Partners
MHPA is honored to be associated with the following companies that have generously sponsored the organization through MHPA's Partner program:
Companies
Alere
Altegra Health
Ambry Genetics
AmeriHealth Mercy Family of Companies
APS Healthcare
Baxter International Inc.
Connolly Healthcare
CVS Caremark
Daiichi Sankyo, Inc.
DST Health Solutions
Epstein, Becker & Green
Ethicon Endo-Surgery, Inc. (Reimbursement & Healthcare Economics)
Health Integrated
Health Management Systems (HMS)
Johnson & Johnson Health Care Systems, Inc
LexisNexis
McKesson
Medagate
Medco Health Solutions
Merck & Co., Inc.
Navigant Consulting
Navitus Health Solutions
ProgenyHealth
Qualis Health
Roche Diagnostics
Sellers Dorsey
SunRx
Thomson Reuters
URAC
Vitas Healthcare Corp.
Watson Pharmaceuticals
WellPoint
ZeOmega
Return to Membership
For more on MHPA sponsorship, click here.
Alere
By developing new capabilities in near-patient diagnosis, monitoring and health management, Alere enables individuals to take charge of improving their health and quality of life at home. Alere's global leading products and services, as well as its new product development efforts, focus on cardiology, women's health, infectious disease, oncology and toxicology. Alere is headquartered in Waltham, Massachusetts.
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Altegra Health
Altegra Health leads the U.S. healthcare industry with business and technology solutions that improve health plan performance by aligning member health status, member benefits and accurate reimbursement. The company’s solutions address a full continuum of revenue management needs including risk adjustment, encounter reporting, eligibility and enrollment services, and quality reporting. Altegra Health helps health plans gain a deep understanding of the health of their members in order to bring together the right benefits, the right care and the right reimbursement.
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Ambry Genetics
Ambry Genetics is a CAP-accredited and CLIA-certified commercial clinical laboratory with headquarters in Aliso Viejo, California. Since the company's inception in 1999, it has become a leader in providing genetic services focused on clinical diagnostics and genomic services, particularly sequencing and array services. Ambry has established a solid reputation for unparalleled service and has been at the forefront of applying new technologies to the clinical molecular diagnostics market and to the advancement of disease research. To learn more about testing and services available through Ambry Genetics, visit www.ambrygen.com.
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AmeriHealth Mercy Family of Companies
The AmeriHealth Mercy Family of Companies comprises the largest organization of Medicaid managed care plans in the United States, touching 6.5 million lives nationwide. They are the nation's expert and industry leader in the delivery of quality health care to low-income populations covered by publicly-funded programs, including Medicare, Medicaid and State Children's Health Insurance Programs. AmeriHealth Mercy's five product lines include full-risk Medicaid managed care, management and administrative services, behavioral health services, care management and pharmacy benefits management for Medicaid and Medicare Part D. Its programs offer improved health outcomes for members and have saved millions of dollars in public funds.
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APS Healthcare
APS Healthcare works collaboratively with state and local governments, health plans, providers and employers to design and deliver services and solutions to meet today's health care challenges. Tailored to address the unique needs of each population, our services include behavioral health, disease management and care coordination, and clinical quality and utilization review. Our mission, quite simply, is to: Improve the health of those we serve. The outcome: improved clinical and financial results for our customers and their members.
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Baxter International Inc.
Baxter International Inc., through its subsidiaries, develops, manufactures and markets products that save and sustain the lives of people with hemophilia, immune disorders, infectious diseases, kidney disease, trauma, and other chronic and acute medical conditions. As a global, diversified healthcare company, Baxter applies a unique combination of expertise in medical devices, pharmaceuticals and biotechnology to create products that advance patient care worldwide.
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Connolly Healthcare
Establishing itself in 1979 as a recovery audit pioneer, Connolly Healthcare introduced medical claim data mining audits to the healthcare industry in 1998, and is now recognized by commercial and government health plans as the recovery audit expert. With the industry's large and fast growing volume of complex medical claim transactions, small errors can quickly add up to millions of lost dollars. That's why four of the largest six insurance payers and other major insurers use Connolly."
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CVS Caremark
CVS Caremark is the largest pharmacy health care provider in the United States with integrated offerings across the entire spectrum of pharmacy care. We are uniquely positioned to engage plan members in behaviors that improve their health and to lower overall health care costs for health plans, plan sponsors and their members. CVS Caremark is a market leader in mail order pharmacy, retail pharmacy, specialty pharmacy, and retail clinics, and is a leading provider of Medicare Part D Prescription Drug Plans. As one of the country's largest pharmacy benefits managers (PBMs), we provide access to a network of approximately 65,000 pharmacies, including more than 7,300 CVS/pharmacy® stores that provide unparalleled service and capabilities. Our clinical offerings include our signature Pharmacy Advisor™ program as well as innovative generic step therapy and genetic benefit management programs that promote more cost effective and healthier behaviors and improve health care outcomes. General information about CVS Caremark is available through the Company's website at http://info.cvscaremark.com/."
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Daiichi Sankyo, Inc.
Daiichi Sankyo headquartered in Parsippany, New Jersey, is the U.S. subsidiary of Tokyo-based Daiichi Sankyo Co., Ltd., which is a global pharmaceutical innovator. The headquarters company was established in 2005 from the merger of two leading Japanese pharmaceutical companies. The company believes good science walks hand-in-hand with humanity – and, as they move forward into our next century, Daiichi Sankyo seeks to build on its history of discovery with the development of new therapies in cardiovascular disease, cancer, metabolic disorders and infection.
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DST Health Solutions
For more than 35 years, DST Health Solutions has been the premier business process outsourcing (BPO) and application services provider (ASP) in the healthcare industry. Our highly innovative portfolios of quality-driven, enterprise solutions combined with industry leadership and knowledge drive strategic business decisions and optimize administrative efficiency within health plan, TPA, and physician practice business operations. E-mail: inforequests@dsthealthsolutions.com Phone: 800-272-4799
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Epstein, Becker & Green
Founded in 1973, Epstein Becker & Green, P.C. is a national law firm with global reach that takes a "boutique approach" to five complementary areas of practice: business law; health care and life sciences; labor and employment; litigation and real estate. EpsteinBeckerGreen's commitment to these practices reflects its founders' belief in focused proficiency paired with seasoned experience. Each practice is comprised of teams of experienced attorneys with the flexibility to take on cases of all sizes, and the mandate to deliver truly professional service.
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Ethicon Endo-Surgery, Inc. (Reimbursement & Healthcare Economics)
Ethicon Endo-Surgery, Inc. (EES) develops and markets advanced medical devices for minimally invasive and open surgical procedures. The company focuses on procedure-enabling devices for the interventional diagnosis and treatment of conditions in general and bariatric surgery, as well as gastrointestinal health, gynecology and surgical oncology. Products include the ENDOPATH XCEL® Access System; CONTOUR® Curved Cutter Stapler; HARMONICTM ultrasonic cutting and coagulation surgical devices; and the MAMMOTOME® Biopsy System for diagnosis of early stage breast cancer.
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Health Integrated
Health Integrated is the leading innovation partner for health plans, providing evidence-based solutions to accelerate achievement of health management goals for clinical outcomes, quality measures and cost containment.
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Health Management Systems (HMS)
HMS is the nation's leader in cost containment solutions for government-funded, commercial and private entities. Focused exclusively on the healthcare industry since our founding, HMS helps clients ensure that healthcare claims are paid correctly and by the responsible party, and that those enrolled to receive program benefits meet qualifying criteria. By deploying our proven approaches, HMS recovers in excess of $1 billion for its clients every year, and saves them billions of dollars more in erroneous payments.
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Johnson & Johnson Health Care Systems, Inc.
Johnson & Johnson Health Care Systems Inc. (JJHCS) provides contracting, supply chain and business services to customers of Johnson & Johnson companies, including hospital systems and group purchasing organizations, health plans, physicians, specialty pharmacy providers, distributors and wholesalers, pharmacy benefits managers, long-term care providers, employers, government payor programs and government health care institutions.
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LexisNexis
LexisNexis® is a leading global provider of content-enabled workflow solutions designed specifically for professionals in the legal, risk management, corporate, government, law enforcement, accounting, and academic markets. LexisNexis originally pioneered online information with its Lexis® and Nexis® services. A member of Reed Elsevier, LexisNexis serves customers in more than 100 countries with more than 15,000 employees worldwide. Through the integration of information and technology, LexisNexis uniquely unites proprietary brands, advanced Web technologies and premium information sources. Across the globe, LexisNexis provides customers with access to billions of searchable documents and records from more than 45,000 legal, news and business sources. To help customers win in their own marketplace, LexisNexis delivers Total Solutions—innovative products and services to address specific customer needs in order to improve productivity, increase profitability and stimulate growth. Through risk and analytics solutions to assess risk, the company helps professionals verify identity, prevent fraud, comply with legislation, facilitate and secure commerce, conduct background screening and support law enforcement and homeland security initiatives.
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McKesson
McKesson helps health care providers improve business health and deliver better care to patients. As a pharmaceutical distributor and health care information technology company, McKesson provides systems for medical supply management, clinical workflow, practice management, pharmacy automation and care management.
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Medagate
TCNetwork™ is powered by Medagate Corporation, a leading provider of health care benefit platform solutions and services, in partnership with InComm, the leading issuer and processor of gift cards, processing over $15 billion in transactions annually. OTCNetwork is the first national Over-The-Counter (OTC) benefits disbursement and redemption network for Medicare Advantage plans, State Medicaid programs, and their members. OTCNetwork acceptance is today integrated into front-of-store Point-Of-Sale (POS) terminals at over 35,000 retail locations in all 50 states, including Puerto Rico. OTCNetwork enables leading health plans and state governments offering Medicare Advantage and State Medicaid programs respectively to provide more efficient consumer access to and use of OTC item benefits. Providing better access to and use of OTC item benefits improves overall member health through self-care, and dramatically reduces healthcare program costs. OTCMedicare™ and OTCMedicaid™branded re-loadable prepaid cards are the first to restrict spend exclusively to OTC Medicare and Medicaid Benefits eligible items.
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Merck & Co., Inc. is a global research-driven pharmaceutical company dedicated to putting patients first. Established in 1891, Merck discovers, develops, manufactures and markets vaccines and medicines to address unmet medical needs.
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Navitus
Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company. As a zero-spread, full pass through pharmacy benefit manager (PBM), Navitus aligns performance with plan sponsors’ benefit goals to deliver comprehensive clinical programs and cost-saving strategies that lower drug trend and promote good member health. Navitus provides its flexible services to government entities, self-funded employers, coalitions, labor organizations, third-party administrators, and health plans, including managed Medicaid and Medicare Part D. For more information about Navitus Health Solutions’ real solutions to the rising cost of health care, visit www.navitus.com or call 877-571-7500.
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Navigant Consulting
Navigant is a specialized, global expert services firm dedicated to assisting clients in creating and protecting value in the face of critical business risks and opportunities. Through senior level engagement with clients, Navigant professionals combine technical expertise in Disputes and Investigations, Economics, Financial Advisory and Management Consulting, with business pragmatism in the highly regulated Construction, Energy, Financial Services and Healthcare industries to support clients in addressing their most critical business needs. In healthcare, clients turn to Navigant to achieve profitable growth, operate more efficiently, deploy capital effectively and manage risk proactively. Our healthcare consulting team consists of professionals with extensive experience in the field, including hospital, health plan, physician group and healthcare finance program executives, MDs, pharmacists and many other clinical professionals. The Navigant team is committed to working with healthcare clients to design, develop and implement solutions that create high-performing physician organizations and healthcare systems.
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ProgenyHealth
Headquartered in Conshohocken, Pennsylvania, ProgenyHealth is a leading provider of neonatal care coordination services. Focusing on the unique health care needs of infants in intensive care nurseries, ProgenyHealth neonatologists, pediatricians and NICU nurses partner with the infant’s neonatologists and primary care providers to provide care management services from birth throughout the first year of life. Case managers are available to support and educate families 24/7. By working closely with the Progeny clinical team, the families become active participants in the health care decision making process. For more information on our programs and services, please visit: www.progenyhealth.com.
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Qualis Health
Qualis Health, an independent nonprofit organization established in 1974, brings more than 30 years of experience to serving diverse populations with complex needs. Based in Seattle, Washington, they provide leadership, expertise and innovation in improving the health of individuals and populations across the healthcare continuum through our core services in utilization management, care coordination, clinical quality improvement, health information technology and operations improvement consulting.
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Roche Diagnostics
Roche plays a pioneering role in health care. As an innovator of products and services for the early detection, prevention, diagnosis and treatment of diseases, Roche contributes on a broad range of fronts to improving people's health and quality of life. Roche is providing the first products that are tailored to the needs of specific patient groups. Our mission today and tomorrow is to create added value in health care by focusing on our expertise in diagnostics and pharmaceuticals. Roche is the world leader in in-vitro diagnostics and drugs for cancer, transplantation, and active in other major therapeutic areas with a high medical need such as autoimmune diseases, inflammatory diseases, virology, metabolic disorders and diseases of the central nervous system.
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Sellers Dorsey
Sellers Dorsey, a market-leading healthcare consulting firm, specializes in creating transformational change in public healthcare programs. Highly regarded for its strategy and insight, the firm is at the forefront of Medicaid and healthcare reform. As it focuses their efforts on eliminating the ranks of the uninsured, Sellers Dorsey designs and implements exceptional solutions for clients by providing an effective combination of policy acumen, political savvy and professional skill. Sellers Dorsey is at the nexus of policy, politics and business in the transformation of healthcare. Innovative strategies enable them to realize breakthrough results, assuring the mutual benefit and interest of both public- and private-sector clients. Sellers Dorsey understands that fundamental change requires commitment from state and federal governments as well as private business to achieve tangible, progressive results. They partner with states, counties, municipalities, healthcare providers, advocacy organizations and other industry stakeholders.
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SUNRx
Based in Bensalem, PA, SUNRx helps healthcare safety net organizations manage discount drug programs, save money, generate revenue, and expand access to affordable medications. SUNRx provides automated solutions that help community health organizations manage 340B, PAP, GPO and other discount drug programs and comply with government regulations. For nearly a decade, SUNRx provided pharmacy benefit management (PBM) solutions to large employer groups. In 2007, they partnered with leading community health administrators, doctors and pharmacists to develop from the “ground up” their flagship 340B. Contact SUNRx at https://www.sunrx.com/home.aspx.
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Thomson Reuters
Thomson Reuters is the world's leading source of intelligent information for businesses and professionals. We combine industry expertise with innovative technology to deliver critical information to leading decision makers in the financial, legal, tax and accounting, healthcare and science and media markets, powered by the world's most trusted news organization. With headquarters in New York and major operations in London and Eagan, Minnesota, Thomson Reuters employs 55,000 people and operates in over 100 countries. For more information, go to www.thomsonreuters.com.
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URAC
URAC, an independent, nonprofit organization, is well-known as a leader in promoting health care quality through its accreditation, education and measurement programs. URAC offers a wide range of quality benchmarking programs and services that keep pace with the rapid changes in the health care system, and provide a symbol of excellence for organizations to validate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in establishing meaningful quality measures for the entire health care industry.
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Vitas Healthcare Corp.
VITAS Innovative Hospice Care®, a pioneer and leader in the hospice movement since 1978, is the nation's largest provider of end-of-life care. Our name is derived from the Latin word for "lives" and symbolizes the VITAS mission: to preserve the quality of life for those who have a limited time to live. ensuing value proposition of a $27B annual cost savings to the US Healthcare system. Headquartered in Miami, Florida, VITAS operates 46 hospice programs in 15 states and the District of Columbia. VITAS has enjoyed dynamic growth since its founding as a volunteer organization by a United Methodist minister and an oncology nurse. Today, VITAS employs 9,000 professionals who care for terminally ill patients daily-primarily in the patients' homes, but also in the company's inpatient hospice units as well as in hospitals, nursing homes and assisted living communities/residential care facilities. VITAS team members include registered nurses, licensed practical nurses, home health aides, physicians, social workers, chaplains and other caregiving professionals.
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Watson Pharmaceuticals
Watson Pharmaceuticals, Inc. (NYSE: WPI) is a leading integrated global pharmaceutical company engaged in the development, manufacturing, marketing, sale and distribution of generic, brand and biologic pharmaceutical products. Watson is among the top five pharmaceutical companies in the United States, based on total prescriptions, and has commercial operations in many of the world’s established and emerging international markets.
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WellPoint
WellPoint works to simplify the connection between Health, Care and Value. We help to improve the health of our members and our communities, and provide greater value to our customers and shareholders. WellPoint is one of the nation’s largest health benefits companies, with 34 million members in its affiliated health plans, and a total of more than 65 million individuals served through its subsidiaries. As an independent licensee of the Blue Cross and Blue Shield Association, WellPoint serves members as the Blue Cross licensee for California; the Blue Cross and Blue Shield licensee for Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, New York (as the Blue Cross Blue Shield licensee in 10 New York City metropolitan and surrounding counties and as the Blue Cross or Blue Cross Blue Shield licensee in selected upstate counties only), Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. In a majority of these service areas, WellPoint’s plans do business as Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Georgia, Empire Blue Cross Blue Shield, or Empire Blue Cross (in the New York service areas). WellPoint also serves customers throughout the country as UniCare and in certain California, Arizona and Nevada markets through our recently acquired CareMore Health Group, Inc. subsidiary. Additional information about WellPoint is available at http://www.wellpoint.com.
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ZeOmega
ZeOmega is a leading provider of web-enabled and rules-driven workflow software for integrated care management. Our software solutions transform traditional episodic-based care management into a proactive and collaborative population healthcare management paradigm. Our solutions enable integration of workflows across the care management continuum, automate workflows intelligently based on client business rules and facilitate collaboration between payers, providers, and members.
Our solutions allow for the identification, stratification and engagement of populations and high risk members, and enhance collaborative multi-channel communication between members, providers and stakeholders.
ZeOmega's solutions tightly integrate analytics, clinical and business rules, workflows and communications to truly revolutionize care management. Our solutions shift the focus from just looking at data and taking isolated and manual actions to sharing information and taking collaborative and meaningful steps in an automated manner that address the quality and cost of healthcare.
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Companies
Alere
Altegra Health
Ambry Genetics
AmeriHealth Mercy Family of Companies
APS Healthcare
Baxter International Inc.
Connolly Healthcare
CVS Caremark
Daiichi Sankyo, Inc.
DST Health Solutions
Epstein, Becker & Green
Ethicon Endo-Surgery, Inc. (Reimbursement & Healthcare Economics)
Health Integrated
Health Management Systems (HMS)
Johnson & Johnson Health Care Systems, Inc
LexisNexis
McKesson
Medagate
Medco Health Solutions
Merck & Co., Inc.
Navigant Consulting
Navitus Health Solutions
ProgenyHealth
Qualis Health
Roche Diagnostics
Sellers Dorsey
SunRx
Thomson Reuters
URAC
Vitas Healthcare Corp.
Watson Pharmaceuticals
WellPoint
ZeOmega
Return to Membership
For more on MHPA sponsorship, click here.
Alere
By developing new capabilities in near-patient diagnosis, monitoring and health management, Alere enables individuals to take charge of improving their health and quality of life at home. Alere's global leading products and services, as well as its new product development efforts, focus on cardiology, women's health, infectious disease, oncology and toxicology. Alere is headquartered in Waltham, Massachusetts.
(back to top)
Altegra Health
Altegra Health leads the U.S. healthcare industry with business and technology solutions that improve health plan performance by aligning member health status, member benefits and accurate reimbursement. The company’s solutions address a full continuum of revenue management needs including risk adjustment, encounter reporting, eligibility and enrollment services, and quality reporting. Altegra Health helps health plans gain a deep understanding of the health of their members in order to bring together the right benefits, the right care and the right reimbursement.
(back to top)
Ambry Genetics
Ambry Genetics is a CAP-accredited and CLIA-certified commercial clinical laboratory with headquarters in Aliso Viejo, California. Since the company's inception in 1999, it has become a leader in providing genetic services focused on clinical diagnostics and genomic services, particularly sequencing and array services. Ambry has established a solid reputation for unparalleled service and has been at the forefront of applying new technologies to the clinical molecular diagnostics market and to the advancement of disease research. To learn more about testing and services available through Ambry Genetics, visit www.ambrygen.com.
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AmeriHealth Mercy Family of Companies
The AmeriHealth Mercy Family of Companies comprises the largest organization of Medicaid managed care plans in the United States, touching 6.5 million lives nationwide. They are the nation's expert and industry leader in the delivery of quality health care to low-income populations covered by publicly-funded programs, including Medicare, Medicaid and State Children's Health Insurance Programs. AmeriHealth Mercy's five product lines include full-risk Medicaid managed care, management and administrative services, behavioral health services, care management and pharmacy benefits management for Medicaid and Medicare Part D. Its programs offer improved health outcomes for members and have saved millions of dollars in public funds.
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APS Healthcare
APS Healthcare works collaboratively with state and local governments, health plans, providers and employers to design and deliver services and solutions to meet today's health care challenges. Tailored to address the unique needs of each population, our services include behavioral health, disease management and care coordination, and clinical quality and utilization review. Our mission, quite simply, is to: Improve the health of those we serve. The outcome: improved clinical and financial results for our customers and their members.
(back to top)
Baxter International Inc.
Baxter International Inc., through its subsidiaries, develops, manufactures and markets products that save and sustain the lives of people with hemophilia, immune disorders, infectious diseases, kidney disease, trauma, and other chronic and acute medical conditions. As a global, diversified healthcare company, Baxter applies a unique combination of expertise in medical devices, pharmaceuticals and biotechnology to create products that advance patient care worldwide.
(back to top)
Connolly Healthcare
Establishing itself in 1979 as a recovery audit pioneer, Connolly Healthcare introduced medical claim data mining audits to the healthcare industry in 1998, and is now recognized by commercial and government health plans as the recovery audit expert. With the industry's large and fast growing volume of complex medical claim transactions, small errors can quickly add up to millions of lost dollars. That's why four of the largest six insurance payers and other major insurers use Connolly."
(back to top)
CVS Caremark
CVS Caremark is the largest pharmacy health care provider in the United States with integrated offerings across the entire spectrum of pharmacy care. We are uniquely positioned to engage plan members in behaviors that improve their health and to lower overall health care costs for health plans, plan sponsors and their members. CVS Caremark is a market leader in mail order pharmacy, retail pharmacy, specialty pharmacy, and retail clinics, and is a leading provider of Medicare Part D Prescription Drug Plans. As one of the country's largest pharmacy benefits managers (PBMs), we provide access to a network of approximately 65,000 pharmacies, including more than 7,300 CVS/pharmacy® stores that provide unparalleled service and capabilities. Our clinical offerings include our signature Pharmacy Advisor™ program as well as innovative generic step therapy and genetic benefit management programs that promote more cost effective and healthier behaviors and improve health care outcomes. General information about CVS Caremark is available through the Company's website at http://info.cvscaremark.com/."
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Daiichi Sankyo, Inc.
Daiichi Sankyo headquartered in Parsippany, New Jersey, is the U.S. subsidiary of Tokyo-based Daiichi Sankyo Co., Ltd., which is a global pharmaceutical innovator. The headquarters company was established in 2005 from the merger of two leading Japanese pharmaceutical companies. The company believes good science walks hand-in-hand with humanity – and, as they move forward into our next century, Daiichi Sankyo seeks to build on its history of discovery with the development of new therapies in cardiovascular disease, cancer, metabolic disorders and infection.
(back to top)
DST Health Solutions
For more than 35 years, DST Health Solutions has been the premier business process outsourcing (BPO) and application services provider (ASP) in the healthcare industry. Our highly innovative portfolios of quality-driven, enterprise solutions combined with industry leadership and knowledge drive strategic business decisions and optimize administrative efficiency within health plan, TPA, and physician practice business operations. E-mail: inforequests@dsthealthsolutions.com Phone: 800-272-4799
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Epstein, Becker & Green
Founded in 1973, Epstein Becker & Green, P.C. is a national law firm with global reach that takes a "boutique approach" to five complementary areas of practice: business law; health care and life sciences; labor and employment; litigation and real estate. EpsteinBeckerGreen's commitment to these practices reflects its founders' belief in focused proficiency paired with seasoned experience. Each practice is comprised of teams of experienced attorneys with the flexibility to take on cases of all sizes, and the mandate to deliver truly professional service.
(back to top)
Ethicon Endo-Surgery, Inc. (Reimbursement & Healthcare Economics)
Ethicon Endo-Surgery, Inc. (EES) develops and markets advanced medical devices for minimally invasive and open surgical procedures. The company focuses on procedure-enabling devices for the interventional diagnosis and treatment of conditions in general and bariatric surgery, as well as gastrointestinal health, gynecology and surgical oncology. Products include the ENDOPATH XCEL® Access System; CONTOUR® Curved Cutter Stapler; HARMONICTM ultrasonic cutting and coagulation surgical devices; and the MAMMOTOME® Biopsy System for diagnosis of early stage breast cancer.
(back to top)
Health Integrated
Health Integrated is the leading innovation partner for health plans, providing evidence-based solutions to accelerate achievement of health management goals for clinical outcomes, quality measures and cost containment.
(back to top)
Health Management Systems (HMS)
HMS is the nation's leader in cost containment solutions for government-funded, commercial and private entities. Focused exclusively on the healthcare industry since our founding, HMS helps clients ensure that healthcare claims are paid correctly and by the responsible party, and that those enrolled to receive program benefits meet qualifying criteria. By deploying our proven approaches, HMS recovers in excess of $1 billion for its clients every year, and saves them billions of dollars more in erroneous payments.
(back to top)
Johnson & Johnson Health Care Systems, Inc.
Johnson & Johnson Health Care Systems Inc. (JJHCS) provides contracting, supply chain and business services to customers of Johnson & Johnson companies, including hospital systems and group purchasing organizations, health plans, physicians, specialty pharmacy providers, distributors and wholesalers, pharmacy benefits managers, long-term care providers, employers, government payor programs and government health care institutions.
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LexisNexis
LexisNexis® is a leading global provider of content-enabled workflow solutions designed specifically for professionals in the legal, risk management, corporate, government, law enforcement, accounting, and academic markets. LexisNexis originally pioneered online information with its Lexis® and Nexis® services. A member of Reed Elsevier, LexisNexis serves customers in more than 100 countries with more than 15,000 employees worldwide. Through the integration of information and technology, LexisNexis uniquely unites proprietary brands, advanced Web technologies and premium information sources. Across the globe, LexisNexis provides customers with access to billions of searchable documents and records from more than 45,000 legal, news and business sources. To help customers win in their own marketplace, LexisNexis delivers Total Solutions—innovative products and services to address specific customer needs in order to improve productivity, increase profitability and stimulate growth. Through risk and analytics solutions to assess risk, the company helps professionals verify identity, prevent fraud, comply with legislation, facilitate and secure commerce, conduct background screening and support law enforcement and homeland security initiatives.
(back to top)
McKesson
McKesson helps health care providers improve business health and deliver better care to patients. As a pharmaceutical distributor and health care information technology company, McKesson provides systems for medical supply management, clinical workflow, practice management, pharmacy automation and care management.
(back to top)
Medagate
TCNetwork™ is powered by Medagate Corporation, a leading provider of health care benefit platform solutions and services, in partnership with InComm, the leading issuer and processor of gift cards, processing over $15 billion in transactions annually. OTCNetwork is the first national Over-The-Counter (OTC) benefits disbursement and redemption network for Medicare Advantage plans, State Medicaid programs, and their members. OTCNetwork acceptance is today integrated into front-of-store Point-Of-Sale (POS) terminals at over 35,000 retail locations in all 50 states, including Puerto Rico. OTCNetwork enables leading health plans and state governments offering Medicare Advantage and State Medicaid programs respectively to provide more efficient consumer access to and use of OTC item benefits. Providing better access to and use of OTC item benefits improves overall member health through self-care, and dramatically reduces healthcare program costs. OTCMedicare™ and OTCMedicaid™branded re-loadable prepaid cards are the first to restrict spend exclusively to OTC Medicare and Medicaid Benefits eligible items.
(back to top)
Medco Health Solutions
Medco is a leading pharmacy benefit manager (PBM) with the nation's largest mail order pharmacy operations. Medco assists its customers to moderate the cost and enhance the quality of prescription drug benefits provided to members nationwide.
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Merck & Co., Inc. is a global research-driven pharmaceutical company dedicated to putting patients first. Established in 1891, Merck discovers, develops, manufactures and markets vaccines and medicines to address unmet medical needs.
(back to top)
Navitus
Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company. As a zero-spread, full pass through pharmacy benefit manager (PBM), Navitus aligns performance with plan sponsors’ benefit goals to deliver comprehensive clinical programs and cost-saving strategies that lower drug trend and promote good member health. Navitus provides its flexible services to government entities, self-funded employers, coalitions, labor organizations, third-party administrators, and health plans, including managed Medicaid and Medicare Part D. For more information about Navitus Health Solutions’ real solutions to the rising cost of health care, visit www.navitus.com or call 877-571-7500.
(back to top)
Navigant Consulting
Navigant is a specialized, global expert services firm dedicated to assisting clients in creating and protecting value in the face of critical business risks and opportunities. Through senior level engagement with clients, Navigant professionals combine technical expertise in Disputes and Investigations, Economics, Financial Advisory and Management Consulting, with business pragmatism in the highly regulated Construction, Energy, Financial Services and Healthcare industries to support clients in addressing their most critical business needs. In healthcare, clients turn to Navigant to achieve profitable growth, operate more efficiently, deploy capital effectively and manage risk proactively. Our healthcare consulting team consists of professionals with extensive experience in the field, including hospital, health plan, physician group and healthcare finance program executives, MDs, pharmacists and many other clinical professionals. The Navigant team is committed to working with healthcare clients to design, develop and implement solutions that create high-performing physician organizations and healthcare systems.
(back to top)
ProgenyHealth
Headquartered in Conshohocken, Pennsylvania, ProgenyHealth is a leading provider of neonatal care coordination services. Focusing on the unique health care needs of infants in intensive care nurseries, ProgenyHealth neonatologists, pediatricians and NICU nurses partner with the infant’s neonatologists and primary care providers to provide care management services from birth throughout the first year of life. Case managers are available to support and educate families 24/7. By working closely with the Progeny clinical team, the families become active participants in the health care decision making process. For more information on our programs and services, please visit: www.progenyhealth.com.
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Qualis Health
Qualis Health, an independent nonprofit organization established in 1974, brings more than 30 years of experience to serving diverse populations with complex needs. Based in Seattle, Washington, they provide leadership, expertise and innovation in improving the health of individuals and populations across the healthcare continuum through our core services in utilization management, care coordination, clinical quality improvement, health information technology and operations improvement consulting.
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Roche Diagnostics
Roche plays a pioneering role in health care. As an innovator of products and services for the early detection, prevention, diagnosis and treatment of diseases, Roche contributes on a broad range of fronts to improving people's health and quality of life. Roche is providing the first products that are tailored to the needs of specific patient groups. Our mission today and tomorrow is to create added value in health care by focusing on our expertise in diagnostics and pharmaceuticals. Roche is the world leader in in-vitro diagnostics and drugs for cancer, transplantation, and active in other major therapeutic areas with a high medical need such as autoimmune diseases, inflammatory diseases, virology, metabolic disorders and diseases of the central nervous system.
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Sellers Dorsey
Sellers Dorsey, a market-leading healthcare consulting firm, specializes in creating transformational change in public healthcare programs. Highly regarded for its strategy and insight, the firm is at the forefront of Medicaid and healthcare reform. As it focuses their efforts on eliminating the ranks of the uninsured, Sellers Dorsey designs and implements exceptional solutions for clients by providing an effective combination of policy acumen, political savvy and professional skill. Sellers Dorsey is at the nexus of policy, politics and business in the transformation of healthcare. Innovative strategies enable them to realize breakthrough results, assuring the mutual benefit and interest of both public- and private-sector clients. Sellers Dorsey understands that fundamental change requires commitment from state and federal governments as well as private business to achieve tangible, progressive results. They partner with states, counties, municipalities, healthcare providers, advocacy organizations and other industry stakeholders.
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SUNRx
Based in Bensalem, PA, SUNRx helps healthcare safety net organizations manage discount drug programs, save money, generate revenue, and expand access to affordable medications. SUNRx provides automated solutions that help community health organizations manage 340B, PAP, GPO and other discount drug programs and comply with government regulations. For nearly a decade, SUNRx provided pharmacy benefit management (PBM) solutions to large employer groups. In 2007, they partnered with leading community health administrators, doctors and pharmacists to develop from the “ground up” their flagship 340B. Contact SUNRx at https://www.sunrx.com/home.aspx.
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Thomson Reuters
Thomson Reuters is the world's leading source of intelligent information for businesses and professionals. We combine industry expertise with innovative technology to deliver critical information to leading decision makers in the financial, legal, tax and accounting, healthcare and science and media markets, powered by the world's most trusted news organization. With headquarters in New York and major operations in London and Eagan, Minnesota, Thomson Reuters employs 55,000 people and operates in over 100 countries. For more information, go to www.thomsonreuters.com.
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URAC
URAC, an independent, nonprofit organization, is well-known as a leader in promoting health care quality through its accreditation, education and measurement programs. URAC offers a wide range of quality benchmarking programs and services that keep pace with the rapid changes in the health care system, and provide a symbol of excellence for organizations to validate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in establishing meaningful quality measures for the entire health care industry.
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Vitas Healthcare Corp.
VITAS Innovative Hospice Care®, a pioneer and leader in the hospice movement since 1978, is the nation's largest provider of end-of-life care. Our name is derived from the Latin word for "lives" and symbolizes the VITAS mission: to preserve the quality of life for those who have a limited time to live. ensuing value proposition of a $27B annual cost savings to the US Healthcare system. Headquartered in Miami, Florida, VITAS operates 46 hospice programs in 15 states and the District of Columbia. VITAS has enjoyed dynamic growth since its founding as a volunteer organization by a United Methodist minister and an oncology nurse. Today, VITAS employs 9,000 professionals who care for terminally ill patients daily-primarily in the patients' homes, but also in the company's inpatient hospice units as well as in hospitals, nursing homes and assisted living communities/residential care facilities. VITAS team members include registered nurses, licensed practical nurses, home health aides, physicians, social workers, chaplains and other caregiving professionals.
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Watson Pharmaceuticals
Watson Pharmaceuticals, Inc. (NYSE: WPI) is a leading integrated global pharmaceutical company engaged in the development, manufacturing, marketing, sale and distribution of generic, brand and biologic pharmaceutical products. Watson is among the top five pharmaceutical companies in the United States, based on total prescriptions, and has commercial operations in many of the world’s established and emerging international markets.
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WellPoint
WellPoint works to simplify the connection between Health, Care and Value. We help to improve the health of our members and our communities, and provide greater value to our customers and shareholders. WellPoint is one of the nation’s largest health benefits companies, with 34 million members in its affiliated health plans, and a total of more than 65 million individuals served through its subsidiaries. As an independent licensee of the Blue Cross and Blue Shield Association, WellPoint serves members as the Blue Cross licensee for California; the Blue Cross and Blue Shield licensee for Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, New York (as the Blue Cross Blue Shield licensee in 10 New York City metropolitan and surrounding counties and as the Blue Cross or Blue Cross Blue Shield licensee in selected upstate counties only), Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. In a majority of these service areas, WellPoint’s plans do business as Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Georgia, Empire Blue Cross Blue Shield, or Empire Blue Cross (in the New York service areas). WellPoint also serves customers throughout the country as UniCare and in certain California, Arizona and Nevada markets through our recently acquired CareMore Health Group, Inc. subsidiary. Additional information about WellPoint is available at http://www.wellpoint.com.
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ZeOmega
ZeOmega is a leading provider of web-enabled and rules-driven workflow software for integrated care management. Our software solutions transform traditional episodic-based care management into a proactive and collaborative population healthcare management paradigm. Our solutions enable integration of workflows across the care management continuum, automate workflows intelligently based on client business rules and facilitate collaboration between payers, providers, and members.
Our solutions allow for the identification, stratification and engagement of populations and high risk members, and enhance collaborative multi-channel communication between members, providers and stakeholders.
ZeOmega's solutions tightly integrate analytics, clinical and business rules, workflows and communications to truly revolutionize care management. Our solutions shift the focus from just looking at data and taking isolated and manual actions to sharing information and taking collaborative and meaningful steps in an automated manner that address the quality and cost of healthcare.
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MHPA’s Eighth Annual Meeting
Save Oct. 24-26 for the MHPA 2012 Annual Meeting at the Hyatt Regency Washington on Capitol Hill in Washington, DC. The event again will be the country’s largest gathering of top-level executives in the Medicaid health plan industry. As always, the meeting will offer a superior level of C-level executive participation, forum sharing and networking opportunities. Additionally, the sponsor tradeshow will vastly expand attendees’ exposure to the industry’s latest product and service solutions. Agenda and other details available soon. For sponsorship and exhibiting opportunities at the 2012 Annual Meeting, please click here.
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