Payer Organizations

338

Covered
Payers

20,275

Curated
News Items

1,994

Unique
News Sources

68

Items Added
This Week
Top News This Week:
  1. Cigna
  2. Humana
  3. UnitedHealthcare

[ A ] Aetna, Alignment Health Plan, Allegiance Benefit Plan Management, American Specialty Health, Amerigroup, AmeriHealth, Amerihealth Administrators, Amerihealth Caritas, Amerihealth Caritas Louisiana, Amerihealth New Jersey, Anthem Inc, Asuris Northwest Health.

[ B ] BeneSys, Blue Cross and Blue Shield of Alabama, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Georgia, Blue Cross Blue Shield Of Massachusetts, Blue Cross Blue Shield Of Michigan, Blue Cross Blue Shield Of Oklahoma, Blue Cross of Idaho, BlueCare Tennessee, Bright Health, Brighton Health Plan Solutions.

[ C ] Care1st Health Plan, CareCentrix, CareFirst BlueCross BlueShield, Caremore Health Plan, CareOregon, CareSource, CDPHP, CeltiCare Health Plan, Centerlight Healthcare, Cigna, Cigna-Healthspring, Clover Health, ComPsych.

[ D ] Denver Health Medical Plan.

[ E ] Evergreen Health.

[ F ] Fidelis Care, Fresenius Health Plans.

[ G ] Gateway Health Plan.

[ H ] Harmony Health Plan, Health Alliance Plan, Health Net, Health Net Federal Services, Health New England, Healthfirst, HealthSmart, HMSA, Home State Health, Hometown Health, Horizon Blue Cross Blue Shield Of New Jersey, Humana.

[ I ] Independence Blue Cross, Independent Health, Indian Health Service, Innovation Health.

[ K ] KelseyCare Advantage.

[ L ] Louisiana Healthcare Connections.

[ M ] Magellan Health, MDwise, MediGold, MedSolutions, Meridian Health Plan, Metroplus Health Plan, Minuteman Health, Moda Health, Molina Healthcare, MultiPlan, MVP Health Care.

[ N ] New Mexico Health Connections.

[ O ] Optima Health, Oscar Health, Oxford Health Plans.

[ P ] Passport Health Plan, Peach State Health Plan, Pivot Health, Premera Blue Cross, Prestige Health Choice, Priority Health, Providence Health Plan.

[ S ] SCAN Health Plan, SelectHealth, Sendero Health, Senior Whole Health, Simply Healthcare Plans, Sunflower Health Plan, Sunshine Health, Superior HealthPlan, Sutter Health Plus.

[ T ] Tufts Health Plan.

[ U ] UCare, UniCare Health Plan, UnitedHealthcare, UPMC Health Plan.

[ V ] VIVA Health.

[ W ] Wellcare, Wellcare Health Plans.

[ A ] Aetna, Amerigroup, AmeriHealth, Amerihealth Caritas, Amida Care, Anthem Inc.

[ B ] Blue Cross and Blue Shield of Illinois, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Georgia, Blue Cross Blue Shield Of Illinois, Blue Cross Blue Shield Of Kansas, Blue Cross Blue Shield Of Kansas City, Blue Cross Blue Shield Of Massachusetts, Blue Cross Blue Shield Of Michigan, Blue Cross Blue Shield Of Minnesota, Blue Cross Blue Shield Of North Carolina, Bright Health.

[ C ] CareCentrix, CareFirst BlueCross BlueShield, Carelink, CareSource, CDPHP, Cigna, Cigna-Healthspring, Clover Health, ConnectiCare, CountyCare.

[ E ] Evergreen Health.

[ F ] Fidelis Care, Freedom Health.

[ G ] Group Health Cooperative.

[ H ] Harken Health, Harmony Health Plan, Harvard Pilgrim Health Care, Health Alliance Plan, Health Net, Health Net Federal Services, Health New England, Healthfirst, HealthSmart, Healthspan, Horizon Blue Cross Blue Shield Of New Jersey, Humana.

[ I ] Independence Blue Cross, Independent Health, Indian Health Service, Innovation Health.

[ M ] Magellan Health, MDwise, Meridian Health Plan, Minuteman Health, Moda Health, Molina Healthcare, MultiPlan.

[ N ] Neighborhood Health Plan, Network Health, New Mexico Health Connections.

[ O ] Optima Health, Oscar Health.

[ P ] Pivot Health, Premera Blue Cross, Premier Health Plan, Prestige Health Choice, Primecare, Priority Health.

[ S ] SCAN Health Plan, Security Health Plan, Select Health, SelectHealth, Senior Whole Health.

[ T ] The Health Plan, Tufts Health Plan.

[ U ] UnitedHealthcare, UnitedHealthcare Community Plan, Universal American, UPMC Health Plan.

[ W ] Wellcare, Wellcare Health Plans.

Methodology

News items are selected via search algorithm and then scored across several factors, including the perceived quality of the source. Depending on the frequency of news generated for a particular item, its news summary may represent a few days or a few months’ activity.

Links between Topics, Solution Partners, Health Systems, Payer Organizations and Capital Firms are determined through manual review as well as via algorithm. As connections between entities are established, ‘serendipitous exploration’ will become possible across data elements.

Although some direct testing occurs, note that with the incoming volume of data (5,000 news items per day) it would be infeasible to sample each record, and the odd categorization error is likely. This site is updated weekly, and your comments are welcome.

  Data Definitions


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Recent News: The twenty most recent news items for this Topic / Solution Partner / Health System / Payer / Capital Firm (hereafter Entity), with average or better quality score. The Entity may be mentioned within the story, but not be the primary focus of the item. Quality is determined via algorithm and includes a news source ranking as well as placement of the Entity within the news item.

Linked News: Similar to the above, but filtered to only those news items for a which a Label can be displayed to illustrate the specific news connections between this and other Entities. For example, a news item on the topic of Telehealth may also include mention of a specific telehealth Solution Partner. A news item for a revenue cycle management Solution Partner may include mention of a particular Health System where a contract was announced (see Connections Tab).

High Score: The twenty most recent high-scoring news items available. Here, the Entity is more likely to be the focus of, or feature prominently in the news item. Medium-quality news may be supplemented to fill out the container when necessary. Depending on the frequency of news generated for a particular Entity, its news summary may represent a few days or a few months’ activity. Where possible, a Label is displayed that illustrates the specific connections between this record and others.

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Top News Sources: A ranked list of the top Authoritative Sources for each Entity. Authoritative Sources are well-known news outlets and PR vehicles, rather than local news outlets which may merely reprint press releases. There are currently 100+ Authoritative (out of 5,000+) unique healthcare news sources in inventory, and this list is updated weekly.

Mirrored Topics: Topics are mirrored where a user searching news for one term, would expect similar results for the other term in this relationship, i.e., ‘EHR’ and ‘Electronic Health Record.’ In other cases, the mirrored Topics are different terms but are now used interchangeably in healthcare news, such as with ‘Telehealth’ and ‘Virtual Care.’ High-scoring news for one Topic will be mapped to its mirror(s) so that it can be found in searches there as well. Solution Partners linked to one Topic/Capability will also be connected to their mirror(s).

Related Topics: A subjective mapping of other topics that might be of interest. Your suggestions are welcome.

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..for Healthcare Topics

  • Solution Partners: Partners with this specific Topic/Capability.
  • Capital Interest: Capital Firms with a specific news mention for this Topic.
  • Provider Interest: Health Systems with a particular news mention for this Topic.
  • Payer Interest: Payer Organizations with a specific news mention for this Topic.
  • See Also: Related Topics of interest. Your suggestions are welcome.

..for Solution Partners

  • Capabilities/Topics: Solution Partners will often have links to multiple Topics, or Capabilities, rather than being boxed into a single arbitrary classification - a differentiator for this dataset. Note: This classification is driven as much by news content as from the vendor’s self-description, website or press releases, i.e., if the news media repeatedly refers to a Solution Partner as an RCM provider, it will likely have that classification in addition to any Capabilities claimed by the vendor.
  • Financing: Links to Capital Firms with announced funding events for this Partner (not a primary focus).
  • Provider Implementations: Links to Health Systems or Hospitals with an announced partnership of some sort.
  • Payer Implementations: Links to Payer Organizations with an announced partnership of some sort.
  • See Also: Links to potential competitors for this Solution Partner, based on shared Capabilities (limit 10).

..for Health Systems

  • Interests: Direct interests (Topics) for this Health System, based on published news, i.e., a Health System that announces a Precision Medicine initiative, etc.
  • Inferred Interests: Inferred interests based upon the Partner relationship graph - contracting with a Telehealth provider infers an interest in Telehealth and Virtual Care, etc.
  • Solution Partners: Links to Solution Partners with an announced partnership of some sort.

..for Payer Organizations

  • Interests: Direct interests (Topics) for this Payer Organization, based on published news, i.e., a Payer that announces a Wellness initiative, etc.
  • Inferred Interests: Inferred interests based upon the Partner relationship graph - contracting with a Telehealth provider infers an interest in Telehealth and Virtual Care, etc.
  • Solution Partners: Links to Solution Partners with an announced partnership of some sort.

..for Capital Firms

  • Interests: Direct interests (Topics) for this Capital Firm, based on published news.
  • Inferred Interests: Inferred interests based upon the Partner relationship graph - investing in a Telehealth provider infers an interest in Telehealth and Virtual Care, etc.
  • HIT Investments: Solution Partners with announced financing events from this Capital Firm. Note that there are myriad other sources of financing data - therefore financing linkages are a low priority.
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  • Curated News Items: The total news items present in the system for this Entity. Note that only a small portion of available news is ever presented.
  • Unique News Sources: Includes both authoritative and non-authoritative sources, but with a minimum quality score.
  • News Last 90 Days: Self-explanatory.
  • Compare To Prior Period: Trend compared to the previous 90-day period.
  • News Quartile: Calculated via news volume for the last half-year, as compared to others within this domain (Healthcare Topics, Solution Partners, etc.). A rough comparison of authoritative news generated, rather than web searches made. Updated weekly.
  • Internal Connections: The total number of internal connections present (See Connections Tab).