Affinity Health Plan Selects PopHealthMan for Health Insurance Exchange Analytics & Services

PopHealthMan and Affinity Health Plan of New York announced today that they have expanded their long-term relationship with a contract for PopHealthMan to provide Health Insurance Exchange analytics and risk adjustment support services for Affinity’s Qualified Health Plan (QHP) population. PopHealthMan will support Affinity in its mission to provide to its QHP members access to quality, cost effective care, helping those members maintain a better quality of life.

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Our partnership with PopHealthMan will be an important element of our success in managing the health of the QHP population while keeping premiums as affordable as possible.

Tempe, AZ and Bronx, NY (PRWEB) January 23, 2014

PopHealthMan and Affinity Health Plan of New York announced today that they have expanded their long-term relationship with a contract for PopHealthMan to provide Health Insurance Exchange analytics and risk adjustment support services for Affinity’s Qualified Health Plan (QHP) population.

PopHealthMan will support Affinity in its mission to provide to its QHP members access to quality, cost effective care, helping those members maintain a better quality of life. As part of this arrangement, PopHealthMan will provide leading edge data analysis services combined with targeted retrospective data collection and prospective analytics services to obtain a comprehensive view of the health status and health challenges facing Affinity’s QHP members. Additionally, PopHealthMan will support Affinity in meeting the Health Insurance Exchange Edge Server requirements that will be used by the Exchange to perform risk adjustment among the plans participating on the exchange. Through utilizing PopHealthMan’s services, Affinity is able to better understand and meet the needs of its QHP membership with chronic and acute illnesses. Accurate, complete, timely and well-documented diagnoses are key inputs to achieving superior health outcomes and keeping healthcare affordable for Affinity’s QHP members.

“Affinity has a long standing mission of helping the underserved in New York. Given our long-term relationship with PopHealthMan with our Medicare population, expanding our partnership was a logical business decision as we extend our services to those in our QHP business,” said Susan Tseng, Affinity’s Executive Director of Health Insurance Exchange. “Our partnership with PopHealthMan will be an important element of our success in managing the health of the QHP population while keeping premiums as affordable as possible.”

“PopHealthMan is very pleased to be able to extend our expertise in the Health Insurance Exchange market with Affinity Health Plan” added Deb Hecker, CEO of PopHealthMan. She added, “As health plans launch their participation in this new and complex Health Insurance Exchange marketplace, they are entering a new world of risk-adjusted premiums and a host of new information technology and data management requirements. With our deep expertise in the management of health plan data for risk adjustment and quality improvement purposes, including the provisioning of that data for sharing with regulating agencies, PopHealthMan is vendor of choice for plans participating in the Exchanges. We offer the critical services but take a flexible approach to working with health plans to provide targeted solutions to meet the specific needs of each plan.”

Affinity Health Plan is participating in the New York State of Health Marketplace as part of the Affordable Care Act (ACA).

About Affinity Health Plan (http://www.AffinityPlan.org):
For almost 30 years, Affinity Health Plan has been offering New York State-sponsored free or low-cost health coverage to New Yorkers who have Medicaid, Medicare or no health insurance at all.

Our managed care programs meet the need for coverage among people who are "underserved", those who may find it hard to get health care for different reasons such as language barriers, social and economic status or other factors. For more information, please contact Carmina Pérez at 718-794-5793 or carperez(at)affinityplan(dot)org.

About PopHealthMan (http://www.PopHealthMan.com):
PopHealthMan, a PopHealthCare company (http://www.PopHealthCare.com), is a long-standing leader in Medicare Advantage, Medicaid and Health Insurance Exchange health plan analytics and services with an extensive history assisting our clients achieve their missions to provide high quality healthcare and improve the health of their members, especially those with complex and chronic conditions. To meet the needs of our clients who are participating in the new Health Insurance Exchanges, PopHealthMan has adapted its services to assist our clients succeed in the Exchange marketplace. For more information, please contact; Brian Geroux at: 480 295-7818 brian(dot)geroux(at)pophealthman(dot)com.


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