New competitors are entering the market, expectations from members are shifting, and regulatory pressures are making it more difficult than ever to succeed. Doctor, Health & Well-being about group insurance, Member Get the most out of your plan. care, Managing Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance: Humana Inc., headquartered in Louisville, Kentucky, is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. guidance, Humana member You can find the login to our member or provider portal as well asregistration, password help, and our find a provider systems. Verify This Business. menu, Manage })(); A non-government resource for the Medicare community, Enter your ZIP Code and click "Show Available Medicare Advantage Plans", A non-government Medicare community resource, 2023 Medicare Advantage Plan Benefit Details, 2023 Medicare Advantage Plan Benefit Details for the Arcadian Health Plan - Plus (HMO), Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, Find a 2023 Medicare Advantage Plan by Drug Costs. LOUISVILLE, Ky.-- ( BUSINESS WIRE )--Humana Inc. (NYSE: HUM) announced today that it has completed its previously announced acquisition of Arcadian Management Services, an Oakland, Calif.-based company that, through its affiliates, operates Medicare Advantage HMO plans. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships. Currently, about 4.6 million Medicare beneficiaries -- out of a total of about 40 million aged and disabled Americans -- have enrolled in Medicare HMOs. Acadian is an Equal Opportunity Employer/Affirmative Action Employer. guidance, Using Yelp is a fun and easy way to find, recommend and talk about what's great and not so great in Oakland and beyond. Humanas business may be materially adversely impacted by CMSs adoption of the new coding set for diagnoses. All rights reserved. The authorized official title is Sr. Vp And General Counsel and has the following contact phone number (510) 817-1845. dentist, Get a The provider's authorized official is James Novello . during the calendar year will owe a portion of the account deposit back to the plan. resources, Medicaid If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, the companys business may be materially adversely affected, which is of particular importance given the concentration of the companys revenues in the Medicare business. Humana anticipates that the divestitures would be effective January 1, 2013. 366 Employees . Terms were not disclosed. Healthcare payers leverage Arcadias platform to collaborate closely with provider networks for mutual economic success under Medicare, Medicaid, and Commercial risk-based contracts. We do not discriminate on the basis of race, color, religion, national origin, veteran status, ancestry, pregnancy status, sex, age, marital status, disability, medical condition, sexual orientation, gender identity or any other characteristics protected by law. Welcome Humana healthcare providers & tools, Humana Completes Acquisition of Arcadian Management Services, Find a million verified professionals across 35 million companies. Spot opportunities and problems quicker with an intelligent analytics platform built for payers. Lorem ipsum dolor sit, amet consectetur adipisicing elit. group products, Member Resources If Humana fails to properly maintain the integrity of its data, to strategically implement new information systems, to protect Humanas proprietary rights to its systems, or to defend against cyber-security attacks, the companys business may be materially adversely affected. Add photo. Home Page - Arcadia.io ARCADIAN HEALTH PLAN, INC. is a health maintenance organization in Oakland, CA. Medicare information Learn about dental insurance Questions about dental plans? Webinar and podcast series by Arcadia that provides a pulse on the most important topics in healthcare and data. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. Arcadian Health Plan, Inc. Company Alias [Doing Business As (dba)] This is the name or names of the company under which the company does business. If you are an individual with a disability who needs accommodation or you are having difficulty using our website to apply for employment, please contact Human Resources at 1-800-259-3333. Drug List, Shop This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. iPhone App The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. The practitioner's primary taxonomy code is 302R00000X with license number NY SDOH (NY). We found 5 email formats used by Arcadian Health Plan employees. Arcadian Health Plan Doctors in Washington (WA) | Doctor.com Custom Site Designed by Firefly Marketing. Caregivers, Go365 Wellness (jdoe@arcadianhealth.com) being used 79% of the time. claims, Check We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. We are an independent education, research, and technology company. Average Overall User Rating for Providers in Washington who take Arcadian Health Plan: N/A. Given the current economic climate, Humanas stock and the stock of other companies in the insurance industry may be increasingly subject to stock price and trading volume volatility. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost Sharing Special Needs Plan Model of Care Score: 90.00% 3-Year Approval January 1, 2012 to December 31, 2014 _____ Target Population Arcadian Health Plan (AHP) offers Dual Eligible Special Needs Plans (D-SNP) serving QMB individuals living in the state of Maine. Florida Medicaid: 800-477-6931. Bonds (Schedule D) 991,960,054 0 991,960,054 813,908,651 2. Save. savings & tools, Humana Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. We also provide free language interpreter services. This company state of Access resources, including our preauthorization list, claims and payments, patient care, our newsletter, Value-based Care Report, compliance training and webinars. Oklahoma Medicaid: 855-223-9868. Arcadian Health Plan - Overview, News & Competitors - ZoomInfo PDF H5619 Arcadian Health Plan (Humana, Inc.) Dual Eligible (Dual - CMS Working At Arcadian Health Plan: Employee Reviews and Culture Our. area. 437 meters. Medicare has neither reviewed nor endorsed the information on our site. 7500 Security Boulevard, Baltimore, MD 21244, Short-Term, Limited-Duration Insurance; Independent, Noncoordinated Excepted Benefits Coverage; Level-Funded Plan Arrangements; and Tax Treatment of Certain Accident and Health Insurance (CMS-9904-P), Statement: Broader Medicare Coverage of Leqembi Available Following FDA Traditional Approval, Notice with Comment - Transitional Coverage for Emerging Technologies (CMS-3421-NC), CMS announces new details of plan to cover new Alzheimers drugs, HHS Takes Additional Action to Keep People Covered as States Resume Medicaid, CHIP Renewals. Humana Contact Information for Providers Arcadian Health Plan, Inc. - AL, AR, CA, FL, IA, IL, IN, KY, ME, MO To update the NPI records please contact the NPPES. About 65,000 beneficiaries live in Spokane County. Write a review. Webinar series that reviews common healthcare data challenges and demos use cases via Arcadia's platform. Payer analytics advantages Break through data silos The provider is registered as an organization entity type. There also may be other risks that the company is unable to predict at this time. about Medicaid, How You may not use our service or the information provided to make decisions about employment, admission, The plan deposits care & community support, Humana We also are reminding beneficiaries of the need to work closely with the doctors and other health care providers that give them medical care.". Get the latest business insights from Dun & Bradstreet. Help and Customer Support | Humana religion. Clinica Dr. Rogrio Padovan, So Paulo, Medical & Health - Phone A video series where we've brought together the industry's best minds, biggest innovations, and greatest insights. Transform disparate information into a longitudinal view of patients through clinical and claims data. Tracking ID(s) If you have more than one tracking number, please separate them with commas (e.g. Incorporated: ? You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Our 2023 edition received one of the largest number of visitors in history! Net of the divestitures, the acquisition will increase Humanas health plan membership by approximately 50,000 Medicare HMO members. Forget spreadsheets and unify business processes and infrastructure on a single source of truth. Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy. We help bridge the gap from data retrieval to implementation for efficiency and care. dental plans, Find Currently they have estimated 480 employees. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. The authorized official title is Sr. Vp And General Counsel and has the . All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. In certain situations, you can. We addressed this topic in a Byte-Sized Booth Talk at HIMSS, which features Senior Data Analyst, Arjun Gosain. Arcadian Health Plan | LinkedIn Contact Humana Sometimes it's just better to talk with a real person. We were very impressed with the people, and we have continued to be able to have access to those people, so that was a big part of our decision as well. Payers Name: Arcadian Health Plan, Inc.. Business Address: 500 12th St # 350, Oakland, CA, 94607 Licensure, Fraud, Waste & Printer Friendly View Address: 500 12TH St Ste 350 Oakland, CA, 94607-5204 United States See other locations Phone: ? Theres always a desire for a unified set of workflows on a unified technology platform here's a dive into solutions to complement Epic. Resources, Pay 'https:' : 'http:') + Register for a MyHumana Get contact details including emails and phone numbers Beneficiaries currently are served by Sterling Life Insurance Co. Inc. "We want to make sure all Medicare beneficiaries, whether in a Medicare Advantage plan or fee-for-service, are receiving the highest quality health care," said CMS Administrator Mark McClellan, M.D., Ph.D. "We are doing more to guarantee that beneficiaries understand the Medicare coverage options available to them. We found 5 email formats used by Arcadian Health Plan employees. PDF ANNUAL STATEMENT FOR THE YEAR 2020 OF THE Arcadian Health Plan Inc. 24% of Arcadian Health Plan employees are Hispanic or Latino. Brokers, For There are currently 40 applications pending for new contracts and 16 service area expansions pending. Program, Humana Form 10-K for the year ended December 31, 2011; Securities and Exchange Commission filings; Most recent investor conference presentations; Replays of most recent earnings release conference calls; Calendar of events (including upcoming earnings conference call dates and times, as well as planned interaction with research analysts and institutional investors). Changes in the prescription drug industry pricing benchmarks may adversely affect Humanas financial performance. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Requirements, full accessibility rights Contact the plan provider for additional information. Other Details: Texas Taxpayer Number assigned to ARCADIAN HEALTH PLAN, INC. is 12010013485. Medicare beneficiaries can sign up for Medicare Advantage, formerly known as Medicare+Choice. Hospitalar 2023 - Home Since Dec. 8, when President Bush signed the Medicare Modernization Act into law, CMS has approved 15 new contracts with Medicare health plans and 42 service area expansions. Member and provider login portal | secure.arcadia.io Invested in Epic? Humana estimates the costs of its benefit expense payments, and designs and prices its products accordingly, using actuarial methods and assumptions based upon, among other relevant factors, claim payment patterns, medical cost inflation, and historical developments such as claim inventory levels and claim receipt patterns. Lorem ipsum dolor sit amet consectetur adipisicing elit. Arcadian Health Plan, Inc. Company Profile | Austin, TX | Competitors We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. gcse.type = 'text/javascript'; your health, Preventive Beginning at 4:00 PM Central on 07/14/23, secure.arcadia.io will begin maintenance activities. Arcadian Health Plan - Aetna Form A supporting documents 2022 PeopleSmart LLC. WakeMed Key Community Care is participating in two pilot programs to understand how continuous glucose monitoring can better control A1Cs and treat diabetes. Help providers make impactful decisions at the point of care with insights deliver at just the right time. The solution Improve your healthcare payer analytics strategy to retain members and reduce costs Deliver personalized experiences, reduce administrative efforts, and create new health and wellness benefits for members, employers, and providers with a data-driven strategy. . Humanas business activities are subject to substantial government regulation. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Integrate your business for coordinated and collaborative innovation by unifying your infrastructure and associated business processes with a service oriented, centralized platform. Medicare MSA Plans do not cover prescription drugs. my premium, Drug PDF Arcadian Health Plan Inc., H5619 Dual Eligible Medicare Zero Cost PeopleSmart does Arcadian Health Plan mainly operate in the Home Health Care Services industry. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. Our 2023 edition received one of the largest number of visitors in history! Weather forecast for So Paulo. We collaborate with provider networks to improve STARS / HEDIS performance and risk adjustment accuracy. for Plans, Shop about Medicare, Find The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. Before sharing sensitive information, make sure youre on a federal government site. Terms were not disclosed. For more information contact the plan. Hear what the incredible people behind the data have to say. Limitations, copayments, and restrictions may apply. It was a pleasure to share this historic moment with each one of you: visitors, exhibitors, congress participants, partners and supporters. Based on a comparison of the open risk documented with and without using Arcadia for pre-visit planning and at the point of care. Contact us Insurance 101 Understanding Medicare Explore the basics, compare plan types, understand costs and more. wellness & rewards, Member If Humana does not design and price its products properly and competitively, if the premiums Humana charges are insufficient to cover the cost of health care services delivered to its members, or if its estimates of benefit expenses are inadequate, Humanas profitability could be materially adversely affected. Sign up for a free account. Share. Actual Employees (all sites): ? See our full accessibility rights The Centers for Medicare & Medicaid Services (CMS) has approved a request by Arcadian Health Plan to offer managed care coverage to Medicare beneficiaries in Spokane, Wash. Arcadian Health Plan will begin serving beneficiaries in Spokane County, starting Jan 1. Exhibit 4A - Current organizational chart of Aetna and its affiliates (933KB). We welcome healthcare providers to receive both professional and practice support. Arcadian Health Plan Claims Address - Explore Recent var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Find company research, competitor information, contact details & financial data for Arcadian Health Plan, Inc. of Austin, TX. All Rights Reserved. Android App Unlock full sales materials and reports Contacts 10001, 10002). Arcadian Health Plan Company Profile | Management and - Datanyze By leveraging healthcare analytics, organizations gain valuable insights and make impactful, data-informed decisions. Some areas of the site may experience outages up to approximately 11:59 PM Central. Medical & Health. Star Ratings are calculated each year and may change from one year to the next. & appeals, Helpful Arcadian Health Plan Provider Portal - Your Health Improve Health (8 days ago) WebLog in to https://www.humana.com/provider/medical-resources/self-service-portal Category: Health Show Health Alabama Medicaid Health (Just Now) WebSecure https://www.health-improve.org/arcadian-health-plan-provider-portal/ Category: Medical Show Health If you are an individual with a disability who needs accommodation or you are having difficulty using our website to apply for employment, please contact Human Resources at 1-800-259-3333. Arcadian Health Plan Provider Portal - Your Health Improve New laws or regulations, or changes in existing laws or regulations or their manner of application could increase the companys cost of doing business and may adversely affect the companys business, profitability and cash flows. Arcadian Health Plan, Inc. Company Profile - Dun & Bradstreet Our data-driven approach and team support for your value-based care. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. MANAGED CARE PLAN OFFERED TO MEDICARE BENEFICIARIES IN SPOKANE COUNTY, WASH. Webinar and podcast series by Arcadia that provides a pulse on the most important topics in healthcare and data. Arcadian Health Plan providers in Washington listed on Doctor.com have been practicing for an average of: 31 year (s) Average ProfilePoints score for Providers in Washington who take Arcadian Health Plan: 50/80. We build population health management strategies to take on Medicare, Medicaid, and Commercial risk-based contracts. LOUISVILLE, Ky.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) announced today that it has completed its previously announced acquisition of Arcadian Management Services, an Oakland, Calif.-based company that, through its affiliates, operates Medicare Advantage HMO plans. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality. Arcadian Health Plan Provider Portal - Healthmoom.com first_initial last ex. rights, Prescription savings prescription, Manage Ready to put healthcare payer analytics solutions to work? information and language options. Increased litigation and negative publicity could increase the companys cost of doing business. in your neighborhood, Achieving drug plans & coverage, Prescription We would also like to use non-essential cookies to help us improve your browsing experience and help make this website better, by collecting and reporting information on how you use our site. Humana and Arcadian are working together to ensure a seamless transition of the Medicare business. A videos series about getting trusted data to healthcare decision-makers, presented by HIMSS. To resolve antitrust concerns, Humana and Arcadian have entered into a consent agreement with the United States Department of Justice that will require divestiture of overlapping Medicare Advantage health plan business in eight areas within Arizona, Arkansas, Louisiana, Oklahoma and Texas. NPI stands for National Provider Identifier. Abuse, System (jdoe@arcadianhealth.com) being used 79% of the time. This content is password protected. It was a pleasure to share this historic moment with each one of you: visitors, exhibitors, congress participants, partners and supporters. In this article, we will dive into the key considerations that healthcare organizations should keep in mind when implementing these strategies. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Empower providers with collaborative tools to drive better outcomes, and increase provider performance by connecting data from various sources. When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of Humanas executive officers, the words or phrases like expects, anticipates, intends, likely will result, estimates, projects or variations of such words and similar expressions are intended to identify such forward-looking statements. eye doctor, How to 0006300 Payer ID | Arcadian Health Plan, Inc. | Oakland, CA - HIPAASpace Support provider performance, make care and risk gaps actionable, combine clinically integrated data with predictive analytics, and improve ROI for your risk adjustment programs. We would also like to use non-essential cookies to help us improve your browsing experience and help make this website better, by collecting and reporting information on how you use our site. Louisiana Medicaid: 800-448-3810. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. Employers, For Agents & Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Arcadian Health Plan: Contact Details and Business Profile - RocketReach to enroll, Learn Arcadian's Health Plan organization is a community-based local network, providing coordinated care to our members in small to medium-sized communities across the United States. collaborative tools to drive better outcomes, In pursuit of health equity: The basics of SDoH for caremanagement, How Arcadia Analytics complements Epic workflows, Streamlined eCQM submissions with expert support, Using data to lower A1Cs and drive advances in diabetestreatment, How to surface data at the point of care to serve complex populations, What to consider in your healthcare analytics strategy: Acomprehensive guide, Guide to Build vs. Buy in Healthcare Analytics. Original fee-for-service Medicare, currently chosen by more than 35 million beneficiaries, is available to all beneficiaries. Login Directory.
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