The Center for Medicare and Medicaid Services (CMS) released an interim final rule (IFR), Medicaid Program; Covered Outpatient Drugs; Final[…]
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WellCare Expands Medicaid Market with Care1st Acquisition
WellCare Health Plans Inc. announced its intentions to buy Care1st Health Plan of Arizona, an Arizona Medicaid Managed Care plan,[…]
Read moreGIRS Tracks Impact of Health Insurer Mergers on Patient Access to your Medical Technologies
Global Integrated Reimbursement Services, Inc. (GIRS) tracks major insurer mergers including the Anthem and Cigna Corp mergers that was blocked[…]
Read moreGIRS is Successful in Obtaining Coverage with 50% of the Top 10 Medicaid Managed Care Insurers for two Biologics
GIRS works with several Medicaid Managed Care plans nationally and these plans are dynamic as the contracts can change annually.[…]
Read moreGIRS tracks insurance mergers to determine impact on coverage of client medical technologies
GIRS tracks insurance mergers to determine impact on coverage of client medical technologies The U.S. Justice Department is likely to[…]
Read moreCase Example: GIRS Increases the Medicaid Managed Care Market Share of our Clients in 2015
Molina Healthcare’s revenues increased within the first quarter as a direct result of the ACA expansion of Medicaid and private[…]
Read more2014 Payer Advocacy Success Case 6
GIRS worked successfully with a very large, popular mid state insurance company, to verify the coverage of a Biologic Product[…]
Read more2014 Payer Advocacy Success Case 5
Our client’s medical technology hotline was getting calls from confused providers because there was another Product listed with a similar[…]
Read more2014 Payer Advocacy Success Case 4
GIRS has been working with a top insurance company since 2010 on behalf of our client to establish positive coverage[…]
Read more2014 Payer Advocacy Success Case 3
The GIRS Payer Advocacy Compass (PAC)™ Team worked with a state Medicaid program to advocate for the Medicaid coverage[…]
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