IP057 Pomona Valley Medical Group 95411 Positive Healthcare Florida (FL MCO PHC/PHP) 36373 Prairie States Enterprises Inc. 73145 Preferred Community Choice/PCCSelect/CompMed 14966 Preferred Health Partners CB404 Preferred Health Plan of the Carolinas 41147 PreferredOne (MN) 65054 Premier Eye Care 88051 Premier HealthCare Exchange, Inc. (PHX) 5003 Presbyterian (NM) 46311 Presence ERC 61604 Prime West Health Plan 37268 Prism Network Inc. 93082 Prominence Health Plan of Nevada 83352 Prominence Healthfirst SX133 Providence of Oregon Health Plan 77240 Providence PACE CA SX187 Providence PPO 48100 ProviDRs Care Network PH001 Pruitt Health Premier PSKW0 PSKW Physician Reimbursement Program 89461 Quality Care Partners CX077 Quality Plan Administrator, Inc 73067 QuikTrip © Experian Health, Inc. Experian Confidential Information Page 15 of 28 57117 QVI Risk Solutions Inc. 44219 Reading Hospital Employer Group 95449 Regal Medical Group SB611 Regence Blue Shield Idaho 12B88 Regence Blue Shield Idaho 38221 Regency Employee Benefits 79846 Reliance Community Care Partners 36396 Resurrection Healthcare Preferred 74205 Right Care from Scott & White RIOS1 RIOS SOUTHWEST MEDICAL GROUP RCMG1 RIVER CITY MEDICAL GROUP 45281 Riverside Health Inc. RMC01 Riverside Medical Clinic 5178 Riverspring Health Plans (ElderServe) AMM03 Ryan White Network 88029 SAINT MARY'S HEALTH PLAN CP001 Samaritan Health Plans 96400 San Diego PACE 91184 Sanford Health Plan RP035 Sanford Health Plan Medicare Advantage 24077 SANTA CLARA FAMILY HEALTH PLAN SNTMC Sante Community Physicians Medical Group Corp 77038 Sante Health System and Affiliates 72261 SCAN Health Plan 73172 Scan Health Plan Arizona TH002 Scott & White Health Plan 12T05 Scott & White Health Plan 10010 Sedgwick Managed Care Ohio (formerly Careworks) 15243 Sedwick Managed Care Ohio (formerly CompManagement) 93031 Select Benefit Administrators Inc. 37282 Select Benefit Administrators of America 23285 Select Health of South Carolina 61225 SelectCare of Texas (Kelsey-Seybold) 36404 Self Insured Plans (Naples FL) 34131 Self-Funded Plans Inc. 52214 Selman Tricare Supp SWHMA Senior Whole Health Massachusetts 23249 Sentinel Management Services SMG01 Seoul Medical Group 25404 Seven Corners 30891 Sierra Medical Group 23250 Significa Benefits Services Inc. SIM02 Simpra Advantage Inc. (DOS > 12/31/2022) SKSD0 South Dakota Medicaid © Experian Health, Inc. Experian Confidential Information Page 16 of 28 SMSD0 South Dakota Medicare 23253 Spectrum Administrators Inc. - TPA Allentown PA (IHS Gateway Payer) 73099 Standard Life and Accident (Secondary claims only) 46407 Stanford Healthcare Advantage 61425 Starmark TRP1P Stonebridge Life Insurance Company (TX) 95202 SummaCare Health Plan 37301 Summit America Insurance Services Inc. 77306 Sutter Connect - Solano Regional Medical Foundation (SRMF) 94269 Sutter East Bay Medical Foundation 77302 Sutter Gould Medical Foundation 77304 Sutter Medical Group of the Redwoods 56621 Sutter Senior Care TALMG Talbert Medical Group 88067 Tall Tree Administrators 43619 Teamsters Medicare Trust for Retired Employees 20212 Tethys Health Ventures TXCSM TEXAS CHILDRENS HEALTH 76048 Texas Children's Health Plan 75228 Texas Childrens Health Plan (Medicaid) 31403 Texas Independence Health Plan 68423 The Care Network/The Savannah Business Group 75600 The City of Odessa 95677 The Health Plan 23223 The Loomis Company - TPA Wyomissing PA (IHS Gateway Payer) 59227 The MEGA Life & Health Insurance Company-OKC J1746 Thomas McGee THIPA Torrance Hospital IPA 37284 TransChoice-Key Benefit Administrators 31118 Tribute Health Plan SX176 Tricare for Life 12X43 Tricare for Life SX163 Tricare for Overseas 12X46 Tricare for Overseas 12C01 Tricare West 31144 TRIHEALTH PHYSICIAN SOLUTIONS 56089 Trillium Health Resources TRNPC Trinity Health Pace TRIN1 Trinity HealthShare 42137 TRISTAR Benefit Administrators L0230 TRUSTED HEALTH PLAN 91078 Trusteed Plans Service Corporation 94603 UC-Davis Health 74223 UICI Administrators © Experian Health, Inc. Experian Confidential Information Page 17 of 28 41206 Ultra Benefits Inc. 95266 UMR - Harrington 52180 UMWA Health & Retirement Funds 35198 Unified Group Services 62170 Unified Health Services RP064 Unified Life UPN99 Unified Physicians Network 87042 Union Pacific Railroad Employees Health Systems 38260 United Benefit Advisors 84132 United Medical Alliance 86003 UnitedHealthcare Community Plan / PA - formerly AmeriChoice Personal Care 25175 UnitedHealthcare Community Plan / SC (formerly Unison) 88337 UnitedHealthcare Ohio Medicaid 8357V UnitedHealthcare Ohio Medicaid Vision 95999 UnitedHealthcare West (formerly PacifiCare PPO - All States) 33001 Universal Care - California 9830 University Family Care 37601 University of Illinois at Chicago Div of Specialized Care for Children 45282 University of Maryland Health Advantage IP056 Upland Medical Group 37324 Upper Peninsula Health Group (TPA) 38337 Upper Peninsula Health Plan (Medicaid) 93092 US Benefits 12X31 US Department of Labor 90551 US Family Health Plan 74095 USAA (United Services Automobile Association) 13407 USFHP - St. Vincent Catholic Medical Centers of New York 12K42 Utah Medicaid SKUT0 Utah Medicaid 12115 VA Fee Basis Programs 43259 Valor Health Plan 77701 Vantage Health Plan 50701 VGM Homelink VVIPA Victor Valley IPA 25924 VieCare Life and Beaver and Life Lawrence Counties 25923 VieCare LIFE Butler 73743 Village Family Practice VLGMD Village MD 26545 VillageCareMAX 12003 Virginia Medicaid 12004 Virginia Medicare 63114 Viva Health Plan 31626 VNA Homecare Options 85256 Wabash Memorial Hospital Association © Experian Health, Inc. Experian Confidential Information Page 18 of 28 SX063 Washington State Dept of Labor and Industry 73155 Waterstone Benefit Administrators (Oklahoma Providers) 36337 Weiss Health Providers 35245 WellSystems LLC 80942 West Suburban Health Providers 12K28 West Virginia Medicaid SMWV0 West Virginia Medicare 68039 Western Health Advantage 77225 Western Health Advantage 31048 Western Southern Financial Group (Cincinnati OH) 12K29 Wisconsin Medicaid 13413 Women's Integrated Network Inc. (WIN Fertility) SX022 WPS Commercial 12X29 WPS Commercial 60646 Yale University Heath Plan 83248 Zing Choice IL (HMO) Claim Status AARP AARP AETNA-BH-CA Aetna Better Health (CA) AETNA-BH-FL Aetna Better Health (FL) AETNA-BETTER-HEALTH-IL Aetna Better Health (IL) AETNA-BH-KS Aetna Better Health (KS) AETNA-BETTER-HEALTH-KY Aetna Better Health (KY) AETNA-BETTER-HEALTH-LA Aetna Better Health (LA) AETNA-BH-MD Aetna Better Health (MD) AETNA-BETTER-HEALTH-MI Aetna Better Health (MI) AETNA-BETTERHEALTH-NJ Aetna Better Health (NJ) AETNA-BETTER-HEALTH-OH Aetna Better Health (OH) AETNA-BETTER-HEALTH-PA Aetna Better Health (PA) AETNA-BETTER-HEALTH-TX Aetna Better Health (TX) AETNA-BETTER-HEALTH-VA Aetna Better Health (VA) AETNA-LONG-TERM Aetna Long Term Care AETNA-SENIOR-SUPP Aetna Senior Supplemental AFLAC AFLAC AFLAC-MCARE-SUPP AFLAC Medicare Supplement ALL-SAVERS-BATCH All Savers ALLIED-BENEFIT-BATCH Allied Benefit Systems HEALTHLINK-PPO-AMERIBEN-BATCH AmeriBen AMERICAN-GENERAL American General Life and Accident © Experian Health, Inc. Experian Confidential Information Page 19 of 28 AMERICAN-NATL-INS-CO American National Insurance Company AMERICAN-NATL-LIFE-TX American National Insurance Company of Texas AM-POSTAL-WKRS-UNION American Postal Workers Union AMERICAN-RET-LIFE-MCARESUPP American Retirement Life Ins Co Medicare Supplement AMERITAS-LIFE Ameritas Life Insurance Company BANKERS-FIDELITY-LIFE Bankers Fidelity Life Insurance Company BANNER-ADV-PRIME Banner Medicare Advantage Prime HMO BAYCARE-SELECT BayCare Select Health Plans Inc. BEST-LIFE-HEALTH Best Life and Health CARE-N-CARE Care N Care Insurance Company CARE1ST-HP-AZ Care1st Health Plan Arizona CAREFIRST-BCBS-BATCH CareFirst BCBS CENTRAL-STATES Central States Fund CHAMPVA CHAMPVA CHRISTIAN-BROTHERS Christian Brothers Services CHRISTUS-HP CHRISTUS Health Plan HEALTHSPRING Cigna-HealthSpring CSH-IL Clear Spring Health of Illinois COLORADO-ACCESS Colorado Access COMM-CARE-OK-BATCH Community Care of Oklahoma COUNTYCARE CountyCare CULINARY-HEALTH-FUND Culinary Health Fund UNITE HERE Health DIVERSIFIED-ADM-CORP Diversified Administration Corporation ELDERPLAN Elderplan ESSENCE-HC Essence Healthcare FARM-BUREAU Farm Bureau Health Plans GLOBE-LIFE-ACCIDENT Globe Life and Accident Insurance Company FIRST-UNITED-AMER Globe Life Insurance Company of New York GOLDEN-RULE Golden Rule GREAT-AMERICAN-INSURANCEMCARESUPP Great American Life Ins Co Medicare Supplement RECALL-GROUP-PENSION Group and Pension HEALTH-CHOICE-AZ Health Choice Arizona HEALTH-PARTNERS-PHILADELPHIA Health Partners Plans HEALTH-SVC-CHILDREN-SPEC-NEEDS Health Services for Children with Special Needs HEALTHCOMP HealthComp Administrators HEALTHGRAM Healthgram HEALTH_SMART-BATCH HealthSmart KEY-BENEFIT-ADMIN-BATCH Key Benefit Administrators LOCAL-1199 Local 1199 LOYAL-AMERICAN-MCARESUPP Loyal American Life Ins Co Medicare Supplement MAGNACARE MagnaCare MANAGED-HEALTH-NETWORK Managed Health Network MEDBEN MedBen (Newark OH) © Experian Health, Inc. 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PREFERRED-CARE-PARTNERS Preferred Care Partners PROVIDENCE-HP Providence Health Plan SANTA-CLARA Santa Clara Family Health Plan SELECT-ADMIN-SVCS Select Administrative Services SELMAN Selman and Company STANDARD-LIFE Standard Life and Accident Insurance Company TX-CHILDRENS-HP Texas Childrens Health Plan TRANSAMERICA-FIN-LIFE Transamerica Financial Life Insurance © Experian Health, Inc. Experian Confidential Information Page 21 of 28 TRUSTMARK Trustmark Small Business Benefits UMR-WAUSAU-BATCH UMR Wausau UNION-PACIFIC Union Pacific Railroad Employees UNITED-AMER-INS-CO United American Insurance Company UNITED-MINE-WORKERS-ASSOCIATION United Mine Workers Association USAA-LIFE USAA Life Insurance Company USAA-MCARE-SUPP USAA Medicare Supplement VA-FEE-BASIS VA Fee Basis Program VANTAGE-HEALTH-COMMERCIAL Vantage Health WA-MCAID-INST Washington Medicaid Institutional WA-MCAID-PROF Washington Medicaid Professional WEB-TPA WEB-TPA WESTERN-HEALTH-ADVANTAGE Western Health Advantage MEDICAID-WY Wyoming Medicaid Eligibility AARP AARP ABSOLUTE-TOTAL-CARE Absolute Total Care ADMIN-CONCEPTS Administrative Concepts ADMIN-SERVICES-INC Administrative Services Inc. AETNA-BH-CA Aetna Better Health (CA) AETNA-BH-FL Aetna Better Health (FL) AETNA-BETTER-HEALTH-IL Aetna Better Health (IL) AETNA-BH-KS Aetna Better Health (KS) AETNA-BETTER-HEALTH-KY Aetna Better Health (KY) AETNA-BETTER-HEALTH-LA Aetna Better Health (LA) AETNA-BH-MD Aetna Better Health (MD) AETNA-BETTER-HEALTH-MI Aetna Better Health (MI) AETNA-BETTERHEALTH-NJ Aetna Better Health (NJ) AETNA-BETTER-HEALTH-NY Aetna Better Health (NY) AETNA-BETTER-HEALTH-OH Aetna Better Health (OH) AETNA-BETTER-HEALTH-PA Aetna Better Health (PA) AETNA-BETTER-HEALTH-TX Aetna Better Health (TX) AETNA-BETTER-HEALTH-TX-CHIP Aetna Better Health (TX) CHIP AETNA-BETTER-HEALTH-VA Aetna Better Health (VA) AETNA-BETTER-HEALTH-WV Aetna Better Health (WV) AETNA-LONG-TERM Aetna Long Term Care AETNA-SENIOR-SUPP Aetna Senior Supplemental AFLAC AFLAC AFLAC-MCARE-SUPP AFLAC Medicare Supplement ALL-SAVERS-BATCH All Savers ALLIANT-HP Alliant Health Plans © Experian Health, Inc. 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Medicare Supplement AMERICAN-RET-LIFE-MCARESUPP American Retirement Life Ins Co Medicare Supplement AMERICO-FIN-LIFE Americo Financial Life AMERITAS-LIFE Ameritas Life Insurance Company ARISE-HEALTH-PLAN-MCARE-SELECT Arise Health Plan Medicare Select Policy ARIZONA-PHYS-MEDICAID Arizona Physicians IPA Medicaid ARIZONA-PHYS-MEDICARE Arizona Physicians IPA Medicare ATLANTIC-COAST Atlantic Coast Life Insurance BANKERS-FIDELITY-LIFE Bankers Fidelity Life Insurance Company BANNER-ADV-PLUS Banner Medicare Advantage Plus PPO BANNER-ADV-PRIME Banner Medicare Advantage Prime HMO BAYCARE-SELECT BayCare Select Health Plans Inc. BENEFIT-MGMT-INC Benefit Management Inc BEST-LIFE-HEALTH Best Life and Health BOON-GROUP Boon Group BRIDGEWAY-AZ Bridgeway Arizona BUCKEYE-BATCH Buckeye CO-EMP-HOSP-ASSOC C and O Employees Hospital Association CAPROCK-HP Caprock Health Plans CARE-N-CARE Care N Care Insurance Company CARE1ST-HP-AZ Care1st Health Plan Arizona CAREFIRST-BCBS-BATCH CareFirst BCBS CP-CT CarePartners of Connecticut CS-NC CareSource NC CAROLINA-COMPLETE Carolina Complete Health CENTRAL-RESERVE-LIFE-MCARESUPP Central Reserve Life Ins Co Medicare Supplement CENTRAL-STATES Central States Fund CERNER-HEALTH-PLAN Cerner Health Plan CHAMPVA CHAMPVA CHP-DIRECT CHP Direct CHRISTIAN-BROTHERS Christian Brothers Services CHRISTIE-STUDENT Christie Student Health Plans CHRISTUS-HP CHRISTUS Health Plan CHRISTUS-NM-MCARE CHRISTUS Health Plan New Mexico Medicare Advantage CHRISTUS-HP-TX CHRISTUS Health Plan Texas Health Insurance Exchange HEALTHSPRING Cigna-HealthSpring © Experian Health, Inc. Experian Confidential Information Page 23 of 28 CSH-IL Clear Spring Health of Illinois CAREPOINT-MEDICARE-ADVANTAGE Clover Health CMFG-LIFE-INSURANCE CMFG Life Insurance COLONIAL-PENN Colonial Penn COLORADO-ACCESS Colorado Access COMMUNITY-HEALTH-OPTIONS-WC Community Health Options COMPSYCH Compsych Corporation IBM-INS-OUTSOURCING Concentrix Insurance Solutions CONSOLIDATED-ASSOC-RR Consolidated Associates Railroad CONSUMERS-LIFE Consumers Life CONTINENTAL-GEN-MCARESUPP Continental General Ins Co Medicare Supplement COUNTYCARE CountyCare COX-HP Cox Health Plans CULINARY-HEALTH-FUND Culinary Health Fund UNITE HERE Health DELTA-DENTAL-CA Delta Dental of California DD-FL Delta Dental of Florida DD-GA Delta Dental of Georgia DD-MO Delta Dental of Missouri DDOFNY Delta Dental of New York DD-NC Delta Dental of North Carolina DD-OK Delta Dental of Oklahoma DD-SC Delta Dental of South Carolina DIVERSIFIED-ADM-CORP Diversified Administration Corporation DRISCOLL-HP Driscoll Health Plan EDUCATORS-MUTUAL Educators Mutual Insurance Association ELDERPLAN Elderplan EMBLEM-HEALTH-BATCH Emblem Health EMPOWER Empower Healthcare Solutions ESSENCE-HC Essence Healthcare EVERENCE-FINANCIAL Everence Financial FALLON Fallon Community Health Plan FARM-BUREAU Farm Bureau Health Plans FIDELITY-SECURITY-LIFE Fidelity Security Life Insurance Company FIRST-AMERITAS-NY First Ameritas of New York FIRSTCHOICE-HEALTH-BATCH First Choice Health FIRST-MEDICAL-NETWORK First Medical Network FIRSTCAROLINACARE FirstCarolinaCare Insurance Company FOOD-BAKERY-FUND-SOCAL Food Bakery Confection Workers Fund of So Cal GATEWAY-HEALTH-PLAN-BATCH Gateway Health Plan GLOBAL-HEALTH Global Health GLOBAL-ADV Global Health Medicare Advantage GLOBE-LIFE-ACCIDENT Globe Life and Accident Insurance Company FIRST-UNITED-AMER Globe Life Insurance Company of New York GOLDEN-RULE Golden Rule © Experian Health, Inc. Experian Confidential Information Page 24 of 28 GRAVIE Gravie Inc. GREAT-AMERICAN-INSURANCEMCARESUPP Great American Life Ins Co Medicare Supplement RECALL-GROUP-PENSION Group and Pension HEALTH-CHOICE-AZ Health Choice Arizona HLTH-CHOICE-PATHWAY Health Choice Pathway Insurance Company HEALTH-PARTNERS-PHILADELPHIA Health Partners Plans HEALTH-PLAN-NV Health Plan of Nevada HEALTH-SVC-CHILDREN-SPEC-NEEDS Health Services for Children with Special Needs HEALTHBRIDGE HealthBridge BENEFIT-ADMIN-SYS HealthComp (Benefit Administrative Systems) HEALTHCOMP HealthComp Administrators HEALTHEZ HealthEZ HEALTHGRAM Healthgram HEALTH_SMART-BATCH HealthSmart HM-CARE-ADV HM Care Advantage HOORAY-HLTH Hooray Health PITTMAN-ASSOC HSBS Memphis HUMANA-DENTAL Humana Dental INDEPENDENCE-ADMIN Independence Administrators INDEPENDENT-HEALTH Independent Health IUHP-MCARE Indiana University Health Plan Medicare INLANDEMPIRE-BATCH Inland Empire Health Plan INTEGRA-ADMIN-GROUP INTEGRA Administrative Group INTEGRATED-MENTAL-HLTH-SVC Integrated Mental Health Services INT-BENEFITS-ADM International Benefits Administrators JOHN-HOPKINS Johns Hopkins Priority Partners and EHP KAISER-FHP-HI Kaiser Foundation Health Plan of Hawaii KAISER-FHP-HI-MCARE Kaiser Foundation Health Plan of Hawaii Medicare KMAT Kaiser Foundation Health Plan of the Mid-Atlantic States KGA Kaiser Permanente of Georgia KEMPER-BENEFITS Kemper Benefits KEY-BENEFIT-ADMIN-BATCH Key Benefit Administrators KEY-HEALTHY-PARTNERS Key Healthy Partners KEYSOLUTION KeySolution LIBERTY-NAT-LIFE Liberty National Life Insurance Company LIFEWISE-HP-OR-BTCH Lifewise Health Plan of Oregon LINCOLN-FINANCIAL-GROUP Lincoln Financial Group LOCAL-1199 Local 1199 LOUISIANA-HEALTHCARE Louisiana Healthcare Connections LOYAL-AMERICAN-MCARESUPP Loyal American Life Ins Co Medicare Supplement CORESOURCE-FMH Luminare Health (fkaCoreSource Kansas FMH) CORESOURCE-LITTLEROCK Luminare Health (fkaCoreSource Little Rock) CORESOURCE-MD-PA-IL Luminare Health (fkaCoreSource MD, PA, IL, NC, IN) © Experian Health, Inc. 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Experian Confidential Information Page 26 of 28 MCC-VA Molina Complete Care of Virginia MOLINA-HC-NV Molina Healthcare of Nevada MOLINA-NM Molina Healthcare of New Mexico MOLINA-OH-MP Molina Healthcare of Ohio Marketplace MEDICAID-MT-BATCH Montana Medicaid MORECARE-ADV MoreCare Advantage HMO MUNICIPAL-HEALTH-BENEFIT Municipal Health Benefit Fund ANTARES Mutual Health Services NALC National Association of Letter Carriers NE-TOTAL-CARE Nebraska Total Care NETWORK-HEALTH-WI Network Health (WI) HEALTH-NETWORK-CORP Network Health Insurance Corp. 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PREFERRED-CARE-PARTNERS Preferred Care Partners PRIORITYHEALTH Priority Health PROMINENCE-HEALTH-PLAN Prominence Health Plan PHP-FL-ADV Prominence Health Plan of Florida (Medicare Advantage) PHP-NV-ADV Prominence Health Plan of Nevada (Medicare Advantage) © Experian Health, Inc. Experian Confidential Information Page 27 of 28 PHP-TX-ADV Prominence Health Plan of Texas (Medicare Advantage) PROVIDENCE-HP-MCARE Providence Health Plan Medicare PROVIDENT-AMERICAN-MCARESUPP Provident American Life And Health Ins Co Medicare Supplement RELIANCE-STANDARD QuikTrip Corporation RELIANCE-STANDARD Reliance Standard Life RENAISSANCE Renaissance Life and Health RCKY-MTN-ELIG Rocky Mountain Health Plan RCKY-MTN-MD-ELIG Rocky Mountain Medicaid Health Plan ROYAL-NEIGHBORS Royal Neighbors of America SAMARITAN-HP Samaritan Health Plans SAMBA-HP SAMBA Health Benefit Plan SANA-HLTH SANA Health SELMAN Selman and Company SENIOR-DIMENSIONS Senior Dimensions SENIOR-WHOLE-MCAID Senior Whole Health of Massachusetts Medicaid SENIOR-WHOLE-MCARE Senior Whole Health of Massachusetts Medicare SHARED-HLTH-MS Shared Health Mississippi SIERRA-HEALTH-BATCH Sierra Health and Life SIGNIFICA Significa Benefit Services TPA SILVERSUMMIT-HP SilverSummit Healthplan MEDICAID-SD South Dakota Medicaid SPECIAL-AGENTS-MUTUAL Special Agents Mutual Benefit Association SPJST-MCARESUPP SPJST Medicare Supplement SVCMC-NY St Vincent Catholic Medical Centers of New York STANDARD-INSURANCE Standard Insurance STANDARD-INSURANCE-NY Standard Insurance of New York STANDARD-LIFE Standard Life and Accident Insurance Company STANFORD-HC-ADV Stanford Healthcare Advantage (SHC) STUDENT StudentResources SUMMIT-AMERICA Summit America Insurance Services SUNFLOWER-STATE-HP Sunflower State Health Plan SUNSHINE-STATE-BATCH Sunshine State Health Plan SUPERIOR-HP-TX-BATCH Superior HealthPlan of Texas BIND Surest SUTTER-SELECT Sutter Select TX-CHILDRENS-HP Texas Childrens Health Plan HEALTHPLAN-WV The Health Plan of West Virginia THE-ULLICO-COMPANIES The ULLICO Family of Companies Three Rivers Health Plans Three Rivers Health Plans THRIVENT Thrivent TOTAL-HEALTH Total Health Care TRANSACTRX TransactRX Part D TRANSAMERICA-FIN-LIFE Transamerica Financial Life Insurance © Experian Health, Inc. Experian Confidential Information Page 28 of 28 TRANS-LIFE-INS Transamerica Life Insurance TRIPLE-S-ADV Triple-S Advantage TRIPLE-SALUD-BCBSPR Triple-S Salud (BCBS Puerto Rico) TRUSTMARK Trustmark Small Business Benefits UCARE-MINNESOTA-COMM UCare of Minnesota UCARE-MINNESOTA-MEDICAID UCare of Minnesota Medicaid UCARE-MINNESOTA-MEDICARE UCare of Minnesota Medicare UMR-WAUSAU-BATCH UMR Wausau UNION-PACIFIC Union Pacific Railroad Employees BETTER-HEALTH Unison Health Plan BETTER-HEALTH Unison Health Plan UNITE-HERE Unite HERE Health-LV UNITED-AMER-INS-CO United American Insurance Company UNITED-MINE-WORKERS-ASSOCIATION United Mine Workers Association UNITED-TEACHER-MCARESUPP United Teacher Associates Medicare Supplement UNIVERSITY-CARE-ADVANTAGE-AZ University Care Advantage Arizona UNIVERSITY-FAMILY University Family Care UNIVERSITY-PHYS-ADVANTAGE University Physicians Care Advantage US-FAM-HP US Family Health Plan USAA-LIFE USAA Life Insurance Company USAA-MCARE-SUPP USAA Medicare Supplement VA-FEE-BASIS VA Fee Basis Program VA-HAC VA Health Administration Center VANTAGE-HEALTH-COMMERCIAL Vantage Health VANTAGE-HEALTH-MEDICARE Vantage Health Medicare VILLAGE-FAMILY-PRACTICE Village Family Practice WEB-TPA WEB-TPA WPAS Welfare and Pension Administration Service (WPAS) WELLFLEET Wellfleet Group LLC WV-CHIP West Virginia CHIP WS-FINANCIAL-GRP Western and Southern Financial Group WESTERN-HEALTH-ADVANTAGE Western Health Advantage WHA-MCARE Western Health Advantage Medicare WESTERN-SKY Western Sky Community Care MEDICAID-WY Wyoming Medicaid Notice of Care BCBS-MA Blue Cross Blue Shield of Massachusetts   [00:01:15] Change in healthcare industry. [00:04:42] Cybersecurity breach at Change. [00:08:55] Cash flow challenges for healthcare groups. [00:13:37] Major issues in healthcare cybersecurity. [00:16:28] Hackers demanding ransom for data. [00:20:45] Cybersecurity threats in healthcare. [00:24:40] Healthcare system vulnerabilities. [00:29:53] Lack of transparency in communication.  

Alex DaCosta is the CEO and a founding member of Aspen Creek Digital Corporation, whose mission is to catalyze the decarbonization of power generation by creating the world's leading renewable bitcoin mining operator. ACDC couples financial ingenuity with proven renewable energy expertise, delivering carbon transparency, lower power price volatility and renewable energy additionality. Prior to ACDC, Alex spent 18 years on Wall Street in Fixed Income Structured Products and Asset Finance, and was most recently head of ESG and Impact Investing at Cantor Fitzgerald. Alex is a member of the Advisory Board for Mass General Hospital for Children. She is also a Board Member of Commonwealth Care Alliance, a not-for-profit community based healthcare organization dedicated to providing care for individuals who are dually eligible for Medicare and Medicaid, with complex medical, behavioral and social needs, including persons with disabilities. Alex is also a Board member of the University Cottage Club at Princeton University, where she serves at Secretary and as a founding member of the Glinka Fund, dedicated to reducing or eliminating the financial burden of joining the Club for students requiring financial aid. Alex is a volunteer for Community Cooks, preparing monthly home cooked meals for a local women's shelter. She also volunteers with American Corporate Partners, acting as a Mentor to Veterans transitioning from the military to the civilian workforce. Alex graduated cum laude from Princeton University with a Bachelor of Arts in Politics and a certificate in Political Theory in 2004. She also graduated from the LEAD program at the Stanford School of Graduate Business in 2021. Originally from Toronto, Canada, Alex lives in Boston, MA with her husband Tyson White '04, and their sons Hudson (7) and Bond (5).David Yi spearheads ACDC's growth and strategic initiatives. He is a 10-year veteran of investment banking. After previous stints at BMO Capital Markets and Rothschild & Co, David most recently led Crypto Investment Banking efforts at Cantor Fitzgerald, where his principal focus was covering the emerging industry of bitcoin mining. He has completed numerous financing and M&A transactions across cryptocurrencies, metals & mining, and other diversified industries. Linkshttps://acdigitalcorp.com/*Disclaimer. Richard Carthon is the Founder of Crypto Current. All opinions expressed by members of the Crypto Current Team, Richard or his guest on this podcast are solely their opinions and do not reflect the opinions of Crypto Current. You should not treat any opinion expressed by Richard as a specific inducement to make a particular investment or follow a particular strategy but only as an expression of his opinion. This podcast is for informational purposes only.~Put your Bitcoin and Ethereum to work. Earn up to 12% interest back with Tantra Labs~New to crypto? Check out our Crypto for Beginners Step-by-Step Guide to Crypto Investing~Follow us on Youtube, Twitter, Instagram, Facebook, LinkedIn, &

Commonwealth Care Alliance Rhode Island cut the ribbon on their new Providence office this morning, and I sat down with President and CEO Chris Palmieri and Senior VP Corey McCarty to discuss the organizations impact on RI jobs and healthcare ecosystem.Support the show

Teams from the Mass General Brigham health system and the Commonwealth Care Alliance, both in Massachusetts, have collaborated on a value-based care initiative with the principal goals of improving patient clinical outcomes, reducing unnecessary health care utilization, and making care more accessible. iCMP PLUS (Patients Linked to Urgent Support) is an integrated care management program providing intensive, multidisciplinary care to the highest-risk dual-eligible patients with Medicaid ACO coverage who have complex medical needs and high health care costs. Care team members meet patients where they are, demonstrating the effectiveness of community-based care management support programs. On this episode of Managed Care Cast, we speak with Jack Rowe, MD, MPH, and Lori Tishler, MD, MPH, 2 authors of “Intensive Care Management of a Complex Medicaid Population: A Randomized Evaluation,” published in the September issue of The American Journal of Managed Care®, about their findings on the program's effectiveness from its early phase of implementation.

Inside RI Public Health presented by Commonwealth Care Alliance: a partnership between CCA and Lifespan addresses social determinants of health and much more.  We discuss in detail with CCA's Corey McCarty and Lifespan's Dr. Alan Kurose.Support the show

On today's SBAM Weekly Podcast, Michael Rogers talks with Courtney Murphy, President of Markets for Commonwealth Care Alliance. She's on the show because Reliance Healthcare (one of the Small Business Association of Michigan's VIP members) will soon become part of Commonwealth Care Alliance and be renamed CCA Health. “We focus on individuals with significant needs and seniors,” she says. “And this was a great opportunity to align with an organization that has the same vision to transform healthcare for those individuals.” The Small Business Association of Michigan is the only statewide and state-based association that focuses solely on serving the needs of Michigan's small business community. We have been successfully serving small businesses like yours in all 83 counties of Michigan since 1969. We're located in Lansing, just one block from the Capitol. Our mission is to help Michigan small businesses succeed by promoting entrepreneurship, leveraging buying power and engaging in political advocacy. When small businesses band together through the Small Business Association of Michigan, they achieve more than they could on their own.  Our 30,000+ members are as diverse as Michigan's economy. From accountants to appliance stores, manufacturers to medical, and restaurants to retailers, what unites the SBAM membership is the spirit of entrepreneurship…a spirit that drove you to start and continue to operate your own business because you believe you can do something better than anyone else is doing it! (music licensed from www.jukedeck.com)

Inside RI Public Health Presented By Commonwealth Care Alliance Rhode Island: Bill Bartholomew welcomes Rhode Island Department of Health Interim Director Dr. Jim McDonald Support the show (https://www.patreon.com/bartholomewtown?fan_landing=true)

In this podcast, Lauren Easton, the Vice President for Integrative Program Development and Clinical Innovation at Commonwealth Care Alliance, or CCA, discusses CCA's approach to locating and engaging hard-to-reach members during COVID-19. In 2021, Resources for Integrated Care launched an Integrated Care Community of Practice (ICCoP), a learning community of outreach and care coordination staff from 20 national and local health plans. These podcasts, excerpted from a December 2021 panel discussion webinar, discuss promising practices that emerged from the ICCoP and elsewhere for locating and engaging these members, especially in light of the COVID-19 pandemic. Panelists share challenges and innovative strategies for engaging members in care coordination, addressing social needs, and providing education and outreach related to the COVID-19 vaccine.

In this podcast, Renée Markus Hodin, the Deputy Director of the Center for Consumer Engagement in Health Innovation at Community Catalyst, facilitates a panel discussion with Lauren Easton, the Vice President for Integrative Program Development and Clinical Innovation at Commonwealth Care Alliance, or CCA, Tashau Asefaw, a Manager for Community Programs at Community Health Plan of Washington, or CHPW, and Jen Klopstein, a special needs plan, or SNP, Administrator for Health Services at Viva Health. In 2021, Resources for Integrated Care launched an Integrated Care Community of Practice (ICCoP), a learning community of outreach and care coordination staff from 20 national and local health plans. These podcasts, excerpted from a December 2021 panel discussion webinar, discuss promising practices that emerged from the ICCoP and elsewhere for locating and engaging these members, especially in light of the COVID-19 pandemic. Panelists share challenges and innovative strategies for engaging members in care coordination, addressing social needs, and providing education and outreach related to the COVID-19 vaccine.

Our panel of experts from Commonwealth Care Alliance, Molina Healthcare of Ohio and BeneLynk share best practices for addressing the SDOH needs of your dual eligible members. Walk away with ideas you can implement in your own organization to close gaps in care, improve outcomes, and reduce costs. Topics include: Topics include: Combining technology with the human touch; Segmenting your population by key determinants; Using SDOH Z-Codes to prioritize patient outreach; Designing programs to change behavior; Determining ROI   Panelists: Pamela Tropiano, RN, BSN, MPA, CCM, Vice President, Healthcare Services, Molina Healthcare of Ohio, Inc. Lauren Easton, MSW, L.I.C.S.W. Vice President, Integrative Program Development and Clinical Innovation, Commonwealth Care Alliance Sean Libby, President, BeneLynk   Panelist Bios https://www.sharedpurposeconnect.com/events/leveraging-sdoh-to-increase-dual-eligible-penetration/   This episode is sponsored by BeneLynk, a national provider of social determinants of health (SDoH) solutions for Medicare Advantage and Managed Medicaid health plans. We serve plans and their members by creating a human-to-human connection and providing the assistance a member needs to get the benefits they deserve.  By employing one dynamic conversation that flows organically to meet social determinants of health challenges, we build stronger human connections that are supported by innovative technology. We help Medicaid members to retain their benefits through a comprehensive outreach campaign providing information and assistance. All of our services are customized to the specific geography where we provide services and provide the members with the specific information they need to keep their benefits in place.  Our mission is to improve lives and positively impact social determinants of health barriers by providing our healthcare partners with the information they need, and people with the advocacy they deserve.

This episode features Chris Palmieri, President and CEO of Commonwealth Care Alliance. Here, he discusses how to stay positive in difficult times, how his organization advances the needs of the communities they serve and live in, and more.

Patients are now finally being recognized as customers with the power to choose their providers. Health systems have responded to this by installing experience officers and investing in more patient-centered care delivery —  but what about including patients in designing the services and programs on the front-end? Here's how health systems can think of patients as not only customers but as healthcare experts. Melinda Karp, Vice President of Consumer Centered Quality for Commonwealth Care Alliance and Executive Director for the Center to Advance Consumer Partnership shares her insight on centering patient experience.

This episode features Chris Palmieri, President and CEO of Commonwealth Care Alliance. Here, he discusses how to stay positive in difficult times, how his organization advances the needs of the communities they serve and live in, and more.

Bill Bartholomew welcomes Commonwealth Care Alliance's President and CEO Chris Palmieri for a discussion about the "integrated care system's" expansion in Rhode Island, addressing the most in-need members of our community, innovations in coverage during Covid19 and much more.Support the show (https://www.patreon.com/bartholomewtown?fan_landing=true)

Are you on a quest to become a Data Scientist? Learn from people who have been through the same difficulties and challenges you are probably facing right now!Nowadays everything we need to know is at a distance of a click. The Internet is filled with information but there are times where a full-made Data Scientist, an apprentice, or even a wannabe gets tired of searching for new themes, reading so many blogs, and viewing a great number of Youtube videos. If you fit this description or are just looking for other learning sources, this podcast is for you.Isha Goyalhttps://www.linkedin.com/in/isha-goyal02/The Data Standardhttps://datastandard.io/https://www.linkedin.com/company/the-data-standard/

Our expert panel discusses the importance of listening and responding to the voice of the healthcare consumer to improve the overall patient/member experience, clinical outcomes, and personalized care. Panelists include: David Langer, MD, Chair, Neurosurgery, Lenox Hill Hospital and star of Netflix docuseries Lenox Hill; Melinda Karp, MBA, Executive Director, The Center to Advance Consumer Partnership; and Senior Vice President, Consumer Partnership, Commonwealth Care Alliance; Tom Meier, Vice President - Product Development, Innovation, and Member Experience, BlueCross BlueShield of South Carolina; and David Webster, MD, MBA, VP &, Executive Medical Director, Clinical Services, Highmark Health.   This podcast is sponsored by the Center to Advance Consumer Partnership The Center to Advance Consumer Partnership (CACP) helps organizations realize the often-untapped value of their consumers’ voices. Building on proven approaches pioneered by its founder, Commonwealth Care Alliance, CACP works with innovative healthcare and human services leaders to develop capabilities, build infrastructure, and cultivate relationships that ensure consumers with the most significant needs become enduring organizational partners, invaluable to shaping strategy and action. Together as partners, organizations and consumers are inspired to build trust and co-design solutions that really work to improve outcomes and enhance experiences. 

Our expert panel discusses the importance of listening and responding to the voice of the healthcare consumer to improve the overall patient/member experience, clinical outcomes, and personalized care. Panelists include: David Langer, MD, Chair, Neurosurgery, Lenox Hill Hospital and star of Netflix docuseries Lenox Hill; Melinda Karp, MBA, Executive Director, The Center to Advance Consumer Partnership; and Senior Vice President, Consumer Partnership, Commonwealth Care Alliance; Tom Meier, Vice President - Product Development, Innovation, and Member Experience, BlueCross BlueShield of South Carolina; and David Webster, MD, MBA, VP &, Executive Medical Director, Clinical Services, Highmark Health. This podcast is sponsored by the Center to Advance Consumer Partnership The Center to Advance Consumer Partnership (CACP) helps organizations realize the often-untapped value of their consumers’ voices. Building on proven approaches pioneered by its founder, Commonwealth Care Alliance, CACP works with innovative healthcare and human services leaders to develop capabilities, build infrastructure, and cultivate relationships that ensure consumers with the most significant needs become enduring organizational partners, invaluable to shaping strategy and action. Together as partners, organizations and consumers are inspired to build trust and co-design solutions that really work to improve outcomes and enhance experiences. 

Commonwealth Care Alliance President and CEO and ACAP Chair Christopher Palmieri joins Meg for the inaugural episode of the ACAP Coffee Break to discuss his journey from aspiring law student to Safety Net Health Plan leader, how his plan has responded to the COVID-19 crisis, and what he looks for in emerging health care leaders. Find Chris' book recommendation here: https://bit.ly/38GkVTC. 

Today’s healthcare consumers have many choices and practicing empathy can be a key differentiating factor in a crowded marketplace. No app, drug, or medical device can replace genuine human connection. Our all-star panel of experts from Stanford Healthcare, Commonwealth Care Alliance, UPMC, Nemours Children’s Health System, and Barnes-Jewish Hospital, explore the roles empathy and innovation play in helping healthcare payers and providers deliver best-in-class care, services, and experiences. The panel also provides real-life examples of leveraging empathy as part of an overall consumer/patient experience strategy. (Panelist bios are available at: https://www.sharedpurposeconnect.com/bios-09102020/)   This podcast is sponsored by the Center to Advance Consumer Partnership The Center to Advance Consumer Partnership (CACP) helps organizations realize the often-untapped value of their consumers’ voice. Building on proven approaches pioneered by its founder, Commonwealth Care Alliance, CACP works with innovative healthcare and human services leaders to develop capabilities, build infrastructure, and cultivate relationships that ensure consumers with the most significant needs become enduring organizational partners, invaluable to shaping strategy and action. Together as partners, organizations and consumers are inspired to build trust and co-design solutions that really work to improve outcomes and enhance experiences. 

This episode features Chris Palmieri, the President & CEO of Commonwealth Care Alliance. Here they discuss how they continue caring for their vulnerable patients during COVID-19, what they did to prepare, what he believes the new normal will look like for Americans, and more. This podcast is brought to you by Becker's Healthcare in conjunction with Intuitive. Intuitive is a global technology leader in minimally invasive care and a pioneer of robotic-assisted surgery.

Today’s podcast episode with Dr. Gregory Katz is part of our live, Population Health Executive Roundtables Series (https://www.sharedpurposeconnect.com/virtual-roundtable-recordings/).   During my interview, Dr. Katz discussed what it’s like in the ICU during the COVID pandemic, the ethical dilemmas he and his peers are facing at Vassar Brothers Medical Center (400-bed hospital in Poughkeepsie, NY), and he also enlightens us with some really interesting opportunities for innovation. Finally, there are a lot of great, relevant questions asked by our audience of healthcare leaders, which Greg generously answers.   As an aside, Dr. Katz publishes a terrific email newsletter featuring his thoughts on health, medicine, and COVID-19: https://gregorykatz.substack.com/   The sponsor for today’s episode is us, Shared Purpose Connect, the producer of the Population Health Executive Roundtable and Bright Spots in Healthcare Podcast!   If your organization is looking to read leaders at the provider and/or pay organizations, consider using events as the hub to your marketing and lead generation strategy, and consider partnering with Shared Purpose Connect to accomplish this.    Shared Purpose Connect produces events from soup-to-nuts, working with your team to incorporate you as a thought leader within our roundtable discussion and/or podcast, support you in producing different marketing content derived from or connected to the event, and assist you in lead generation and networking. We become an important extension to your marketing teams. Our other partner companies (“sponsors”) include larger companies like Vituity, Commonwealth Care Alliance and Lumeris, and smaller organizations like Reveal Health and Roster Health. If you are curious, email me directly at eglazer@sharedpurposeconnect.com, @EricGlazer (Twitter), or Eric Glazer on LInkedIn. We can schedule a no-pressure brainstorming meeting. 

Have you ever felt lonely and overwhelmed in a clinic room with a patient whose needs are far beyond your skills and ability to meet? I have, many times, and so has our guest this week, Dr. Lori Tishler. Dr. Tishler is the Vice President of Medical Affairs at Commonwealth Care Alliance, a not-for-profit organization that cares for more than 20,000 of the most vulnerable patients in Massachusetts, duals, or individuals who have both Medicare and Medicaid. We talk about how CCA’s member-centered approach (as opposed to a physician-centered approach) has helped her feel more effective in caring for these vulnerable patients. We talk about the range of services that CCA offers, the role of their care partners, and the freedom that their financial model permits – for example, they provide 90% of care to patients in their homes. You can find the Atlantic Magazine article we referenced featuring CCA here, and find a few Health Affairs blogs featuring CCA here, and a blog post focusing on building the business case for a community paramedicine program here. A bit more about our guest: Lori Tishler is the Vice President of Medical Affairs at Commonwealth Care Alliance, a not-for-profit organization that cares for more than 20,000 of the most vulnerable patients in Massachusetts, people who have both Medicare and Medicaid. She oversees CCA’s physicians and is involved with clinical aspects of quality, utilization, and pharmacy. In addition, she is an Assistant Professor at Harvard Medical School and an active member of the General Medicine Faculty at Brigham and Women’s Hospital, As a caring and connected physician leader, mentor, and educator, Dr. Tishler’s passion has been providing care for the medically and socially vulnerable and making a difference in health systems for all. Tishler has found that the most rewarding way to help change and grow our health care systems is to mentor learners who are interested in clinical care, leadership, and innovation. Her leadership roles have extended outside of the clinic and outside of primary care. She served on the Partners Healthcare Board of Directors, the Board of Directors for the Office for Women’s Careers, and the Board of the Schwartz Rounds while at the Brigham. At Commonwealth Care Alliance, she teaches and presents nationally about our care model and innovations. In addition to her leadership work, she continues to provide clinical care Tishler feels that working as a clinician informs her choices and decisions as a leader. Outside of work, Dr. Tishler loves to spend time with her husband and teenaged daughter, to travel, read, and knit. She is honored to have been interviewed on Review of Systems. If you enjoyed the show, please give us 5 stars wherever you listen. Tweet us your thoughts @rospodcast and check out our facebook page at www.facebook.com/reviewofsystems. Or, you can email us at audreyATrospod.org. We’d love to hear from you, and thanks for listening.

In this episode, Teri welcomes Stuart Patterson, the founder and CEO of Lifepod, a revolutionary new service that can best be thought of as “2-way Alexa for the elderly” which enables seniors to use their voice to live more comfortably and safely in their home by providing essential services such as news/weather updates, medication reminders, access to transport, control of smart-home appliances, and fall detection.LifePod also offers the adult children and caregivers of these elders a powerful new way, using a mobile portal and AI based on data from local IOT sensors, to monitor, keep in touch with, and support their elderly loved ones without having to be there in person.Stuart is an experienced business leader who has led early/mid-stage ventures in a variety of markets including: voice or virtual assistants, mobile/online apps and services, video content, speech recognition/synthesis, identity management, telephony services, and clean-tech solutions. Key points from Stuart!The combination of voice technology with IOT devices to address the needs of the elderly aging in place in an inexpensive and easy to use way.LifepodWas invented by serial inventor, Dennis Fountaine. Dennis invented the first wireless earpieces. He developed the first prototypes of Lifepod. He also developed the first prototype of the “Lifepod caregiver portal” which allows caregivers to setup the routines that speak via Lifepod. He created it to be integrated with Alexa so that it could have the greatest impact.Stuart and his business partner bought out all the rights for Lifepod from Dennis.Lifepod uses Alexa and they are in talks with Google to incorporate Google Assistant. They did a demonstration with Samsung for their Bixby assistant.Lifepod uses voice technology to add a “virtual caregiver capability” to its service.Voice assistants use reactive voice modalities which enable them to react to what users ask them to do. Lifepod adds the concept of proactive voice which allows virtual assistants to speak to the user without being woken up and without being spoken to. Caregivers are able to schedule dialogues to speak throughout a day or week.Lifepod also invokes other skills like asking if you would like to listen to your favorite music or have Lifepod order an Uber for you.They focus more on the demographic that has been having difficulties using the reactive mode of voice assistants.The FutureThey hope to develop technology that will enable Lifepod to detect whether a user is talking so as to avoid interrupting the user’s conversation or ask to be excused before talking or asking a question.They intend to incorporate presence detection technology so that Lifepod never speaks in an empty room.Smart speaker producers are working on incorporating multi-room capability.Onboarding UsersThey preconfigure the Lifepod to make it as simple as possible to use for both the elderly users and caregivers.Caregivers are able to configure the Lifepod to meet the unique needs of each individual elderly user.Lifepod has three types of routines; wellness check-ins, social or other reminders, and other voice services (skill linking like giving the weather, or the news, etc.)A caregiver can configure wellness check-ins like, “How are you feeling?” and if the user says they’re not feeling well, Lifepod asks, “Would you like your daughter/son or professional caregiver to contact you today or by phone”They have a “capability of configurable alerts” feature within the check-ins and reminders which sends relevant text messages to caregivers’ phones.Current StageLifepod is currently in beta testing. They have 20 prototypes and will soon have 200 beta Echo clones with the Lifepod name on them and the Lifepod firmware in them.They are beta testing with individual members of the public in Boston and California. They are involving companies and institutions like Boston’s Commonwealth Care Alliance where they have almost 50 beta devices in different patients’ homes.They are also doing smaller pilots with senior living facilities and home care agencies.They have a wait list and hope to be available to the public by April 2019.For some time they might only be available through institutional partners like Commonwealth Care Alliance.What Voice First Health Means to StuartHe is always excited by the possibility that a caregiver can support and monitor their patient or parent from a distance, whether it’s a short or long distance.Links and Resources in this EpisodeLifepod WebsiteReach out to Stuart at Stuart@Lifepod.comLifepod on LinkedinDr. Teri Fisher on TwitterDr. Teri Fisher on LinkedInPlease leave a review on iTunes See acast.com/privacy for privacy and opt-out information.

In this episode, Teri welcomes Dr. John Loughnane, the Chief of Clinical Innovation and the Medical Director of Life Choices Palliative Care Program at Commonwealth Care Alliance. Dr. Loughnane will talk about some of the fascinating and impactful work they are doing in the voice first health space.Key Points from Dr. John LoughnaneHow Commonwealth Care Alliance is using voice first technology to help the lives of their patients.Commonwealth Care Alliance (CCA)A nonprofit community based healthcare organization that focuses on individuals with complex medical behavior health and social needs including persons with disabilities.It was one of the first dual-eligible special needs plans which provided patients with both Medicare and Medicaid which means they had both complexity of their medical issues and social determinants.The plan had a significant risk adjusted premium. Each month CCA was given a certain amount of dollars which was risk adjusted to patients’ medical complexity and some level of their term service support needs which created a capitated amount of dollars that CCA used to create care systems to better care for the most vulnerable populations.Dr. Loughnane started the Palliative Care/End-of-Life Program at CCA.He has been taking care of patients with physical disabilities. Caring for these patients presented different challenges which led Dr. Loughnane and his colleagues to start thinking about how to build a care system that met all the highlighted needs. Voice technology came up as the best solution for interacting with the patients especially those without classic functional abilities.Winter Street Ventures: The CCA’s health technology accelerator affiliateVoice Use CasesThey have a pilot program with their voice first technology partner, LifePod Solutions.They did an original grant-funded pilot program which was using voice in the typical reactive asking which taught them a lot of lessons that they then used to strategize in a more formal process to start working on a more proactive voice first technology solution.Use case one: patients, especially those with severe medical diseases, intellectual disability and physical disability want to have social connection because they really suffer from loneliness. For example, twice a day the LifePod asks a patient who loves music whether he wants to hear their favorite music. The patient says yes and gets to engage with the music. Other patients want to connect with the news or call different people which the LifePod makes so much easier and engaging.Use case two: using the voice first technology to give people reminders about healthcare issues like, “Get up and move”, “Dance”, “It’s time to take your medication”, and many others. This is patient-focused and non-judgemental. They are asking patients what they would like voice to do for them.Future ScenariosOnce they have full HIPPA compliance, the care plans can be individualized to each patient’s needs.Voice will connect patients with similar health problems by forming social groups. This will enable learning and shared experiences. It will be a way to build a voice community.Voice will continue to enable patients to control their homes, environments, schedules and have an organization component. Patients will be able to define what works for them and what works for their families.Potential shifts in where healthcare is providedWith voice first technology, hospitals will be for a very small minority of patients because the technology will allow healthcare practitioners to care for patients at home. Both primary and acute care will be delivered at home through voice.Challenges with LifePodThe wake words and how you phrase things is still a challenge, but it’s gotten better.They need to get HIPPA compliance so they can make better care plans.There needs to be an augmentation of the technology’s ability to work with voices that have physical limitations like where a patient has Parkinson’s. The sensitivities of the speakers and microphones needs to be continually worked on so the technology can benefit everyone.The ongoing ability to have multiple languages should be continually worked on.The Meaning of Voice First Health to Dr. LoughnaneIt means patients having the ability to engage with augmented care from their medical/social/behavioral health providers in a way that they’ve never been able to deliver in the past.Links and Resources in this EpisodeCommonwealth Care AllianceWinter Street VenturesDr. Teri Fisher on TwitterDr. Teri Fisher on LinkedInPlease leave a review on iTunes See acast.com/privacy for privacy and opt-out information.

These podcasts, excerpted from a March 2018 webinar, provide a background on the needs of adults with disabilities with complex or co-occurring behavioral health needs. These challenges range from highly variable to severe mental health issues, commonly co-occurring with substance use disorders or other functional limitations. These discussions include an introduction to the population and their experiences with mental illness, a summary of treatment options, and recovery and resilience. By understanding the participant perspective, providers can learn to deliver participant-centered care and empower participants to engage in their care experience. These conversations examine the innovative approach the Commonwealth Care Alliance (CCA) health plan developed to address the needs of its population. CCA partnered with a local community provider to create a structured living setting as an alternative to institutionalization. This is just one example of a flexible approach to care aimed at improving the accessibility, quality, and care experience for participants and providers.

Today’s guest is Greg Townsend, the Vice President of Business Intelligence and Analytics at Commonwealth Care Alliance in Boston. Greg’s path to leadership in health analytics traces the coming of age of analytics in health care. Greg’s educational background began in public health working with disease management and health promotion, which led him to roles in risk management and quality improvement, two fields that rely heavily on data. These early roles helped him develop the skill set that he uses today to support the Commonwealth Care Alliance’s mission of providing health care to some of Massachusetts’ most needy citizens. The podcast concludes with Greg’s thoughts on leadership and his advice to people who are interested in entering the field of health analytics. You are listening to the abridged version of the podcast that focuses only on Greg’s work at Commonwealth Care Alliance. An extended version of the podcast is also available. The extended version includes a discussion of Greg’s career trajectory leading up to his work at Commonwealth Care Alliance, and concludes with Greg’s thoughts on leadership and his advice to people who are interested in entering the field of health analytics. Please see our web site for the link to the extended version of the interview.

Today’s guest is Greg Townsend, the Vice President of Business Intelligence and Analytics at Commonwealth Care Alliance in Boston. Greg’s path to leadership in health analytics traces the coming of age of analytics in health care. Greg’s educational background began in public health working with disease management and health promotion, which led him to roles in risk management and quality improvement, two fields that rely heavily on data. These early roles helped him develop the skill set that he uses today to support the Commonwealth Care Alliance’s mission of providing health care to some of Massachusetts’ most needy citizens. The podcast concludes with Greg’s thoughts on leadership and his advice to people who are interested in entering the field of health analytics. You are listening to the extended version of the podcast. An abridged version of the interview that focuses only on Greg’s work at Commonwealth Care Alliance is also available. Please see our web site for the link to that version of the interview.

August 7, 2014 - Read the full Forbes article and watch the interview here: http://onforb.es/1zULPxb. Subscribe to this podcast on iTunes by clicking here: http://bit.ly/ymotwitunes or on Stitcher by clicking here: http://bit.ly/ymotwstitcher. An entirely new wave of health care reform is coming to America with financing from Vital Healthcare Capital, a nonprofit community development financial institution (CDFI). V-Cap, as Vital Healthcare Capital is known, just made its first social impact investment, $10 million dollars, into Commonwealth Care Alliance or CCA, which serves vulnerable populations, including frail seniors and adults with disabilities. Many of the folks served by CCA are eligible for both Medicaid and Medicare but often fall between the cracks in the system if only because they lack the resources to take advantage of the healthcare available to them. CCA reports that it has also proven the ability to reduce costs by helping patients to avoid unnecessary hospital stays and to live healthier lives. Those eligible for both Medicare and Medicaid represent just 15 percent of the Medicade population, but use 40 percent of the resources. Managing their care therefore presents a huge fiscal as well as social opportunity.