Care Coordination

Iora Health providers in Houston are now considered in-network for Aetna Medicare members, the health insurer said Feb. 17. 

Butler Hospital, a mental health hospital in Providence, R.I., partnered with Blue Cross & Blue Shield of Rhode Island on a program that aims to reduce hospital readmissions.

Humana is piloting a new care management program that focuses on coordinating care for some Medicare Advantage members who have chronic conditions.

New Orleans-based Ochsner Health suspended elective surgeries Feb. 15 and Feb. 16 at three locations, citing severe weather concerns and the Mardi Gras holiday. 

Anthem Blue Cross and Blue Shield in Missouri and St. Louis-based Mercy entered into a cooperative care agreement that aims to improve outcomes and lower costs for patients. 

University of California Irvine established a new innovation institute focused on personalizing the healthcare model with consumer technologies including wearables and mobile phones.

East Ohio Regional Hospital in Martins Ferry, which closed in 2019, will reopen to patients Feb. 4, according to a hospital Facebook announcement. 

Humana partnered with DispatchHealth, a provider of in-home medical care, to offer Humana members access to 24/7 medical care outside of the hospital, according to a Feb. 1 news release.

Given unpredictable volume, changing CMS regulations and varying service agreements, managing health insurance appeals and grievances (A&G) is a time-consuming and complex process, especially when done manually.

Columbia, S.C.-based Prisma Health is operating three regional COVID-19 recovery units meant to alleviate capacity at area hospitals, local CBS affiliate WLTX reported Jan. 27.