Health Alliance Plan Selects CareCore National to Deliver Radiology Benefit Management Services

BLUFFTON, S.C.--(BUSINESS WIRE)--

CareCore National announced that it has been selected to administer radiology benefits management services for 250,000 commercial and Medicare members of Health Alliance Plan (HAP) of Detroit, MI.

Health Alliance Plan selected CareCore to manage the utilization and quality of imaging services to ensure patients get the most effective radiological treatments and tests. This entails managing radiology benefit expenses within the parameters of quality, patient access and appropriateness of care as well as continual performance monitoring of the diagnostic imaging delivery system based on CareCore's performance standards for these procedures.

“Our evidence-based medicine program will give Health Alliance Plan members the best care at the best possible cost,” said Shelley Weiner, M.D., Chief Medical Officer, CareCore National. “Our solution ensures that health plans have a dynamic and responsive radiology program that addresses marketplace concerns and increases the quality of care to plan members.”

CareCore's radiology program covers more than 30 million member subscribers in all 50 states and is designed to improve appropriate utilization and enhance quality through prior authorization solutions that identify patient specific diagnostic imaging needs. The program manages benefits for advanced imaging studies such as magnetic resonance (MRI/MRA), computed tomography (CT), positron emission tomography (PET) nuclear medicine and nuclear cardiology.

“Diagnostic imaging can produce important health benefits, however, when used inappropriately, it poses serious quality of care and economic issues,” said Mumtaz Ibrahim, M.D., Senior Medical Director of Health Alliance Plan. “Unnecessary tests drive up costs and expose members to higher doses of harmful radiation than traditional x-rays. CareCore's management of radiological advanced imaging procedures will ensure that our members only receive tests that are medically necessary, which will reduce unnecessary exposure to radiation. Our program looks for evidence that diagnostic imaging technology will deliver better care for our members and more value for their healthcare dollars spent.”

CareCore National's contract with HAP expands its growing list of Michigan-based health plans, which currently include Health Plus, the UAW Retiree Benefits Trust and the Blue Care Network.

For more information about CareCore National, visit: http://www.carecorenational.com.

About CareCore National

CareCore National, LLC (www.carecorenational.com) is the nation's largest specialty benefits management company. Founded in 1994, to offer radiology benefit management services, CareCore National, LLC. has since developed specialty benefit management programs design to manage benefits specific to cardiology, medical oncology, radiation oncology, sleep apnea, musculoskeletal management and, most recently, lab management services. CareCore currently contracts with more than 30 health plans with over 70 million insured. The company is headquartered in Bluffton, SC and has more than 1200 employees.

About Health Alliance Plan:

Health Alliance Plan (http://www.hap.org) is a nonprofit, regional health plan based in Detroit, Michigan that provides health coverage to individuals and companies, and is a subsidiary of the Henry Ford Health System, one of the nation's leading health care systems. HAP is celebrating 50 years of partnering with physicians, employers and community organizations to improve the health and well-being of the community. HAP is a leader in personalized customer service, disease management and wellness programs.