Gould most recently served as president of Banner's Arizona West Division.
As president and CEO of CTCA Phoenix, Gould will oversee all hospital administrative and clinical operations, as well as the CTCA outpatient care centers opening...Arizona Comings & Goings
Formerly of Anthem, Beth Ginzinger will oversee the insurer's strategic planning process and lead the development of corporate and subsidiary strategies. BCBSAZ CEO and President Pam Kehaly stated:
Beth brings a level of expertise that will help expand the meaningful work we do on behalf of our members, and find more opportunities...National News
11.8 million enrolled as less expended on marketing, outreach and shorter open enrollment period.
The total is short of the 12.2 million who enrolled in an exchange plan for 2017.
Healthcare Finance reports data from the Federal Health Insurance Exchange call center shows consumer satisfaction rate remained at an all-time high –...Arizona News
Should the federal funding drop below 100 percent, the state would have to freeze enrollment.
State lawmakers froze enrollment for KidsCare in 2010 to cut state spending. Dana Wolfe Naimark, president and CEO of the Children’s Action Alliance is quoted by KTAR:
When enrollment was frozen before, we know that many families went...National News
Hospitals have been eyeing Walmart nervously for years as it advances into health care.
Early-stage deal talks between Walmart and Humana are worrisome.
The Bentonville, Ark., retailer already operates pharmacies and primary-care clinics and plans to begin offering lab-testing services. It has also recently increased its direct...National News
Walmart and Amazon, fighting over e-commerce market share, have recently made major moves into the world of healthcare.
Walmart has been working for months on a deal to buy startup PillPack Inc., according to a report from CNBC.
CNBC reported the price tag would be "under $1 billion," citing two sources familiar with the...National News
Medicare ranks plans on a five-star quality scale and provides financial bonuses to providers of top-ranked plans.
When a Medicare Advantage plan is not in line to receive a financial bonus, health insurance companies will merge those patients into plans with higher scores, which preserves the bonuses. Using this tactic, health...National News
CMS said it will increase payments to privately run health plans for the elderly by an average of 3.4 percent next year, almost double the amount it had previously estimated.
Insurers such as UnitedHealth Group Inc. and Humana Inc. have big lines of business selling Medicare Advantage plans. Including changes based on how sick or...
Join us in Scottsdale with our community partner Arizona HFMA for the half-day conference Friday, April 27 from 7:30 am to 12:30 pm.
Deputy Director Jami Snyder presents major AHCCCS program changes including new complete care awards and the latest on the agency's proposed CYE 2019 Differential Payment Adjustments, effective...
Blockchain technology seeks to improve the quality of data and reduce the administrative costs associated with insurers getting up-to-date healthcare provider demographic data.
Insurers are mandated to get accurate information that is passed on to beneficiaries. The Centers for Medicare and Medicaid Services fines insurers if they do...
Premiums for individual insurance rose 57 percent last year, blamed on Affordable Care Act regulations.
The law, Senate File 2349, will allow Wellmark Blue Cross & Blue Shield to partner with the Iowa Farm Bureau Federation to sell a new type of health policy. The bill defines the new coverage as not technically being health...
A comprehensive look at non-ACA compliant products building on the article in The Hertel Report of March 13, 2018.
Crafted by a former attorney with the Montana Insurance Department, the analysis looks at background research and information on risks posed by alternative coverage options that do not comply with the Affordable Care...
The newly-created role is effective April 1.
LifePoint Health, based in Brentwood, Tennessee has facilities in Arizona and Colorado.
Patterson previously served as CFO, and later, CEO of Colorado Plains Medical Center in Fort Morgan, a LifePoint Health facility.
He served as CEO of Havasu Regional Medical Center in Lake...Arizona News
The unexpected announcement was delivered to staff by email Tuesday afternoon.
As reported by The Arizona Daily Sun, the announcement, written by the chair of NAH’s board of directors Alice Gagnaire, did not say why Rob Thames decided to leave the organization.
Thames took the position of CEO of Northern Arizona Healthcare, the...National News
Andy Slavitt, the acting administrator of the Centers for Medicare and Medicaid Services from 2015 until January 2017, asserts the ACA might be a catalyst to universal coverage.
In a telephone conversation with the Fort Collins Coloradoan, Slavitt said:
The good news is we made a pretty remarkable transformation in this country...
According to a 127-page study conducted by the American MedSpa Association (AmSpa), medical spas are an approximately $4 billion industry with a revenue growth trajectory of eight percent annually.
Banner Health Center, Arizona’s largest healthcare network, announced the opening of its first onsite medical spa this week at...
Drug manufacturers often give insurance companies discounts on prescription drugs, but what happens to the savings has not been clear.
Beginning in 2019, Aetna will automatically apply these rebates at the time of sale for its commercial fully insured plan members.
The change will mostly benefit those with high-deductible health...National News
1 million immigrants work in direct care, one in four.
The country faces a severe shortage in home health aides. With 10,000 baby boomers turning 65 each day, an even more serious shortfall lies ahead, according to Paul Osterman, a professor at Massachusetts Institute of Technology’s Sloan School of Management. He predicts a...National News
Justice Department claimed the insurer obtained more than $1 billion from Medicare based on inaccurate information. Judge disagreed. United counter sues.
Reuters is referenced in a Becker's Hospital Review report. The original False Claims Act lawsuit claimed UnitedHealth received at least $1 billion in Medicare reimbursement by...National News
High hopes for a bipartisan solution collapsed as budget bill adopted.
Senators Lamar Alexander (R-TN) and Patty Murray (D-WA), leaders of the Senate Health, Education, Labor and Pensions (HELP) Committee, have found ways to collaborate and solve difficult legislative issues over the years. Optimism abounded when they declared a...
U.S. Senator Claire McCaskill, the top-ranking Democrat on the Senate Homeland Security and Governmental Affairs Committee, released findings from a years-long effort to investigate dramatic prescription drug price increases.
Can you imagine if you went to an auto dealership and last year’s exact model was being sold at a 20 percent...
A CBS News investigation found some rural hospitals have become hugely profitable because insurance providers reimburse them at much higher rates. These out-of-the-way hospitals have become gold mines for enterprising health care executives looking for a way to quietly make a quick buck.
The investigation reveals how an attorney in...Arizona News
Differential Adjusted Payment (DAP) rates will be effective with dates of service beginning October 1, 2018, through September 30, 2019.
The AHCCCS Administration is implementing these DAP rates to assure that payments are consistent with efficiency, economy, and quality of care and are sufficient to enlist enough providers so that...
According to year-end financials, the U.S Department of Health and Human Services’ Office of Civil Rights is investigating Banner Health over its 2016 breach that exposed the data of 3.7 million patients at 27 locations.
HealthcareIT News reports in June 2016, hackers got into Banner’s payment processing system at its food and...
Eyles, the current AHIP COO, has challenges ahead.
The insurance industry's dominant lobbying group is faced with a rapidly changing market with players consolidating and some leaving the trade association.
Eyles has a varied background: he previously held roles at D.C.-based consultancy Avalere Health, Coventry Health Care (now...