MAPD

Lumeris Completes $100M Equity Growth Capital Investment Round

Retrieved on: 
Monday, April 22, 2024
MAPD, CMS, Commercial, Software, Medicare Advantage, Patient, Medicare, Sandbox Industries

ST. LOUIS, April 22, 2024 /PRNewswire/ -- St. Louis-based, privately held Lumeris announced the completion of a $100M equity capital raise.

Key Points: 
  • ST. LOUIS, April 22, 2024 /PRNewswire/ -- St. Louis-based, privately held Lumeris announced the completion of a $100M equity capital raise.
  • Existing investors Kleiner Perkins, Sandbox Industries, BlueCross BlueShield Venture Partners and JDLinx (an investment company owned by John Doerr) participated in the round.
  • This new growth capital supports the recent rapid expansion of Lumeris' provider partnerships, including some of the country's largest health systems and physician groups.
  • Lumeris was recently recognized by the Healthcare Technology Report for outstanding software, exclusively available to Lumeris' partners.

CGI selected by Centers for Medicare & Medicaid Services to improve Medicare access for more than 65 million beneficiaries nationwide

Retrieved on: 
Tuesday, March 19, 2024
Automation, HPMS, CGI, Information technology, MAPD, CGI Inc., GIB, Medicare Part D, TSX, Medicare, Consultant, CMS, Medicare Advantage, Lead, Risk management

The contract includes a 1-year base period, as well as four 1-year option periods, for a total contract value of US$72M.

Key Points: 
  • The contract includes a 1-year base period, as well as four 1-year option periods, for a total contract value of US$72M.
  • CGI also will apply new and advanced technologies to help meet increasing stakeholder expectations and enhance cybersecurity to address new threat vectors.
  • With more than 70 software modules of varying sizes and complexity, HPMS supports critical functions impacting 65 million Medicare beneficiaries enrolling into MAPD health plans.
  • "CGI understands the current challenges in operationalizing data for the Medicare, Medicaid, and healthcare marketplace communities," said Steve Sousa, CGI Senior Vice-President & Health and Social Services Business Unit lead.

United Kingdom Legal Services Market Report 2024: Healthy Market Value Growth in 2023, Exports of Legal Services Pass £7 Billion for the First Time - ResearchAndMarkets.com

Retrieved on: 
Wednesday, March 6, 2024
Legal, Professional Services, MAPD, Investment, Private law, SME, Employment, DWF, SRA

The fourteenth annual edition of the report provides a unique detailed market review and analysis of the UK legal services market, including corporate law, conveyancing, family law, employment, personal injury and wills and probate.

Key Points: 
  • The fourteenth annual edition of the report provides a unique detailed market review and analysis of the UK legal services market, including corporate law, conveyancing, family law, employment, personal injury and wills and probate.
  • In 2023 the UK legal services market registered value growth of 8.3% at current prices reaching £47.5bn.
  • It has been high street law firms and SME law firms that have seen while the largest decrease in numbers.
  • Legal advice for business and commercial matters (including commercial property) is the largest specific market segment taking almost a 50% share of the total UK legal services market value.

Astiva Health, Inc. Celebrates Grand Opening of New Activity Center in Los Angeles-Koreatown with Support from Rep. Michelle Steel

Retrieved on: 
Friday, February 16, 2024
MAPD, Ageing, Golden Joystick Awards, Health education, IBN, Medicare, City centre, Health

It reflects Astiva Health's dedication to delivering culturally tailored healthcare and support services that cater to the unique needs of the communities it serves.

Key Points: 
  • It reflects Astiva Health's dedication to delivering culturally tailored healthcare and support services that cater to the unique needs of the communities it serves.
  • "We are thrilled to open the doors of the Los Angeles-Koreatown Activity Center," said Dr. Tri T. Nguyen , CEO of Astiva Health.
  • The Los Angeles-Koreatown Activity Center is just one example of how Astiva Health is actively addressing the healthcare disparities faced by ethnic communities.
  • For more information about the services offered at the new Activity Center and Astiva Health's comprehensive healthcare plans, please visit www.AstivaHealth.com.

IBN Spotlights Astiva Health CEO Dr. Tri T. Nguyen on The Bell2Bell Podcast

Retrieved on: 
Tuesday, January 30, 2024
MAPD, Interview, Philosophy, Passive, UC, University of California, Davis, IBN, Medicare, Pharmaceutical industry

The Bell2Bell Podcast is known for its informative updates and exclusive interviews with top executives in rapidly evolving industries.

Key Points: 
  • The Bell2Bell Podcast is known for its informative updates and exclusive interviews with top executives in rapidly evolving industries.
  • The latest episode features a comprehensive interview with Dr. Tri T. Nguyen, the Co-Founder and CEO of Astiva Health .
  • Astiva Health is rapidly making its mark in the Medicare Advantage Prescription Drug (MAPD) sector with its commitment to transforming personalized and comprehensive healthcare.
  • During the interview, Dr. Nguyen offered insights into Astiva Health’s foundations and its unique business model.

Astiva Health Files Statement for Proposed Initial Public Offering

Retrieved on: 
Friday, December 15, 2023
IBN, IPO, Prospectus, MAPD, Indian stock exchange, Medicare, Sale, DRS, Security (finance)

The offer is contingent upon market conditions, and there is no assurance regarding the completion, size, or terms of the offering.

Key Points: 
  • The offer is contingent upon market conditions, and there is no assurance regarding the completion, size, or terms of the offering.
  • Astiva Health plans to file privately via DRS within the month of December, listing their Common Shares.
  • This announcement marks a crucial step for Astiva Health as it moves toward making a lasting impact in the healthcare industry.
  • Prospective investors are advised that the proposed offering will be conducted solely through a prospectus.

Astiva Health Announces Strategic Expansion Across Three Southern California Counties

Retrieved on: 
Tuesday, December 12, 2023
IBN, MAPD, Medicare, CFR

With a profound focus on inclusivity and community well-being, Astiva Health recognizes the diverse healthcare needs of individuals.

Key Points: 
  • With a profound focus on inclusivity and community well-being, Astiva Health recognizes the diverse healthcare needs of individuals.
  • As part of its expansion initiative, Astiva Health aims to provide a more extensive network of care, fostering lasting relationships within these communities.
  • Astiva Health's strategic expansion into these three counties is poised to elevate the company's impact on Medicare Advantage enrollment.
  • Astiva Health invites individuals, healthcare professionals, and the public to explore the opportunities this expansion brings, as the company continues its journey to redefine healthcare accessibility and quality.

Blue Cross and Blue Shield of Texas Broadens 2024 Medicare Plans

Retrieved on: 
Wednesday, November 29, 2023
Medicare Advantage, Amazon Pharmacy, Blue Cross, Nursing, Part, HMO, Blue Shield, PPO, Pharmacy, MAPD, Hearing, Hospital, Health, Transport, Health insurance, Medicare

RICHARDSON, Texas, Nov. 29, 2023 /PRNewswire/ -- Blue Cross and Blue Shield of Texas (BCBSTX) is enhancing its 2024 Medicare Advantage coverage in Texas, expanding its service area to reach 6.3 million Medicare-eligible Texans in 227 of 254 counties during the annual enrollment period that ends Dec. 7. The BCBSTX Medicare Advantage network expansion includes 80 additional counties.

Key Points: 
  • Expands service area to 80 additional counties, increasing access and coverage
    RICHARDSON, Texas, Nov. 29, 2023 /PRNewswire/ -- Blue Cross and Blue Shield of Texas (BCBSTX) is enhancing its 2024 Medicare Advantage coverage in Texas, expanding its service area to reach 6.3 million Medicare-eligible Texans in 227 of 254 counties during the annual enrollment period that ends Dec. 7.
  • Among the new plan features:
    Medicare Advantage and/or Medicare Advantage Prescription Drug (MAPD) plans: Streamlined plan consolidations and name changes offer simplicity and efficiency.
  • The BCBSTX 2024 Medicare product portfolio also offers shoppers an increased range of affordable options and new opportunities to get even more from Medicare.
  • The Medicare Advantage and Prescription Drug Plan annual enrollment period for 2024 ends December 7.

Martin's Point Health Plans Receive Top Ratings

Retrieved on: 
Tuesday, November 7, 2023
Tufts Health Plan, Insurance, HMO, Medicare, National Committee for Quality Assurance, NCQA, News, Environment, MAPD, Quality assurance, GA, PPO, U.S. News & World Report, US Family Health Plan, Point, National Committee, CMS, Health insurance, Life insurance

PORTLAND, Maine, Nov. 7, 2023 /PRNewswire/ -- The Martin's Point health plans portfolio, comprised of multiple plan types across different insurance sectors, has received top rankings in several nationally administered evaluations.

Key Points: 
  • PORTLAND, Maine, Nov. 7, 2023 /PRNewswire/ -- The Martin's Point health plans portfolio, comprised of multiple plan types across different insurance sectors, has received top rankings in several nationally administered evaluations.
  • NCQA Health Plan Ratings evaluate and distribute information related to health plan quality and performance.
  • The overall rating is the weighted average of a plan's HEDIS® and CAHPS® measure ratings, plus bonus points for plans with a current accreditation status as of June 30, 2023.
  • The ratings help provide consumers with information that helps them select a high-quality health plan that best suits their needs.

Lumeris Drives Third Consecutive 5-Star Rating for Essence Medicare Advantage Plan

Retrieved on: 
Tuesday, October 17, 2023
Health, Medicare, Medicare Advantage, Corporation, Organization, PDP, Medicare Part D coverage gap, ST, Centers for Medicare & Medicaid Services, MAPD, Medicare Part D, Commercial, Patient, CMS, Health insurance, Management, Nursing, Emmanuel Thomas Lumeri, Medicaid

ST. LOUIS, Oct. 17, 2023 /PRNewswire/ -- Essence Healthcare, Lumeris' wholly-owned, 5-Star Medicare Advantage (MAPD) plan, has received an overall plan rating of 5 stars from the Centers for Medicare & Medicaid Services (CMS). This is the fourth time and third consecutive year that Essence Healthcare has received a 5-Star rating — a testament to the organization's consistent high performance and operational excellence, enabled by Lumeris' strong strategic guidance and technology solutions.

Key Points: 
  • As the Centers for Medicare & Medicaid Services (CMS) award fewer 5-Star ratings in 2024, Essence Healthcare receives top scores
    ST. LOUIS, Oct. 17, 2023 /PRNewswire/ -- Essence Healthcare , Lumeris' wholly-owned, 5-Star Medicare Advantage (MAPD) plan, has received an overall plan rating of 5 stars from the Centers for Medicare & Medicaid Services (CMS).
  • This is the fourth time and third consecutive year that Essence Healthcare has received a 5-Star rating.
  • The Centers for Medicare & Medicaid Services (CMS) publishes the Medicare Advantage (Medicare Part C) and Medicare Part D Star Ratings each year to measure the quality of health and drug services received by consumers enrolled in Medicare Advantage (MA) and Prescription Drug Plans (PDPs or Part D plans).
  • By leveraging Lumeris' model, Essence Healthcare has consistently delivered affordable, comprehensive Medicare Advantage plans with a focus on wellness, care coordination, and exceptional member service.