Managed Care Report
• SelectCare (Detroit) named Edward Bornoty vice president of information services. Bornoty was previously the director of technology/administration at Oakwood Healthcare System.
• University of Pennsylvania Health System and Aetna U.S. Healthcare (Blue Bell, PA) have reached a long-term agreement, effective Jan. 31, continuing the companies’ positive relationship. The agreement helps ensure "uninterrupted coverage of care for our many patients who subscribe to Aetna U.S. Healthcare," said UPA Health System officials.
• Blue Cross and Blue Shield of Florida (BCBSFL; Jacksonville, FL) recently reviewed the Florida Sterling Region II Quality Team Showcase Award. The company’s state accounts operations department received the award for excellence in administering the state employees’ PPO Plan, BCBSFL said. The competition recognizes companies and organizations that demonstrate excellence in the process, design, and outcome of a given project or initiative. BCBSFL’s state accounts operations department received the award for monitoring and evaluating claims quality and productivity to enhance the administration performance of the PPO Plan, said BCBSFL.
• Blue Cross and Blue Shield of Western New York appointed John Gillespie medical director. Gillespie will be responsible for implementing medical policy and will serve as spokesman for local medical issues.