Tag Archives: Medicare Advantage

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Humana, Dignity Health Sign Agreement

Humana Inc., one of the nation’s leading health and well-being companies, has reached an agreement that provides its members access to Dignity Health facilities in Arizona.

The new network agreement, which takes effect May 1, 2014, includes Humana’s Medicare Advantage (including PPO, HMO and Private Fee for Service plans), employer groups and individual plan members.

“This agreement provides our Arizona members with access to Dignity Health’s network of respected facilities and health care providers,” said Victoria Coley, Arizona and Nevada Market Vice President for Humana’s Employer Group segment. “Through this partnership, we’ve been able to substantially increase health care options for our members who live in the East Valley and, soon, the West Valley.”

“Humana has a strong Medicare Advantage presence in Arizona. Expanding our network to include Dignity Health will offer our members a strong provider network and is key to our continued growth in the market,” said Brendan Baker, Arizona Market President for Humana’s Senior Products.

Humana members will have in-network access to St. Joseph’s Hospital and Medical Center, including Barrow’s Neurological Institute; Chandler Regional Medical Center; Mercy Gilbert Medical Center; and the soon-to-open St. Joseph’s Westgate Medical Center. Members will also have access to Dignity Health’s network of nearly 200 physicians and its care centers in Arizona, including two specialty hospitals, six surgery centers, four urgent care centers and 30 imaging centers.

“We have always been dedicated to high-quality patient care and to making the entire health system work better for patients and their families,” said Carolyn Pace, Vice President of Managed Care at Dignity Health in Arizona. “We are pleased to be able to respond to the health care needs of Humana members at our numerous care centers.”

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SCAN Health Plan Arizona Gets New VP

SCAN Health Plan Arizona has appointed Wendy Karsten vice president and general manager, effective immediately. For the past year Karsten has been serving as vice president of healthcare operations for SCAN in Arizona.

“Over the past year Wendy has made a significant contribution to SCAN and our members in a variety of areas, including overseeing our home-visit program,” said Chris Wing, president and CEO of SCAN Health Plan. “We know that in this newly created role she will continue to find new ways to help our SCAN members maintain their health and independence.”

As vice president and general manager for SCAN Health Plan Arizona, Karsten is now responsible for the health plan’s overall performance in Maricopa and Pima counties, providing strategic, operational and financial direction. To that task she brings more than 25 years of experience in healthcare leadership. Immediately prior to joining SCAN, Karsten served as CEO for Huntington Medical Foundation in Pasadena, California, where under her leadership the large multi-site medical group implemented an electronic health record system, opened an urgent care center, formed a local partnership to provide care to uninsured children in the community, and acquired 14 area medical practices.

Karsten holds a Master of Arts degree in education from California State University Los Angeles and a Bachelor of Science in finance and accounting from Eastern Oregon University in La Grande, OR.

SCAN Health Plan, one of the largest not-for-profit Medicare Advantage plans in the United States, currently has nearly 145,000 members in California and Arizona. Further information may be obtained at scanhealthplan.com or on Facebook at facebook.com/scanhealthplanarizona.

health care leadership awards - AZ Business Magazine Mar/Apr 2011

HCLA 2011- Institutional Or Education Program

Honoree: Home-Based Care Program, Cigna Medical Group

IHome-based Care Program, CIGNA Medical Group, 2011 Health Care Leadership Awardsn response to investigations concerning why some patients under a Medicare Advantage plan weren’t returning to their doctors, Cigna Medical Group established the Home-Based Care Program in 2004.

The program was created to assist these home-bound patients and to treat those who had recently experienced a severe health event and were about to face gaps in care.

The program has a team of physicians, physician assistants, registered nurses, practical nurses and social workers who visit patients in their homes to provide medical care. They monitor vital signs, provide treatment, review prescriptions, help patients take medications correctly, evaluate nutritional needs and coordinate with others to arrange community services.These interactions are recorded in an electronic health record and are shared with the patient’s primary care physician.

Patients in the program are maintaining, and in some cases improving, their health. There has been a 30 percent decrease in acute hospital admissions since the program began, due in large part to an improved ability to prevent life-threatening or severe changes in home-bound patients’ conditions.

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Mark Smith, System Director of Simulation/Innovation, Banner HealthFinalist: Mark Smith, M.D., System Director of Simulation/Innovation, Banner Health

In 2005, Dr. Mark Smith conceptualized and developed the first of Banner Health’s simulation centers at Banner Good Samaritan Medical Center. He currently serves as the system director of simulation and innovation for Banner.

Banner Health, one of the nation’s largest not-for-profit health systems, hopes to reduce medical errors and improve patient care by using high-tech mannequins that help simulate a variety of medical conditions and emergencies in its educational training centers. In 2009, Banner opened a second medical simulation training center in Mesa with more than 70 mannequins and a full-size emergency department, intensive care unit, pediatric/neonatal ICU and operating room.

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Finalist: Water Watchers Program, Phoenix Children’s Hospital

Water Watchers Program, Phoenix Children's HospitalArizona has the country’s second-highest number of child drownings. This devastating statistic is why the Injury Prevention Center at Phoenix Children’s Hospital created the Water Watchers program.
Water Watchers raises awareness about water safety, provides information about child drowning risks and teaches drowning prevention through a variety of outreach events throughout the year.

Water Watchers was co-founded by Druann Letter and Carol Achs, the mother and grandmother of Weston Letter, who drowned in 1998 at the age of three. The program has been recognized by the National Drowning Prevention Alliance, as well as the National Water Safety Congress.

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