Hickey to run insurer's TennCare MCO
Mar 23, 2011 10:40 AM
That's where Brentwood-based managed care company Prime Health Services is taking its expanded PPO repricing engine. CORE, the company's bill repricing engine and PPO data communications solution has been redesigned as a cloud-based application in order to leverage the advantages of the Windows Azure Platform, the company said.
"For many years now, we have had great success with our Web Service based solutions – offering real time repricing of our clients medical bills. Our new expansion to the Cloud is the next evolution of our cutting edge capabilities," according to Christian Puryear, CIO of Prime Health Services. "The extraordinary capacity of the Windows Azure environment made the Microsoft solution a natural choice for us."For more on Prime Health, click here.
Feb 23, 2011 7:08 AM
Brentwood-based managed care firm Prime Health Services has acquired a majority stake of Applied Metrics, a portfolio company of Nashville's BRM Global Inc, a company that provides outcome-based medical data analysis for the workers' compensation, auto liability and health markets.
“Prime Health Services has taken the next evolutionary step in its growth by acquiring majority interest in Applied Metrics. This acquisition reaffirms Prime Health’s commitment to providing the market with a quality PPO network based on measurable medical outcome data,” said Brian A. Sharp, Prime Health's president and CEO. “Prime’s approach of customizing PPO solutions for our clients now will include the ability to offer them providers with demonstrated patient outcomes, and thus a better ability to control costs.”The corporate integration is expected to be complete by the end of the first quarter. Prime Health, based in Brentwood, has more than 700,000 providers and facilities in its nationwide delivery system.
Feb 15, 2011 11:49 AM
Addiction treatment facility hoping to rebuild patient count after Magellan contract cancellation
Sep 24, 2010 12:14 PM
Brentwood-based Prime Health Services has named Todd Hurt vice president for provider contracting. Hurt, who joined the managed care firm in 2006, most recently held the director of provider contracting title. He will now have authority over the contracting division, overseeing all national contracting efforts and custom contracting.
“I know that Todd will do an excellent job in overseeing our custom contracting efforts for our clients that choose this service as well as for the continued growth of our broad based PPO,” said Brian A. Sharp, CEO of Prime Health Services.
Aug 24, 2010 12:39 PM
Substance-abuse treatment center says it will go bust soon without injunction, but managed-care org may drop it regardless of ruling
Aug 24, 2010 7:00 AM
Treatment center warns of insolvency, mass layoffs unless court restores key contract
Jul 21, 2010 11:19 PM
In its annual rankings, Institutional Investor magazine named Community Health Systems' Wayne Smith and Larry Cash the top CEO and CFO, respectively, in the health care and managed care sectors. It's the fourth year in a row Smith has held the No. 1 ranking and the sixth year for Cash. The Franklin-based hospital operator was also named the top investor relations company. The magazine's rankings are based on a survey 570 of sell-side analysts.
Mar 15, 2010 11:36 AM
Agreement now includes Medicare Advantage plans
Mar 1, 2010 10:06 AM