World's Greatest Healthcare Plan of 2017

UnitedHealthcare Former CEO Joins Rapidly-Growing Medicare Risk Enterprise

Retrieved on: 
Tuesday, September 12, 2023

MIAMI, Sept. 12, 2023 /PRNewswire-PRWeb/ -- Genuine Health Group, a Miami-based enablement platform leading the industry's transition to value-based care, made the announcement that Roger Rodriguez, former Chief Executive Officer of UnitedHealthcare's Medicare & Retirement business for Florida and other Southeast states, will join the company in a senior leadership role.

Key Points: 
  • Through its value-based agreements with leading Medicare Advantage plans and its ACO Reach program under direct contract from Medicare, Genuine Health Group supports more than 300 physicians in delivering value-based care to over 45,000 of those physicians' Medicare patients.
  • "Following his retirement from United, Roger was one of the most highly recruited healthcare executives in the country.
  • At UnitedHealthcare, Mr. Rodriguez oversaw 650,000 Medicare Advantage members and managed $7 billion in profit and loss revenue.
  • "They've built an effective model for managing risk for both Medicare Advantage and traditional Medicare patients.

Simply Healthcare Plans Donates Additional Scholarship Funds for Gulf Coast Students Pursuing a Bachelor of Science in Nursing Degree

Retrieved on: 
Friday, July 14, 2023

Gulf Coast State College (GCSC) and Simply Healthcare Plans (Simply) announced the expansion of the Simply Health Scholars Program.

Key Points: 
  • Gulf Coast State College (GCSC) and Simply Healthcare Plans (Simply) announced the expansion of the Simply Health Scholars Program.
  • “Simply is committed to closing the gap in health disparities and supporting Florida’s workforce through the implementation of innovative solutions that can reinvent healthcare across the state,” said Holly Prince, president, Simply Healthcare Plans.
  • State Senator Griff Griffitts commended Simply’s philanthropic gesture, stating, "What an incredible gift from Simply Healthcare.
  • For more information on how to apply for the Simply Health Scholars Program, please visit www.gulfcoast.edu/bsn .

Solis Health Plans Appoints Industry Veteran Francisco Hernandez, M.D. as Chief Medical Officer

Retrieved on: 
Thursday, December 15, 2022

MIAMI, Dec. 15, 2022 /PRNewswire/ -- Solis Health Plans, aFloridaMedicare Advantage Plan, is pleased to announce the appointment ofFranciscoHernandez, M.D.as Chief Medical Officer.

Key Points: 
  • MIAMI, Dec. 15, 2022 /PRNewswire/ -- Solis Health Plans, aFloridaMedicare Advantage Plan, is pleased to announce the appointment ofFranciscoHernandez, M.D.as Chief Medical Officer.
  • Dr. Hernandez willjoin the Solisexecutive teamand be responsible for overseeingclinical operations, care management, quality improvement, pharmacy, health IT, social services,and behavioral health forSolis' membership.
  • "I am pleased to welcome Dr. Hernandez totheSolis Health Plans leadership team," saidEfrain Duarte, CEO of Solis Health Plans.
  • "I am elated to be joining the talented team at Solis Health Plans," said Francisco Hernandez, M.D., Chief Medical Officer, Solis Health Plans.

Georgia-Exclusive Health Plan Appoints New CEO and President

Retrieved on: 
Tuesday, October 4, 2022

Sonder Health Plans , a Georgia-exclusive health plan providing personalized and affordable Medicare Advantage programs to residents, has named Suzanna Roberts as Chief Executive Officer and Michael Muchnicki as President and Chief Growth Officer.

Key Points: 
  • Sonder Health Plans , a Georgia-exclusive health plan providing personalized and affordable Medicare Advantage programs to residents, has named Suzanna Roberts as Chief Executive Officer and Michael Muchnicki as President and Chief Growth Officer.
  • Muchnicki brings 25 years of CEO health plan and insurance experience to Sonder.
  • We know there is a better way, and its Sonders mission to become the local health plan of choice for Georgians seeking a better alternative.
  • Sonder Health Plans is a local, Atlanta-based insurer, offering personalized Medicare Advantage plan options to the people of Georgia.

Georgia Emergency Claims Review Program Discontinued by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc., and ACEP and MAG Withdraw Suit in Response

Retrieved on: 
Wednesday, March 9, 2022

BCBSHP maintains that its 'avoidable ER' program complied with all applicable state and federal laws, including the prudent layperson standard."

Key Points: 
  • BCBSHP maintains that its 'avoidable ER' program complied with all applicable state and federal laws, including the prudent layperson standard."
  • Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. is an independent licensee of the Blue Cross Blue Shield Association.
  • The Blue Cross Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.
  • Additional information about Blue Cross and Blue Shield of Healthcare Plan of Georgia, Inc. is available at www.bcbsga.com .

NBA Legend Earvin “Magic” Johnson, Secretary of AHCA Simone Marstiller and Clear Health Alliance Team up to Promote Awareness, Testing and Treatment for HIV/AIDS

Retrieved on: 
Monday, February 7, 2022

NBA Legend Earvin Magic Johnson was the spotlight of the event at the Jacksonville River City Downtown Hotel, which also featured Secretary Simone Marstiller of the Agency for Health Care Administration (AHCA).

Key Points: 
  • NBA Legend Earvin Magic Johnson was the spotlight of the event at the Jacksonville River City Downtown Hotel, which also featured Secretary Simone Marstiller of the Agency for Health Care Administration (AHCA).
  • Im proud to work with Clear Health Alliance and our community partners to raise awareness, promote testing and provide treatment, especially to African American people, who are at greater risk.
  • Clear Health Alliance, a Medicaid Specialty Plan offered by Simply Healthcare Plans (Simply), is working to increase awareness, promote prevention and provide treatment among all Floridians, especially populations at greatest risk.
  • With the trend of new infections in Florida, prevention, diagnosis, and treatment are more important than ever, said Agency for Health Care Administration Secretary Simone Marstiller.

Simply Healthcare and Clear Health Alliance Begin Collaboration With Poverello That Will Provide Pop Up Eat Well Center Events In Vulnerable Neighborhoods

Retrieved on: 
Monday, December 13, 2021

WILTON MANORS, Fla., Dec. 13, 2021 /PRNewswire/ -- The Poverello Center will receive a $40,000 check from Simply Healthcare ( simplyhealthcareplans.com ) and Clear Health Alliance ( clearhealthalliance.com ) on Wednesday, December 15, 2021, at 4:00 PM at the Eat Well Center in Wilton Manors, FL.

Key Points: 
  • WILTON MANORS, Fla., Dec. 13, 2021 /PRNewswire/ -- The Poverello Center will receive a $40,000 check from Simply Healthcare ( simplyhealthcareplans.com ) and Clear Health Alliance ( clearhealthalliance.com ) on Wednesday, December 15, 2021, at 4:00 PM at the Eat Well Center in Wilton Manors, FL.
  • Poverello conducts Pop Up Eat Well center events in neighborhoods deemed "vulnerable" by CDC, and where USDA indicates there is poor access to healthy foods.
  • Clear Health Alliance provides a specialized Medicaid Plan that supports better health for people with HIV.
  • Simply Healthcare Plans is a health maintenance organization for people enrolled in Medicaid, Medicare, and Florida Healthy Kids Programs.

Simply Healthcare Plans’ Medicare Advantage Plans Achieve 4.5-Star Rating

Retrieved on: 
Wednesday, October 13, 2021

Simply Healthcare Plans announced today that the Centers for Medicare & Medicaid Services awarded the companys 2022 Medicare Advantage plans a 4.5-Star rating, with five stars being the best rating.

Key Points: 
  • Simply Healthcare Plans announced today that the Centers for Medicare & Medicaid Services awarded the companys 2022 Medicare Advantage plans a 4.5-Star rating, with five stars being the best rating.
  • Medicare Star Ratings are issued by the Centers for Medicare & Medicaid Services (CMS), and rate health plans on a scale of 1-5 Stars (5 Stars = Excellent).
  • The following Medicare Advantage plans are rated 4.5 stars for 2022:
    The CMS Medicare Star Rating system rates the quality and performance of Medicare Advantage plans to help consumers and their families compare plans.
  • Simply Healthcare Plans, Inc. (Simply), is a Florida managed health care plan that serves Medicare Advantage and Medicaid members in the state of Florida.

Simply Healthcare Introduces New Benefits in Medicare Advantage Plans That May Include Allowance to Help Consumers Pay for Utilities, Housing, Groceries, and Everyday Health-Related Items

Retrieved on: 
Monday, October 4, 2021

These benefits, which are part of Simplys whole-person approach to healthcare, may include the below.

Key Points: 
  • These benefits, which are part of Simplys whole-person approach to healthcare, may include the below.
  • For 2022, Simply Healthcare Plans will offer Medicare Advantage plans to residents of the following counties: Broward, Hernando, Hillsborough, Miami-Dade, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, and Seminole.
  • Individuals who are interested in joining one of Simplys Medicare Advantage plans can enroll during this years Medicare Annual Enrollment Period (AEP).
  • Simply Healthcare Plans, Inc. (Simply), is a Florida managed health care plan that serves Medicare Advantage and Medicaid members in the state of Florida.