TMG Health has the experience and proven solutions
you need for SUCCESS in the Managed Medicaid, Medicare Advantage, and Medicare
Part D markets. Our purpose-built applications ensure the highest level of
ACCURACY and COMPLIANCE for Enrollment, Eligibility, Reconciliation, Premium
Billing, Print Fulfillment, Call Center, Claims Processing, and more.
Walgreens robust healthcare platform integrates prescription fulfillment with comprehensive, multichannel health services to help control costs, optimize care and complement the client’s disease management programs. Members have unmatched access to more than 8,000 retail locations, 350 retail clinics, specialty pharmacy, infusion services, immunizations, personalized counseling and HIV-specialized locations.
As a leader in healthcare with 18 health plans nationwide, Centene Corporation provides specialized benefits and solutions for the complex health problems of today. We offer a unique suite of programs and services which, alone or combined, deliver improved outcomes and cost-effective coordinated care.http://www.centene.com/
US Script® is a full-service Pharmacy Benefit Manager (PBM) that delivers a flexible, high-touch benefit supported by innovative clinical programs and analytics. At US Script, we know that we must be more than a traditional pharmacy benefit manager - we must be a strategic partner in pharmacy benefit claims management. In order to effectively manage your pharmacy benefit program, US Script offers a clinically sound, multi-pronged solution that maximizes savings while providing quality access to care. Let us use our expertise to develop and implement creative benefit management solutions that will help you successfully navigate a complex benefit landscape. http://www.usscript.com
Magellan Health Services
Magellan Health Services Inc. is a leading specialty health care management organization with expertise in managing behavioral health, radiology and specialty pharmaceuticals, as well as public sector pharmacy benefits management. Magellan delivers innovative solutions to improve quality outcomes and optimize the cost of care for those we serve.http://www.magellanhealth.com
MedSolutions specializes in quality-driven, intelligent cost
management of medical services for commercial, Medicare and Medicaid
members. We use our clinical expertise;
built on nationally recognized guidelines, to improve patient outcomes through
innovative solutions in Advanced Imaging, Cardiac Imaging, Ultrasound,
Radiation Therapy, Sleep Management, Cardiac Rhythm Devices and Lumbar Spine
Surgery. For more information please visit www.MedSolutions.com.
Care Call, Inc
CareCall, Inc. is a contact center that provides inbound and outbound
telecommunication services for it's clients. CareCall's engagements
include inbound customer support and first level technical support,
outbound customer satisfaction surveys, transaction follow-up calls
(sales, installations, technical and customer support),
renewal/re-enrollment calls, database updates, customer education calls,
welcome and thank you calls as well as many other campaigns. All of
CareCall's campaigns are custom designed to meet an individual client's
objectives. Clients include companies such as Intel, Dell, CISCO,
Intuit, Verizon, Sprint PCS and Gateway. CareCall's primary method of
communication is by telephone but they also collect data via the web,
e-mail, fax and mail.http://www.arraysg.com/carecallpages/carecall
Emdeon is a proven provider of claims, payment and fraud and abuse management solutions that increase efficiencies through intelligent transaction services. Emdeon helps healthcare payers streamline processes and reduce administrative costs while lowering the overall cost of healthcare.http://www.emdeon.com/
Express Scripts manages prescriptions for 100 million Americans. We make the use of prescription drugs safer and more affordable for Medicaid plan clients. Our unique platform for innovation, Health Decision ScienceSM, combines behavioral science, clinical specialization and actionable data to help individuals make the best drug, pharmacy and health choices. https://www.express-scripts.com/
Laboratorio Buena Saludhttp://www.laboratoriobuenasalud.com/
McKesson provides a comprehensive suite of health management solutions to help manage cost and improve the quality of patient care. Our medical management products and services include 24x7 nurse triage, disease management and informed decision support programs; InterQual� products to support clinically appropriate decision-making; workflow tools for integrated utilization, case and disease management; and software for mining financial and healthcare data to identify key areas for improvement. For claims and payment management, McKesson offers code auditing, disclosure, fraud and abuse detection, and contract management solutions. Visit www.HealthSolutions.McKesson.com for more information.
MCG helps providers and payors drive effective care in
their own work and through the conversations that connect them. We provide fast
access to global, validated best practices so you can leverage your clinical
expertise and make decisions with confidence. Our guidelines are used by more
than 2,200 clients in the United States and by major health systems throughout
Medagate partners with health plans and state governments to provide more efficient access and use of OTC item benefits through re-loadable prepaid cards that restrict usage exclusively to OTC Medicare and OTC Medicaid benefits eligible items. For information go to www.otcnetwork.com. Medagate is a wholly owned subsidiary of InComm Holdings, Inc.
As visionaries in the Network Adequacy space, Quest Analytics has become the “NEW” leader in providing integrated solutions that allow you to measure and monitor QHPs for Network Adequacy requirements. Our vetted and transparent solutions allow you to fast-track this mandate and seamlessly integrate this into your operation. For additional information, please visit us at www.questanalytics.com
or call us at 920.739.4552.
VARIS® provides highly targeted overpayment identification
services for payers who utilize the DRG payment methodology for acute inpatient
claims payment. VARIS' proprietary
processes and team of certified
health information professionals finds errors not detected by claims editing
software. Returning financial resources
is imperative for success in this dynamic environment.
VITAS Innovative Hospice Carehttp://www.vitas.com/
ACAP Association for Community Affiliated Plans
The Association for Community Affiliated Plans (ACAP) is a national trade association representing 58 nonprofit safety net health plans in 24 states. ACAP’s mission is to represent and strengthen not-for-profit, safety net health plans as they work with providers and caregivers in their communities to improve the health and well-being of vulnerable populations in a cost-effective manner. Collectively, ACAP plans serve nearly ten million enrollees, representing more than half of all individuals enrolled in Medicaid-focused health plans.
Government Health IT
Government Health IT is the definitive source for news and information that highlights how government – as the world's largest IT customer - is driving the adoption of information technology in healthcare. It distinctively integrates coverage of government, technology and healthcare issues to help decision makers improve the way healthcare is managed and delivered. Government Health IT offers government executives original industry news and other content in print and online, as well as through mobile and social media platforms. News coverage includes military health, privacy and security, HIEs, telehealth, cloud computing, population health, as well as vendor and provider news. Government Health IT is read on all media platforms by executive management and command, agency management, IT and information management, and technical management at the DOD, VA, state, local and federal governments, in addition to other highly respected government agencies. http://www.govhealthit.com/
HealthEconomics.Com is the world’s most comprehensive and credible website for resources and jobs in healthcare value and market access. It is the #1 Google website in health economics, outcomes research, market access, pricing, and reimbursement resources, conferences, and jobs. A trusted resource, HealthEconomics.Com contains the hottest news, jobs, policy updates, professional development, and education resources, and offers unparalleled advertising opportunities.http://www.healtheconomics.com
Healthcare Finance News
Healthcare Finance News is the leading industry news source, offering healthcare financial managers the comprehensive coverage they require of today’s unprecedented financial challenges. Content is published in print and online, as well as through mobile and social media platforms. News coverage includes revenue cycle management, capital finance, compliance, denials management, labor and payer relations, as well as vendor and provider news. Healthcare Finance News is read on all media platforms by CFOs, VPs Finance, C-suite and other financial management at hospitals, medical/surgical clinics and group practices, healthcare payers and more. http://www.healthcarefinancenews.com
Healthcare IT News
Published in partnership with HIMSS, Healthcare IT News is the industry’s leading news source, providing healthcare IT and other executives the information they need to implement and harness technology as a means to enhance patient care. Jesse H. Neal award-winning coverage includes clinical and business IT strategies, regulatory updates, and vendor and provider news. Content is published in print and online, as well as through mobile and social media platforms. Healthcare IT News is read on all media platforms by IT management, C-suite and general management, and clinical executives at hospitals, large group practices, ambulatory care facilities, home health organizations, payers and more.
Healthcare Payer News
With a focus on provider reimbursement and how IT can be leveraged to improve accuracy and efficiency in payer networks, Healthcare Payer News offers health insurance executives original industry news and other content online as well as through mobile and social media platforms. News coverage includes government regulations and policy, CMS, medical banking, public and private reimbursement, and public and private contracts. Healthcare Payer News is read on all media platforms by executive management at health insurance companies, health plan organizations and third party administrator groups. http://www.healthcarepayernews.com/
MHPA - Medicaid Health Plans of America
Medicaid Health Plans of America (MHPA) is the leading national trade association solely focused on representing the universe of Medicaid health plans. Specifically, MHPA works on the behalf of over 120 for-profit and non-profit member health plans that serve over 15 million lives. MHPA provides advocacy, research and organized forums that support the development of policy solutions to enhance the delivery of quality health care to Americans in need. http://www.mhpa.org