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Workers at Group Health Cooperative rally to demand union recognition, leaders from the Meriter Hospital nurses and Harvard dining hall workers discuss their successful strikes and the power of solidarity in the workplace and in the community, the president of SEIU California is among union members targeted in protests against ICE abductions, we hear voices from Take Kids Fishing Day, a former Google employee fired for his activism has an update on that company's stake in military and policing projects, and No Kings Day protests will occur in Madison and around the country.
Here's your local news for Wednesday, June 11, 2025:We share the details on some new proposals that seek to expand housing options in Madison,Hear the mission behind a proposed "sustainability campus" across the street from the Dane County landfill,Check in on the fight for union recognition at Group Health Cooperative,Broadcast the most comprehensive weather report on the airwaves,Travel back in time to 1968,And much more.
UnityPoint-Meriter nurses and their supporters rally for a fair contract and promise to strike if hospital management doesn't come through in bargaining, Labor Radio speaks to folks marching at Madison's version of the national Hands Off rally, a local worker wins a wage theft case but the company has yet to pay up, UAW President Shawn Fain address the union and the world about support for Trump's tariffs, the president of the University of Wisconsin-Madison faculty and staff union speaks on a recent resolution of the UW Faculty Senate condemning the UW administration's violent response to pro-Palestinian protests last year and on the union response to the ongoing genocide in Gaza, and the NLRB comes to a decision on the size of the Group Health Cooperative voting unit and sets an early May date on the union election.
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. Experian Confidential Information Page 20 of 28 MEDICA-BATCH Medica MEDICAL-ASSOCIATES-HEALTH Medical Associates Health Plan/Health Choices MERCY-CARE-PLAN-CAID Mercy Care Plan Medicaid MERITAIN-HEALTH-BATCH Meritain Health METROPLUS MetroPlus MOLINA Molina MOLINA_CA Molina (CA) Molina_FL Molina (FL) MOLINA-ID Molina (ID) MOLINA_IL Molina (IL) MOLINA_MI Molina (MI) MOLINA_OH Molina (OH) MOLINA-SC Molina (SC) Molina_TX Molina (TX) MOLINA_UT Molina (UT) MOLINA_WA Molina (WA) MUNICIPAL-HEALTH-BENEFIT Municipal Health Benefit Fund ANTARES Mutual Health Services NALC National Association of Letter Carriers NETWORK-HEALTH-WI Network Health (WI) NEW-ERA-LIFE-INS New Era Life Insurance Company NOVASYS-HEALTH NovaSys Health OLD-SURETY Old Surety Life Insurance OSCAR Oscar PACIFIC-SOURCE Pacific Source Health Plan PACIFICSOURCE-COMMUNITYSOLUTIONS PacificSource Community Solutions PACIFICSOURCE-MCARE PacificSource Medicare PAN-AMERICAN-LIFE Pan-American Life Insurance Company PARKLAND-COMMUNITY-HP Parkland Community Health Plan PASSPORT-ADVANTAGE Passport Advantage PASSPORT-HP Passport Health Plan PEOPLES-HEALTH Peoples Health PHYSICIANS-HP-MI Physicians Health Plan of Michigan Medicare PHYS-MUTUAL Physicians Mutual Insurance Company PLANNED-ADMINISTRATORS Planned Administrators Inc. 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. Experian Confidential Information Page 22 of 28 ALLIED-BENEFIT-BATCH Allied Benefit Systems ALT-INS-RESOURCES Alternative Insurance Resources, Inc. HEALTHLINK-PPO-AMERIBEN-BATCH AmeriBen AMERICAN-GENERAL American General Life and Accident AMER-INCOME-LIFE-INS American Income Life Insurance Company AMERICAN-INS-ADMIN American Insurance Administrators AMERICAN-NATL-INS-CO American National Insurance Company AMERICAN-NATL-LIFE-TX American National Insurance Company of Texas AMERICAN-NETWORK-INS-MCARE-SUPP American Network Ins. 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. Experian Confidential Information Page 25 of 28 CORESOURCE-OH Luminare Health (fkaCoreSource OH) MAESTRO-HEALTH Maestro Health MAGNACARE MagnaCare MAGNOLIA-HP-BATCH Magnolia Health Plan MANAGED-HEALTH-NETWORK Managed Health Network MANAGED-HEALTH-WISCONSIN Managed Health Services Wisconsin MANHATTAN-LIFE Manhattan Life MAPFRE-MCARE-EXCEL MAPFRE Medicare Excel MARTINS-POINT Martins Point MARTINS-POINT-CARE Martins Point Medicare MARY-WA-HP Mary Washington Health Plan MASS-ADV Mass Advantage MEDBEN MedBen (Newark OH) MEDICA-BATCH Medica MEDICA-BATCH Medica MEDICA-HC-FL Medica HealthCare Plans of Florida MEDICAL-ASSOCIATES-HEALTH Medical Associates Health Plan/Health Choices MEDBEN Medical Benefits Administrators / MedBen MEDBEN Medical Benefits Administrators Inc. (Newark OH) MEDBEN Medical Benefits Companies (Newark OH) MEDBEN Medical Benefits Mutual (Newark OH) MEDBEN Medical Benefits Mutual / MedBen MEDBEN Medical Benefits Mutual Life Insurance Co. MED-CARD-SYS Medical Card System MEDIGOLD MediGold MEDI-SHARE Medi-Share MEDPAY Med-Pay MERITAIN-HEALTH-BATCH Meritain Health METROPLUS MetroPlus MSEMPTEACH Mississippi State Employees and Teachers MOLINA Molina MOLINA_CA Molina (CA) Molina_FL Molina (FL) MOLINA-ID Molina (ID) MOLINA_IL Molina (IL) MOLINA_MI Molina (MI) MOLINA_OH Molina (OH) MOLINA-SC Molina (SC) Molina_TX Molina (TX) MOLINA_UT Molina (UT) MOLINA_WA Molina (WA) MOLINA_WI Molina (WI) MOLINA-CC-AZ Molina Complete Care of Arizona MOLINA-CC-AZ-MCARE Molina Complete Care of Arizona Medicare © Experian Health, Inc. 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. NEW-ERA-LIFE-INS New Era Life Insurance Company MEDICAID-NH New Hampshire Medicaid NY-HOTEL-FUNDS New York Hotel Funds MEDICAID-NY-NAME New York Medicaid Name Search NIPPON-LIFE Nippon Life Insurance Company NORTHWEST-ADMIN Northwest Administrators OCHSNER-HP-ADV Ochsner Health Plan Medicare Advantage OLD-SURETY Old Surety Life Insurance OPTUM-MED-NETWORK Optum Medical Network OPTUMCARE OptumCare OPTUMHEALTH-BEHAVIORAL OptumHealth Behavioral Solutions OSCAR Oscar PACIFIC-SOURCE Pacific Source Health Plan PACIFICSOURCE-COMMUNITY-SOLUTIONS PacificSource Community Solutions PACIFICSOURCE-MCARE PacificSource Medicare PAN-AMERICAN-LIFE Pan-American Life Insurance Company PASSPORT-ADVANTAGE Passport Advantage PASSPORT-HP Passport Health Plan PAYERFUSION PayerFusion PENN-TREATY-MCARE-SUPP Penn Treaty Network America Ins Medicare Supp PEOPLES-HEALTH Peoples Health PERSONAL-ADMIN Personal Insurance Administrators (PIA) PHP-MI PHP of Michigan PHYSICIANS-HP-MI Physicians Health Plan of Michigan Medicare PHYS-MUTUAL Physicians Mutual Insurance Company PIEDMONT Piedmont PLANNED-ADMINISTRATORS Planned Administrators Inc. 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.
In Episode 98 of the Charity Charge Show, Stephen talks to Nancy Long, Executive Director of 501 Commons, whose mission is to serve nonprofits as experts, innovators, and partners. Their passion is to amplify the strengths of nonprofits—so ALL people and communities flourish. Stephen and Nancy Long talk about the resilience of nonprofits during the COVID-19 pandemic, 501 Commons recent reports regarding nonprofit employee compensation, and common mistake nonprofits make with grants. Nancy Long is the Executive Director of 501 Commons. 501 Commons addresses the national problem of nonprofits having limited access to the expertise they need to optimize their organization. The organization provides consulting, contracted services, and other forms of support. This allows organizations to have the technology, data, management, fundraising, finance, and human resources expertise they need. Before becoming executive director of 501 Commons, Nancy worked in health care as the Vice President of Strategy and Organizational Development at Group Health Cooperative. Nancy was on the health care reform policy staff for the Washington Health Services Commission. She served as the Director of Marketing for the Basic Health Plan. She developed groundbreaking research to promote health insurance to diverse communities and implemented community-based outreach that resulted in unprecedented participation and diverse enrollment. As the Director of Quality for the Washington State Hospital Association, she represented hospitals on regulatory matters and led a quality of care research project with rural hospitals. As the Director of Marketing & Community Services at Pacific Medical, she led the effort to create the Cross-Cultural Health Care Program, which has done breakthrough work on culturally and linguistically accessible health care. Nancy has a BA in social psychology (University of Texas), and a master's from the Evans School (University of Washington), where she was also a lecturer, teaching nonprofit leadership and management.
Rise Up's season 3 finale is a special episode highlighting some of the great speakers and presenters that'll be present at the 2022 Energy Fair. Guests join MREA Executive Director, Nick Hylla, to introduce themselves, preview their workshops at the Fair, as well as highlight some of their favorite Fair activities to get you in the spirit of the Fair! Don't miss out, get your tickets to the 2022 Energy Fair being held between June 24, 2022 - June 26, 2022 in Custer, Wisconsin at https://www.theenergyfair.org/. ----------- Show notes: (0:44) - Lisa Kivirist, Author, Homemade for Sale and Soil Sisters (8:56) - Christopher LaForge, Principal CEO, Great Northern Solar (16:39) - Amanda Haffele, Solid Waste Director, Portage County Solid Waste (19:21) - Sam Dunaiski, Distributed Resources Director, RENEW Wisconsin (25:21) - Amber Westerman, Owner, Amber Westerman Building Design (29:46) - Jeremy Solin, Co-Owner, Tapped Maple Syrup, LLC (33:50) - Mindy McCord, Co-Founder, Siren Shrub Co. (36:20) - Huda Alkaff, Founder & Director, Wisconsin Green Muslims (41:10) - Jordan Kaiser, Solar Design & Sales, Northwind Solar (47:04) - Jared Schumacker, Financial Advisor, Third Coast Advisors (50:08) - Andrew Lewandowski, Pediatrician, Group Health Cooperative (55:26) - Don Wichert, Owner, Eudai Energy, LLC (59:59) - Todd Strother, Senior Technology Consultant, Wisconsin Center for Technology Commercialization Brian Walsh, Technology Commercialization Consultant, Wisconsin Center for Technology Commercialization (1:03:36) - Jessica Miller, Naturalist, Mosquito Hill Nature Center (1:07:12) - Francisco Sayu, Director Emerging Technology, RENEW Wisconsin (1:12:13) - Cory Neeley, Director, Solarshare Cooperative (1:16:23) - Heather Talbot, Director, Solar on La Crosse Schools ----------- Links: The Energy Fair MREA's website Volunteer Opportunities at MREA
The demand to stay in your home is growing because Baby Boomers are more independent as a generation. They demand more independence, they demand to stay at home. So Home health services have been growing like crazy over the last 15 years. Tom and Greg Pang discuss options for seniors.Greg Pang, President & CEOCommunity Home Health & Hospicewww.chhh.orghas served with Community since September 2005. A native of Washington State, he has almost 30 years' experience providing compassionate, community-based care. Greg's prior experience included home health and hospice services provided by Good Samaritan Home Health & Hospice in Puyallup, WA and Group Health Cooperative in Seattle, WAGreg earned a bachelor's degree in speech communication and a master's degree in health administration at the University of Washington (Seattle, WA). Certified as a home/hospice care executive, Greg is published in professional journals and has presented at national, state and local conferences. He is passionate about providing community-based services to the growing elderly population so they may “age in place” and remain in their homes as long as possible.Greg serves on the board of the Home Care Association of Washington.
A concentrated focus on prevention, coordinated care and management of chronic disease can go a long way toward improving health outcomes and reducing costs. Many of these steps can be accomplished through smart investments in a robust primary care system. Prioritizing outcome-based primary care is a proactive approach to medicine that's focused on keeping people healthy—and out of the health care system. Guests: https://www.pcpcc.org/profile/ann-greiner (Ann Greiner, President and CEO, )https://www.pcpcc.org/ (Primary Care Collaborative) https://www.linkedin.com/in/mark-huth-38105146 (Dr. Mark Huth, President and CEO, )https://ghcscw.com/ (Group Health Cooperative of South Central Wisconsin) Virginia Whitman, Alliance of Community Health Plans
Michelle Page received her Bachelor of Science in Pharmacy degree from the University of Connecticut and her Doctor of Pharmacy degree from Creighton University. She then went on to complete a pharmacy residency at Group Health Cooperative of Puget Sound in Seattle, Washington and also became a Board Certified in Geriatric Pharmacy. In addition, she has completed several certification programs including diabetes, smoking cessation, and medication management. It was during her work in geriatrics when she began to become disillusioned with the allopathic medical model and started exploring lifestyle medicine and alternative healing modalities beyond herbs and supplements. This journey led her to the functional medicine model and its approach to treating the dis-ease found in the body. As a life long learner, Dr. Page has a very diverse knowledge base and skill set that includes personal training, nutrition consulting and success coaching. All of which she utilizes as the founder of the Unbreakable Moms, a supportive community that connects moms with resources and a podcast. Dr. Page is currently working on her first book about the influence of the gut-brain connection on mood which will be published in the spring of 2020. She is a wife and mom of 2 daughters with whom she shares a home with their dog, 2 cats, and 2 fish. She enjoys being creative through performing music and making jewelry. www.michelle-page.com FB: @DrMichellePage @Unbreakablemoms IG: @drmichellepage @unbreakablemomspodcast --- Support this podcast: https://anchor.fm/chouhallegra/support
What do you know about gut health? Honestly, I didn't know very much. I had heard for years that mental health can be tied to what's going on in our guts and I finally decided to ask an expert. This week's interview is all about how gut health affects mental health and we get to hear from my friend, Dr. Michelle Page. Michelle Page received her Bachelor of Science in Pharmacy degree from the University of Connecticut and her Doctor of Pharmacy degree from Creighton University. She then went on to complete a pharmacy residency at Group Health Cooperative of Puget Sound in Seattle, Washington and also became a Board Certified in Geriatric Pharmacy. In addition, she has completed several certification programs including diabetes, smoking cessation and medication management. It was her work in geriatrics when she began to become disillusioned with the allopathic medical model and started exploring lifestyle medicine and alternative healing modalities beyond herbs and supplements. This journey led her to the functional medicine model and its approach to treating the dis-ease found in the body. As a lifelong learner, Dr. Page has a very diverse knowledge base and skill set that includes personal training, nutrition consulting and success coaching. All of which she utilizes as the founder of the Unbreakable Moms, a supportive community that connects moms with resources and a podcast. Dr. Page is currently working on her first book about the influence of the gut-brain connection on mood which will be published in spring of 2020. And on this week’s episode, Michelle covers 4 main objectives: After listening to this program, the listener will be able to: 1.) Describe the primary difference in the approach to mental health between allopathic medicine and functional medicine. 2) Be able to list at least 2 prescription medications that are used for a dual diagnosis of depression and anxiety. 3.) Describe the role of the autonomic nervous system (ANS) in mental health. 4.) Describe the biological effects of having a “leaky gut” as it relates to mental health. She is a wife and mom of 2 daughters with whom she shares a home with their dog, 2 cats and 2 fish. She enjoys being creative through performing music and making jewelry. Learn more about Michelle on her website: www.michelle-page.com Find her on Facebook: @DrMichellePage, @Unbreakablemoms Find her on IG: @drmichellepage,@unbreakablemomspodcast We hope you enjoy this episode!
Health care related bills are dominating this session of the Washington State Legislature, with dozens under consideration. From mental health funding to immunization exemptions to increased B&O taxes, there’s no shortage of legislation that will have a direct impact on doctors. Among the most important and influential voices on health care policy in Washington state is Rep. Eileen Cody (D-Seattle), the chair of the House Health Care and Wellness Committee. Cody recently retired after working at Kaiser Permanente (formerly Group Health Cooperative) in Seattle for the past forty years. She is a neuro-rehab nurse certified in both rehabilitation nursing and multiple sclerosis care. In addition to her work at Kaiser Permanente, Eileen is a founding member of District 1199 NW/SEIU Hospital and Health Care Employees Union. Rep. Cody is the longest serving house member, and certainly among the most knowledgeable - if not the most knowledgeable - legislator when it comes to health care. Despite her jam-packed and hectic schedule, she was kind enough to take some time to visit with host/producer Josh Kerns of the King County Medical Society and share her insights for this special edition of Docs Talk.
Vernon and Dr. Hoyt discuss the influence Women have had within the cooperative movement; organizations and resources available to help cooperative startups, and how women have used cooperatives to solve community problems. Hoyt is an internationally known expert on cooperatives, who began her distinguished career in the 1960s as a member of the Berkley Consumer Food Co-op. Her academic interest in cooperatives took root in graduate school at University of California at Davis, where her Master's Thesis focused on the Consumer Cooperative of Sacramento. Always active in the national food cooperatives, Ann began her 25 year directorship of the annual Consumer Cooperative Management Association (CCMA) in 1988. Her love of teaching led to work in board education and governance, and the launch of an intensive education program for food cooperative managers, the Cooperative Management Institute (CMI). She has trained several thousand cooperative and non-profit directors and managers throughout the country and is the creator of a video-based director training program for cooperatives. Hoyt is the recipient of the 2014 Cooperative Service Award from CCMA and the Howard Bowers Fund. Currently Dr. Hoyt is Board President of Group Health Cooperative of South Central Wisconsin.
WIHI - A Podcast from the Institute for Healthcare Improvement
Date: December 17, 2015 Featuring: Neil Baker, MD, Neil Baker Consulting and Coaching LLC; Faculty, Institute for Healthcare Improvement (IHI) WIHI is pleased to present a Special Edition Podcast, featuring Neil Baker. WIHI recorded Dr. Baker’s remarks on December 8, 2015, in Orlando, Florida, at the Institute for Healthcare Improvement’s 27th Annual National Forum on Quality Improvement in Health Care. The broadcast is 1:12 long; we recommend that you have the presentation slides, along with the other materials listed below, handy for reference as you’re listening. During his Forum session, Dr. Baker orchestrated four one-minute table conversations among attendees; you might consider engaging co-workers in similar table conversations while listening, using the handouts for guidance. All the elements, including the audio, are posted below. Neil Baker works with health care organizations to enhance leadership and team impact. His signature contribution to this field is his adept way of using any work situation, even the most complex and difficult, as an opportunity to achieve immediate impact on the quality of work relationships. We might spend our entire working lives striving to become better colleagues and leaders and more effective team members; what Dr. Baker offers are effective ways to interrupt unproductive “reactive” patterns to get back on the right track. Neil Baker developed his approaches over 30 years as a leader, speaker, consultant, and executive coach. His past positions include serving as Director of Psychiatric Inpatient Services at the University of Colorado Health Sciences Center in Denver, Colorado; Medical Director of Quality at Group Health Cooperative in Seattle, Washington; and faculty and Improvement Advisor for ten years for the Institute for Healthcare Improvement (IHI) in Cambridge, Massachusetts. Currently, in addition to his consulting practice, he serves as faculty for the leadership track he created for the IHI/Project ECHO collaborative on improving access and office efficiency in primary care.
Maria Margaglione, Web & Visual Communications Director for the Depression and Bipolar Support Alliance, talks to Dr. Greg Simon, Chair of the DBSA Scientific Advisory Board, about the DBSA I’m here campaign and ways in which we can connect people living with a mood disorder with their family and loved ones---so that nobody feels like they have to go through this journey alone. Visit http://www.DBSAlliance.org/ImHere to learn more about the campaign! I’m here... is a program brought to you by DBSA made possible through the support of Rebecca’s Dream® Foundation. ************* Dr. Greg Simon is a psychiatrist and researcher at Group Health Cooperative at the Center for Health Studies in Seattle. His research focuses on improving the quality and availability of mental health services for people living with mood disorders, and he has a specific interest in activating consumers to expect and demand more effective mental health care.
Summary of the August 7, 2012 issue, including articles on HbA1c diagnostic thresholds in black and white persons, the influence of context on antimicrobial prescribing for febrile respiratory illness, sleep disturbance due to hospital noise, and viscosupplementation for symptomatic knee osteoarthritis, as well as an Update in nephrology, the USPSTF recommendation on prevention of falls in community-dwelling older adults, a commentary on the federal plan for prescriber education on opioid use, and a report on Group Health Cooperative's "rapid-learning health system."
This episode is a discussion with two leaders from Group Health Cooperative, a consumer-governed, nonprofit health care system based in Seattle, Washington. My guests are Claire Trescott, MD, Primary Care Medical Director, and Alicia Eng, Vice President of Primary Care. We will be talking about their use of Lean principles in the design and management of their "Medical Home" approach to primary care and wellness. You can read a PDF of a Health Affairs article that describes the benefits to patients and caregivers. This podcast was produced in conjunction with the Healthcare Value Network as a continuation of their previous podcast series at http://www.hcvln.org/podcast. To point others to this, use the simple URL: www.leanblog.org/123. You can leave comments there, as well. For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes. If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.
Medical home innovators Group Health Cooperative, Greenhouse Internists and Grand Valley Health Plan describe practice level transformations that improve care delivery and move them along the path to NCQA medical home recognition in Part 2 of Medical Home Open House Highlights.
Although Group Health Cooperative's increased their primary care staff, patients are still successful in connecting with their caregivers, says Michael Erikson, vice president of primary care services for Group Health Cooperative. In fact, the key to a patient's understanding of his care team lies in the physician's hands. In this podcast, Erikson discusses the effect Group Health's staff expansion has had on its patients, as well as the many benefits of contacting patients via phone and e-mail in lieu of in-person office visits. Erikson described the staffing strategies it implemented to reduce downstream utilization costs --- from the skill sets required by the staff to the workflow changes needed to accommodate this model of care during a September 9, 2009 webinar, Successful Models of Care for the Medical Home: Staffing and Roles of the Care Team. The 45-minute session is part of HIN's continuing Medical Home Open House webinar series.
The opening sessions of the Medical Home Open House webinar series delivered tips for improving care continuity, quality and access for patients assigned to a medical home. Healthcare thought leaders Barbara Wall, Doreen Salek and Liz Reardon describe how the medical home offers opportunities to improve patient education, transitions in care and the integration of behavioral and primary health. The remaining 45-minute sessions of the Medical Home Open House Series will explore strategies for staffing, reimbursement and attaining NCQA certification from early medical home adopters Group Health Cooperative, Baptist Health System and Taconic IPA.
Episode #23 of the LeanBlog Podcast features a panel of Lean leaders from the Group Health Cooperative (www.ghc.org), a consumer-governed, nonprofit health care system that coordinates care and coverage. Based in Seattle, Group Health and its subsidiary health carriers, Group Health Options, Inc. and KPS Health Plans, serve over 500,000 members in Washington and Idaho. GHC has been on a Lean journey, as documented on their "Daily Kaizen" blog (www.dailykaizen.org). Joining us on the Podcast are three of their Lean Leaders: * James Hereford, Executive Vice President, Strategic Services and Quality * Dr. Ted Eyan, Medical Director of Health Informatics and Web Services * Lee Fried, Manager of the Strategic Consulting team at Group Health In this Podcast, they discuss how GHC got started with Lean, their early "point improvement" succeses, and their transition to a more systemic approach to a Lean management system through their "model line" efforts. If you have feedback on the podcast, or any questions for me or my guests, you can email me at podcast@leanblog.org or you can call and leave a voicemail by calling the "Lean Line" at (817) 776-LEAN (817-776-5326) or contact me via Skype id "mgraban". Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast. Click here for the main LeanBlog Podcast page (www.leanpodcast.org) with all previous episodes.