As a result of the development of a new long-range plan for 15-year-old Intercare Holdings Insurance Services, the firm’s senior management team has announced a series of strategic moves that have focused the Roseville-based company on its core competencies.
CEO George “Mac” McCleary detailed the plan, highlighting the divesture of an insurance brokerage operation and other [...]

International Medical Group®, Inc. (IMG®), a worldwide leader in designing, distributing and administering global health care benefits, announces its new partnership with the web-based physician/patient communication company, eDocAmerica. The collaboration compliments IMG’s core principles of providing a full-service approach to offering international medical insurance products backed by superior customer service, and eDocAmerica’s mission to improve [...]

With significant losses to their savings and investments, and economists warning of a prolonged recession, many Americans are feeling uncertain about their retirement security and their ability to pay for long-term care services. According to a new survey by the nonprofit LIFE Foundation, 64 percent of Americans age 45 and older say that the recent [...]

Olympus Managed Health Care Inc. a leading provider of health care claims administration and cost containment services, announced the appointment of Robert Lavers as Senior Consultant. In this newly created role, Mr. Lavers will have overall responsibility for the firm’s business development and expansion initiatives throughout Asia.
“We are very pleased to have Bob join our [...]

Health Net Federal Services, LLC, the government operations division of Health Net, Inc. released the following statement today in response to the Department of Defense’s release of the TRICARE contract awards:
“Health Net Federal Services is disappointed not to be selected by TRICARE Management Activity (TMA) for the Managed Care Support Contractor in the TRICARE North [...]

Olympus Managed Health Care Inc., a leading provider of health care claims administration and cost containment services, announced today that Steve Stoute, a veteran insurance industry executive, has been appointed to the company’s Board of Advisors. The Board establishes and manages the strategic direction of the company.
Stoute brings nearly 50 years of insurance industry experience [...]

Collaboration within the health care system and administrative efficiencies are fundamental elements to any number of today’s health care reform proposals in Washington, DC. New tools from Highmark to conduct real-time claims processing and real-time member liability estimation are driving collaboration and streamlining medical claims processing right in health care provider offices.
Real-time claims processing and [...]

MEDecision, Inc., a leading provider of collaborative health care management solutions, today announced that it has been selected to deliver its Alineo ™ 2.0 collaborative health care management platform to Blue Cross and Blue Shield of Kansas City (BCBSKC). The two parties have agreed to begin implementation in June. The arrangement reinforces MEDecision’s position as [...]

Connolly Healthcare, a permanent Recovery Audit Contractor (RAC) for the Centers for Medicare & Medicaid Services (CMS), has signed a five-year license agreement with Milliman Care Guidelines.
Connolly will use the Care Guidelines content and software to review Medicare claims in 15 states — West Virginia, Virginia, North Carolina, South Carolina, Georgia, Florida, Alabama, Mississippi, [...]

Kindred Healthcare, Inc. announced that the Centers for Medicare and Medicaid Services (“CMS”) issued late on May 29, 2009 proposed regulatory changes regarding Medicare reimbursement for long-term acute care (“LTAC”) hospitals. First, CMS issued an interim final rule in which CMS is revising the relative payment weights that would apply to all discharges occurring between [...]