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
AmeriHealth Mercy Family of Companies
APS Healthcare
Avalere Health
Baxter Healthcare Corporation
Boehringer Ingelheim
Celgene
Connolly Healthcare
CVS Caremark
Deloitte
DST Health Solutions
Epstein Becker Green
Ethicon Endo-Surgery, Inc. (Reimbursement & Healthcare Economics)
Express Scripts
First Quality
Goold Health Systems
Gorman Health Group
Health Management Systems (HMS)
Johnson & Johnson Health Care Systems, Inc
LexisNexis
Medagate
MedicAlert Foundation
Merck & Co., Inc.
MTM
Navigant Healthcare
Navitus Health Solutions
ProgenyHealth
PwC
Reckitt Benckiser Pharmaceuticals Inc.
Roche Diagnostics
Sellers Dorsey
TMG Health
TriZetto Corporation
Truven Health Analytics (formerly Thomson Reuters Healthcare)
URAC
Verizon
Vitas Healthcare Corp.
Watson Pharmaceuticals
WellPoint
Return to Membership
To become an MHPA Partner, 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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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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Avalere Health
Avalere Health is an advisory services company whose core purpose is to create innovative solutions to complex healthcare problems. Based in Washington DC, the firm delivers research, analysis, insight, and strategy for leaders in healthcare business and policy. Avalere's experts span 170 staff drawn from the federal government (e.g., CMS, OMB, CBO, and the Congress), Fortune 500 healthcare companies, top consultancies, and nonprofits. The firm offers deep substance in areas ranging from healthcare coverage and financing to the changing role of evidence in healthcare decision-making. Its focus on strategy is supported by a rigorous, in-house analytic research group that uses public and private data to generate quantitative insight. Through events, publications, and interactive programs, Avalere also translates real-time healthcare developments into actionable information. Learn more at www.avalerehealth.net.
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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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Boehringer Ingelheim
The Boehringer Ingelheim group is one of the world’s 20 leading pharmaceutical companies. Headquartered in Ingelheim, Germany, it operates globally with 145 affiliates and more than 44,000 employees. Since it was founded in 1885, the family-owned company has been committed to researching, developing, manufacturing and marketing novel medications of high therapeutic value for human and veterinary medicine. As a central element of its culture, Boehringer Ingelheim pledges to act with social responsibility. Involvement in social projects, caring for employees and their families, and providing equal opportunities for all employees form the foundation of the global operations. Mutual cooperation and respect, as well as environmental protection and sustainability are intrinsic factors in all of Boehringer Ingelheim’s endeavours. In 2011, Boehringer Ingelheim achieved net sales of about 13.2 billion euro. R&D expenditure in the business area Prescription Medicines corresponds to 23.5% of its net sales. For more information please visit www.boehringer-ingelheim.com.
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Celgene
Celgene Corporation, headquartered in Summit, New Jersey, is an integrated global biopharmaceutical company engaged primarily in the discovery, development and commercialization of novel therapies for the treatment of cancer and inflammatory diseases through gene and protein regulation. For more information, please visit the company’s Web site at www.celgene.com.
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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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Deloitte
Deloitte provides audit, tax, consulting, and financial advisory services to public and private clients spanning multiple industries. With a globally connected network of member firms in more than 150 countries, Deloitte brings world-class capabilities and deep local expertise to help clients succeed wherever they operate. Deloitte's approximately 170,000 professionals are committed to becoming the standard of excellence.
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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 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. Epstein Becker Green'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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Express Scripts
Express Scripts manages more than a billion prescriptions each year for tens of millions of people. On behalf of our clients -- employers, health plans, unions and government health programs -- we make the use of prescription drugs safer and more affordable. We innovate to enhance patient care, reduce pharmacy-related waste and increase therapy adherence. Building on a strong clinical foundation, we apply our understanding of the behavioral sciences -- an approach we call Consumerology® -- to make it easier for people to choose better health. Headquartered in St. Louis, Express Scripts provides integrated pharmacy benefit management services, including network-pharmacy claims processing, home delivery, specialty benefit management, benefit-design consultation, drug-utilization review, formulary management, and medical and drug data analysis services. The company also distributes a full range of biopharmaceutical products and provides extensive cost-management and patient-care services. For more information, visit www.Express-Scripts.com or follow @ExpressScripts on Twitter.
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First Quality
First Quality is a diversified family of companies manufacturing a variety of products for Adult Care (Incontinence & Wipes), Infant Care (Diapers & Wipes), Feminine Care (Tampons & Sanitary Pads), Consumer Paper Products (Paper Towels & Bath Tissue), Bottled Water and Engineered Non-woven Roll Goods. First Quality serves the Retail, Institutional, and Commercial channels throughout the world. Operationally, First Quality companies are managed independently to maintain focus on the markets they serve while benefiting from the synergies of being a part of the First Quality family of companies. In many instances, our manufacturing similarities enable First Quality to develop and share state-of-the-art manufacturing technologies, highly skilled Team Members and a streamlined supply chain which improves efficiencies, sustainability, quality, and helps bring innovative products to the markets we serve. For more information please visit www.firstquality.com.
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Goold Health Systems
Goold Health Systems (GHS) is a health care management company that specializes in providing pharmacy benefit services, medical prior authorization services, nurse assessment services, program integrity, and business process outsourcing services to State Medicaid agencies, nonprofits, and private sector clients. Started in 1974, GHS has offices in Augusta, Maine, Atlanta, Cheyenne, Wyoming, and Des Moines, Iowa, and employs more than 200 professionals. For additional information on the company, visit www.ghsinc.com.
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Gorman Health Group
Gorman Health Group is a national health care professional services and software company staffed by subject-matter experts, former health plan executives and seasoned regulators. For over 16 years, hundreds of clients serving millions of beneficiaries have leveraged the strategic counsel and technology solutions of GHG to maintain compliant operations, improve market position, and advance growth objectives. Learn more at www.gormanhealthgroup.com.
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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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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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MTM
MTM is a medical and transportation management company whose mission is to improve the overall health and well-being of individuals by removing barriers to healthcare and promoting independence. MTM provides transportation management, home and community based services, call center services, ambulance claims management, and functional assessments and travel training to state and county governments, Medicaid and Medicare managed care organizations (MCO), third-party administrators, and health care providers. By providing careful assessments, comprehensive care management, and responsible network development and oversight, MTM is able to improve member outcomes while helping clients align incentives, reduce costs, and increase customer satisfaction. For more on MTM, visit http://www.mtm-inc.net/ or call 1-888-561-8747.
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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 Healthcare
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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PwC
About PwC’s Health Industries Group
PwC’s Health Industries Group is a leading advisor to public and private organizations across the health industries, including healthcare providers, pharmaceuticals, health and life sciences, payers, employers, academic institutions and non-health organizations with significant presence in the health market. For more information, follow PwC Health Industries at @PwCHealth or visit www.pwc.com/us/healthindustries.
About PwC US
PwC US helps organizations and individuals create the value they're looking for. We're a member of the PwC network of firms in 158 countries with more than 180,000 people. We're committed to delivering quality in assurance, tax and advisory services. Tell us what matters to you and find out more by visiting us at www.pwc.com/US. Learn more about PwC by following us online: @PwC_LLP, YouTube, LinkedIn, Facebook and Google +.
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Reckitt Benckiser Pharmaceuticals Inc.
Reckitt Benckiser Pharmaceuticals Inc. is a specialty pharmaceutical company that manufactures and markets Suboxone® (buprenorphine HCl/naloxone HCl dihydrate [2 mg/0.5 mg and 8 mg/2 mg]) C-III Sublingual Tablets and Subutex® (buprenorphine HCl [2 mg and 8 mg]) C-III Sublingual Tablets, formulations of buprenorphine used to treat opioid dependence. Suboxone and Subutex are the only controlled medications under the Drug Addiction Treatment Act of 2000 approved by the FDA for office-based treatment of opioid dependence. Reckitt Benckiser Pharmaceuticals Inc. is committed to expanding access to medical therapies for patients suffering from the chronic, relapsing brain disease of opioid dependence. For more information, visit www.suboxone.com or www.turntohelp.com. Reckitt Benckiser Pharmaceuticals Inc. is a wholly-owned subsidiary of Reckitt Benckiser PLC, a publicly traded UK company.
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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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TMG Health
TMG Health is the leading national provider of expert solutions for Medicare Advantage, Medicare Part D and Managed Medicaid plans. With more than 14 years of experience of providing technology-enabled services to the government market exclusively, our knowledge of health plan processes, CMS requirements and the daily challenges plans face within the government market is second to none. Our expertise, coupled with a strong commitment to our Clients’ success, positions us as a trusted partner who can help solve the challenges of today and prepare for those of tomorrow. TMG Health is headquartered in King of Prussia, Pa. and is a subsidiary of Health Care Service Corporation (HCSC), the largest customer-owned health insurer in the United States and fourth largest overall, operating through its Blue Cross and Blue Shield® Plans in Illinois, New Mexico, Oklahoma and Texas. HCSC’s headquarters is located in Chicago, IL.
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TriZetto Corporation
TriZetto Corporation is a world-class healthcare IT company that provides solutions and services to drive administrative efficiency, improve the cost and quality of care, and increase payer and provider collaboration and connectivity. TriZetto helps payers and providers succeed in today’s evolving healthcare market and achieve their long-term business vision. TriZetto’s solutions touch half of the U.S. insured population and reach more than 21,000 physician offices representing more than 90,000 providers.
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Truven Health Analytics
Formerly Thomson Reuters
Truven Health Analytics delivers unbiased information, analytic tools, benchmarks and services to the healthcare industry. Hospitals, government agencies, employers, health plans, clinicians, and pharmaceutical companies have relied on its solutions for over 30 years. Truven Health Analytics combines deep clinical, financial and healthcare management expertise with innovative technology platforms and information assets to make healthcare better, collaborating with customers to uncover and realize opportunities for improving quality, efficiency, and outcomes. For more information, please visit www.truvenhealth.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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Verizon
Verizon is a global leader in security solutions. Our Fraud Management for Healthcare helps prevent fraud before it occurs, by processing and analyzing 100% of claims in near real time. Integrated Case Management supports rapid response, first call resolution, and quality monitoring, driving improved efficiency and controlling costs.
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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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Companies
Alere
Altegra Health
AmeriHealth Mercy Family of Companies
APS Healthcare
Avalere Health
Baxter Healthcare Corporation
Boehringer Ingelheim
Celgene
Connolly Healthcare
CVS Caremark
Deloitte
DST Health Solutions
Epstein Becker Green
Ethicon Endo-Surgery, Inc. (Reimbursement & Healthcare Economics)
Express Scripts
First Quality
Goold Health Systems
Gorman Health Group
Health Management Systems (HMS)
Johnson & Johnson Health Care Systems, Inc
LexisNexis
Medagate
MedicAlert Foundation
Merck & Co., Inc.
MTM
Navigant Healthcare
Navitus Health Solutions
ProgenyHealth
PwC
Reckitt Benckiser Pharmaceuticals Inc.
Roche Diagnostics
Sellers Dorsey
TMG Health
TriZetto Corporation
Truven Health Analytics (formerly Thomson Reuters Healthcare)
URAC
Verizon
Vitas Healthcare Corp.
Watson Pharmaceuticals
WellPoint
Return to Membership
To become an MHPA Partner, 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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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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Avalere Health
Avalere Health is an advisory services company whose core purpose is to create innovative solutions to complex healthcare problems. Based in Washington DC, the firm delivers research, analysis, insight, and strategy for leaders in healthcare business and policy. Avalere's experts span 170 staff drawn from the federal government (e.g., CMS, OMB, CBO, and the Congress), Fortune 500 healthcare companies, top consultancies, and nonprofits. The firm offers deep substance in areas ranging from healthcare coverage and financing to the changing role of evidence in healthcare decision-making. Its focus on strategy is supported by a rigorous, in-house analytic research group that uses public and private data to generate quantitative insight. Through events, publications, and interactive programs, Avalere also translates real-time healthcare developments into actionable information. Learn more at www.avalerehealth.net.
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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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Boehringer Ingelheim
The Boehringer Ingelheim group is one of the world’s 20 leading pharmaceutical companies. Headquartered in Ingelheim, Germany, it operates globally with 145 affiliates and more than 44,000 employees. Since it was founded in 1885, the family-owned company has been committed to researching, developing, manufacturing and marketing novel medications of high therapeutic value for human and veterinary medicine. As a central element of its culture, Boehringer Ingelheim pledges to act with social responsibility. Involvement in social projects, caring for employees and their families, and providing equal opportunities for all employees form the foundation of the global operations. Mutual cooperation and respect, as well as environmental protection and sustainability are intrinsic factors in all of Boehringer Ingelheim’s endeavours. In 2011, Boehringer Ingelheim achieved net sales of about 13.2 billion euro. R&D expenditure in the business area Prescription Medicines corresponds to 23.5% of its net sales. For more information please visit www.boehringer-ingelheim.com.
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Celgene
Celgene Corporation, headquartered in Summit, New Jersey, is an integrated global biopharmaceutical company engaged primarily in the discovery, development and commercialization of novel therapies for the treatment of cancer and inflammatory diseases through gene and protein regulation. For more information, please visit the company’s Web site at www.celgene.com.
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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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Deloitte
Deloitte provides audit, tax, consulting, and financial advisory services to public and private clients spanning multiple industries. With a globally connected network of member firms in more than 150 countries, Deloitte brings world-class capabilities and deep local expertise to help clients succeed wherever they operate. Deloitte's approximately 170,000 professionals are committed to becoming the standard of excellence.
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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 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. Epstein Becker Green'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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Express Scripts
Express Scripts manages more than a billion prescriptions each year for tens of millions of people. On behalf of our clients -- employers, health plans, unions and government health programs -- we make the use of prescription drugs safer and more affordable. We innovate to enhance patient care, reduce pharmacy-related waste and increase therapy adherence. Building on a strong clinical foundation, we apply our understanding of the behavioral sciences -- an approach we call Consumerology® -- to make it easier for people to choose better health. Headquartered in St. Louis, Express Scripts provides integrated pharmacy benefit management services, including network-pharmacy claims processing, home delivery, specialty benefit management, benefit-design consultation, drug-utilization review, formulary management, and medical and drug data analysis services. The company also distributes a full range of biopharmaceutical products and provides extensive cost-management and patient-care services. For more information, visit www.Express-Scripts.com or follow @ExpressScripts on Twitter.
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First Quality
First Quality is a diversified family of companies manufacturing a variety of products for Adult Care (Incontinence & Wipes), Infant Care (Diapers & Wipes), Feminine Care (Tampons & Sanitary Pads), Consumer Paper Products (Paper Towels & Bath Tissue), Bottled Water and Engineered Non-woven Roll Goods. First Quality serves the Retail, Institutional, and Commercial channels throughout the world. Operationally, First Quality companies are managed independently to maintain focus on the markets they serve while benefiting from the synergies of being a part of the First Quality family of companies. In many instances, our manufacturing similarities enable First Quality to develop and share state-of-the-art manufacturing technologies, highly skilled Team Members and a streamlined supply chain which improves efficiencies, sustainability, quality, and helps bring innovative products to the markets we serve. For more information please visit www.firstquality.com.
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Goold Health Systems
Goold Health Systems (GHS) is a health care management company that specializes in providing pharmacy benefit services, medical prior authorization services, nurse assessment services, program integrity, and business process outsourcing services to State Medicaid agencies, nonprofits, and private sector clients. Started in 1974, GHS has offices in Augusta, Maine, Atlanta, Cheyenne, Wyoming, and Des Moines, Iowa, and employs more than 200 professionals. For additional information on the company, visit www.ghsinc.com.
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Gorman Health Group
Gorman Health Group is a national health care professional services and software company staffed by subject-matter experts, former health plan executives and seasoned regulators. For over 16 years, hundreds of clients serving millions of beneficiaries have leveraged the strategic counsel and technology solutions of GHG to maintain compliant operations, improve market position, and advance growth objectives. Learn more at www.gormanhealthgroup.com.
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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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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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MedicAlert Foundation
MedicAlert Foundation International provides the functionality of an e-health information exchange through an innovative combination of an emergency medical information record linked to a live medically trained 24/7 emergency response service. Established in 1956, MedicAlert® is the nonprofit that pioneered the delivery of emergency medical information and identification services and provides the most dependable emergency support network for patients and providers. MedicAlert emergency medical information services are designed to help Medicaid health plans control costs, improve delivery of quality health care to Medicaid recipients, meet regulatory requirements as well as provide lifesaving services from a trusted brand. For more information please contact: Ramesh Srinivasan, Senior Vice President Business Development at rsrinivasan@medicalert.org, 209-669-2407, or visit www.medicalert.org.
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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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MTM
MTM is a medical and transportation management company whose mission is to improve the overall health and well-being of individuals by removing barriers to healthcare and promoting independence. MTM provides transportation management, home and community based services, call center services, ambulance claims management, and functional assessments and travel training to state and county governments, Medicaid and Medicare managed care organizations (MCO), third-party administrators, and health care providers. By providing careful assessments, comprehensive care management, and responsible network development and oversight, MTM is able to improve member outcomes while helping clients align incentives, reduce costs, and increase customer satisfaction. For more on MTM, visit http://www.mtm-inc.net/ or call 1-888-561-8747.
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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 Healthcare
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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PwC
About PwC’s Health Industries Group
PwC’s Health Industries Group is a leading advisor to public and private organizations across the health industries, including healthcare providers, pharmaceuticals, health and life sciences, payers, employers, academic institutions and non-health organizations with significant presence in the health market. For more information, follow PwC Health Industries at @PwCHealth or visit www.pwc.com/us/healthindustries.
About PwC US
PwC US helps organizations and individuals create the value they're looking for. We're a member of the PwC network of firms in 158 countries with more than 180,000 people. We're committed to delivering quality in assurance, tax and advisory services. Tell us what matters to you and find out more by visiting us at www.pwc.com/US. Learn more about PwC by following us online: @PwC_LLP, YouTube, LinkedIn, Facebook and Google +.
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Reckitt Benckiser Pharmaceuticals Inc.
Reckitt Benckiser Pharmaceuticals Inc. is a specialty pharmaceutical company that manufactures and markets Suboxone® (buprenorphine HCl/naloxone HCl dihydrate [2 mg/0.5 mg and 8 mg/2 mg]) C-III Sublingual Tablets and Subutex® (buprenorphine HCl [2 mg and 8 mg]) C-III Sublingual Tablets, formulations of buprenorphine used to treat opioid dependence. Suboxone and Subutex are the only controlled medications under the Drug Addiction Treatment Act of 2000 approved by the FDA for office-based treatment of opioid dependence. Reckitt Benckiser Pharmaceuticals Inc. is committed to expanding access to medical therapies for patients suffering from the chronic, relapsing brain disease of opioid dependence. For more information, visit www.suboxone.com or www.turntohelp.com. Reckitt Benckiser Pharmaceuticals Inc. is a wholly-owned subsidiary of Reckitt Benckiser PLC, a publicly traded UK company.
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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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TMG Health
TMG Health is the leading national provider of expert solutions for Medicare Advantage, Medicare Part D and Managed Medicaid plans. With more than 14 years of experience of providing technology-enabled services to the government market exclusively, our knowledge of health plan processes, CMS requirements and the daily challenges plans face within the government market is second to none. Our expertise, coupled with a strong commitment to our Clients’ success, positions us as a trusted partner who can help solve the challenges of today and prepare for those of tomorrow. TMG Health is headquartered in King of Prussia, Pa. and is a subsidiary of Health Care Service Corporation (HCSC), the largest customer-owned health insurer in the United States and fourth largest overall, operating through its Blue Cross and Blue Shield® Plans in Illinois, New Mexico, Oklahoma and Texas. HCSC’s headquarters is located in Chicago, IL.
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TriZetto Corporation
TriZetto Corporation is a world-class healthcare IT company that provides solutions and services to drive administrative efficiency, improve the cost and quality of care, and increase payer and provider collaboration and connectivity. TriZetto helps payers and providers succeed in today’s evolving healthcare market and achieve their long-term business vision. TriZetto’s solutions touch half of the U.S. insured population and reach more than 21,000 physician offices representing more than 90,000 providers.
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Truven Health Analytics
Formerly Thomson Reuters
Truven Health Analytics delivers unbiased information, analytic tools, benchmarks and services to the healthcare industry. Hospitals, government agencies, employers, health plans, clinicians, and pharmaceutical companies have relied on its solutions for over 30 years. Truven Health Analytics combines deep clinical, financial and healthcare management expertise with innovative technology platforms and information assets to make healthcare better, collaborating with customers to uncover and realize opportunities for improving quality, efficiency, and outcomes. For more information, please visit www.truvenhealth.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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Verizon
Verizon is a global leader in security solutions. Our Fraud Management for Healthcare helps prevent fraud before it occurs, by processing and analyzing 100% of claims in near real time. Integrated Case Management supports rapid response, first call resolution, and quality monitoring, driving improved efficiency and controlling costs.
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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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Plan to Attend MHPA 2013
Save Oct. 20-22 for MHPA 2013 at the Gaylord National Resort & Convention Center at National Harbor, MD. Our annual conference again will be the country’s largest gathering of top-level executives in the Medicaid health plan industry. For sponsorship and exhibiting opportunities at MHPA 2013, please click here.
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