Coalition America, Inc. of Atlanta has announced a partnership with The TriZetto Group, Inc of Naperville, Ill to offer a repricing and adjudication solution for health plans and benefit administrators.
MedAvant Healthcare Solutions of Atlanta has signed an agreement with Aetna for direct claims processing. The deal adds direct claim submission capabilities for MedAvant's provider customers who are enrolled with Aetna beginning Oct. 1, 2007. In addition, MedAvant and StrataCare, a national bill review software and services company, have formed a partnership to deliver StrataCare's workers compensation eBilling Enterprise Solution.
HealthMarkets, Inc. of Richland Hills, Texas has announced that it has been approved by the Centers for Medicare and Medicaid Services to introduce new Medicare Advantage and Part D products later this year for a Jan. 1, 2008 start date.
Texas Instruments has set up a $15 million fund to help and initiate medical technology research at universities worldwide. The funding will run for several years and support research and development in such areas as personal medical devices, implantables, medical imaging, wireless healthcare systems and biosensor technology.
The Astaro Corporation of Burlington, Mass. has announced the availability of Astaro Compliance Reporter (ACR), which allows companies operating under the regulation of the payment card industry to conduct risl assessments using a "turbo-Tax" style questionnaire.
The HLTH Corporation of Elmwood Park, N.J. has announced that its ViPS subsidiary has been selected as an information technology partner by the Centers for Medicare and Medicaid Services for its new contracting vehicle, named Enterprise Systems Development.
OneOncology, Inc. of Orlando, Fla. has announced that it has secured more then $1 billion in annual drug purchasing commitments from oncology practices in the United States.
SHPS of Louisville, Ky. has contracted with the North Carolina State Health Plan to offer intensive case management services to support plan members with complex medical needs.
Pegasystems has been selected as the strategic BPM vendor of choice for Blue Cross Blue Shield of Massachusetts. BCBSMA will deploy the company's SmartBPM Suite for its Account Acquisition and Implementation project to optimize member enrollment and on-boarding processes for large accounts.
Physicians Healthcare Management Group, Inc., a Miami-based developer of health maintenance organizations (HMOs) in partnership with physicians, has formed the Phyhealth Plan Corporation in compliance with Florida insurance regulations and standard industry practice. The new corporation is a wholly owned subsidiary and will be the applicant for the HMO Certificate of Authority necessary for Phyhealth to develop its pilot community health plan.
Ingenix, of Eden Prairie, Minn., has signed two agreements with Aetna to provide electronic data interchange (EDI) services. With these agreements, Ingenix will provide clearinghouse services and next-generation managed EDI services that allow healthcare providers and other bill submitters to transmit data directly to Aetna.
SK&A, of Irvine, Calif., has announced the availability of NPI Verified, a service that enables healthcare marketers to acquire and append federally mandated National Provider Identifier numbers.
The VeriChip Corporation has announced that its Board of Directors has unanimously authorized the company to repurchase up to $1.5 million of the company's common stock over the next four months. As of Sept. 19, the company had approximately 10.3 million shares of common stock outstanding.
Nursefinders, Inc. of Arlington, Texas, has signed an agreement with the national healthcare alliance VHA, Inc. to be the preferred provider of clinical vendor management services for VHA member hospitals.