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Evidence-based Medicine Seen as Crucial in Providing Optimal Care to Newly Insured
SEATTLE, Feb. 18, 2014 /PRNewswire/ -- Two new health plan CO-OPs established under the Affordable Care Act (ACA) have selected clinical guidelines from MCG to help drive effective care for their members. MCG (formerly Milliman Care Guidelines, now part of the Hearst Health network) is a leading provider of healthcare guidance to payor and provider markets.
"As a member-driven, non-profit organization we're focused on assuring our members receive high-value, patient-centered healthcare," said Dr. Jerry Reeves, Chief Health Officer for Community Health Alliance. "MCG helps us do that by providing comprehensive, up-to-date, and thoroughly researched health decision support derived from the medical literature. That means our members are more likely to receive care that's proven effective."
Consumers' Choice Health based in South Carolina and Community Health Alliance based in Tennessee began providing coverage effective January 1, 2014. Open enrollment continues until March 31. Created under the ACA Consumer Operated and Oriented Plan (CO-OP) Program, the new health plans offer health insurance in the retail market, with a special focus on the region's uninsured population – nearly 1.6 million in the two states combined.
"With their commitment to making quality care affordable, the new CO-OPs are a key part of the healthcare puzzle," said John Shreve, president of MCG. "We welcome them as partners in the effort to ensure that all Americans receive the right care at the right time in the right setting."
MCG will present information on evidence-based medicine at the annual meeting of the National Alliance of State Health CO-OPs (NASHCO). The meeting takes place Feb. 23 - 24 in Washington, DC.
About Community Health Alliance
Community Health Alliance Mutual Insurance Company (doing business as Community Health Alliance) is Tennessee's health insurance CO-OP. As a nonprofit, member-governed health plan, CHA promotes patient-focused and provider-engaged care, with a customer friendly size and attitude. CHA is an approved carrier, regulated by the Tennessee Department of Commerce and Insurance. For more information, visit www.chatn.org (http://www.chatn.org) or call 888-415-3332.
About Consumers' Choice Health Plan
Consumers' Choice Health Insurance Company (doing business as Consumers' Choice Health Plan) is a new health care coverage option for South Carolinians. It is a member-governed nonprofit that operates on a patient-centered medical home model focusing on prevention and wellness. Consumers' Choice is licensed by the South Carolina Department of Insurance and regulated by the US Department of Health and Human Services. For more information, visit www.cchpsc.org (http://www.cchpsc.org) or call 800-580-8736.
MCG, formerly Milliman Care Guidelines and now part of the Hearst Health network, independently develops and produces evidence-based clinical guidelines and software used by more than 2,200 clients, including 1,200 hospitals and eight of the ten largest U.S. health plans. Updated annually by an experienced team of clinicians, the care guidelines support the care management of a majority of Americans. For more information, visit www.careguidelines.com (http://www.careguidelines.com).
The Hearst Health network also includes FDB (First Databank), Zynx Health, and Homecare Homebase. The mission of the Hearst Health network is to help guide the most important care moments by delivering vital information into the hands of everyone who touches a person's health journey. To learn more about the Hearst Health network, read the Hearst press release.
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