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August 10, 2017

Today's Featured Story    

ConcertoHealth Seeks Value-Based Pacts Via Primary Care Model
Reprinted from MEDICARE ADVANTAGE NEWS

As Medicare Advantage insurers show increasing interest in moving physicians down the path toward value-based care, Irvine, Calif.-based ConcertoHealth is taking a two-pronged approach to supporting the network needs of its health plan partners across a variety of settings. Originally a provider-led MA plan called Fidelis Secure Care, the company under new ownership was renamed and divested its MA assets in 2014 to focus on the provider side. ConcertoHealth began entering value-based payment arrangements with MA and other insurers with the types of chronically ill, vulnerable members it was already equipped to serve via its existing primary care clinic model.... Read Full Story

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Today's AIS Health Datapoint

72,099 ... members are enrolled in Healthfirst Life Improvement Plan, the largest dual-eligible Special Needs Plan (D-SNP) in the state of New York. There are 237,834 D-SNP enrollees in the state.

From AIS's MEDICARE AND MEDICAID MARKET DATA

 

People on the Move

TRICAST named Jim Clair CEO and Chris Lagnese vice president of sales and services. Clair previously was the CEO of Goold Health Systems before its acquisition by Change Healthcare in 2013, after which Clair was president of the wholly owned subsidiary. Lagnese was the director of pharmacy benefit administrator products and services at Change Healthcare….Cognizant subsidiary TriZetto Provider Solutions promoted Kevin Lathrop to president. He most recently was chief operating officer….NextHealth Technologies appointed Stephen LaViolette vice president of sales for its Eastern region. Prior to joining NextHealth, LaViolette was vice president of sales at Xerox Services.

 

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