All Rights Reserved. Cecilia Sun Providence St. Joseph Health is focused on identifying strategic relationships that will allow us to deliver quality health care services in new and innovative ways, said Mike Cotton, chief executive officer of Providence Plan Partners. CareOregon and its affiliates will retain their locally based, secular and non-profit status. The scientific evidence must document conclusions that are based on established medical facts. Prior to his time at Providence, Brad worked for ODS Health Plans (now Moda Health), as well as a property and casualty insurance company. Providence Plan Partners (PPP), is a 501(c)(4) Washington nonprofit corporation. Timshel holds a Master of Business Administration and bachelors degree in business administration from the University of Phoenix, as well as numerous certifications in compensation, risk management, and strategy. The partnership will combine the collective strengths of both organizations and ensure CareOregon and PPP [] Personal Option plan, and Oregon and Washington Individual plans: These plans require that services be rendered by an in-network provider. ORDER TO CEASE AND DESIST, FINAL ORDER ASSESSING CIVIL PENALTY, AND CONSENT TO ENTRY OF ORDER The Director of the Department of Consumer and Business Services for the State of Oregon ("Director"), acting in accordance with Oregon Revised Statutes ("ORS") By . Rhonda Medows, MD (Chair) The following is designed to help you better understand your health plan coverage. about GuideStar Pro. Providence Plan Partners Company Profile | Renton, WA | Competitors With more than 25 years of healthcare industry experience, she has been instrumental in leading high-performing teams with several organizations. Shannon began her 20+ year career at PHP as a Medicare Customer Service Representative in 1994 and worked her way up through the ranks of customer service, marketing and sales in the insurance industry, focusing on Medicare. Thats the CareOregon Effect.. Understand when and where to receive different types of care. Use the tool below to select different beacons to see how the weighting shifts when only one, two, or three beacons are earned. Why Aren't Donated Clothes Always Given Away for Free? You're the heart of our members' health care. Read the IRS policies for compensation reporting, Source: IRS Form 990 (page 7), filing year 2021, Below are some key data points from the Exempt Organization IRS Business Master File (BMF) for this organization. Providence Swedish is pleased to announce James Park, MD, MHA has joined as the new North Puget Sound chief medical officer (CMO), effective June 19, 2023. We also link to copies of audits nonprofit organizations that spent $750,000 or more in Federal grant money in a single fiscal year since 2016. Michael Mathias joined Providence Health Plan (PHP) as Chief Information Officer in August of 2022. What are the organization's current programs, how do they measure success, Providers must be contracted with ASH to be considered participating with Providence Health Plan. 877-216-3644. These models served to close the gap between basic operations and the fundamental change required to drive growth, optimize functional operations, and improve the capabilities and services offered through innovative technology. Most recently, the Providence MCO a state of Oregon certified workers compensation program was transitioned to Caresses oversight. Small organizations filing a Form 990N "e-Postcard" are not included in this data. Brad has helped lead the organization to unprecedented growth as Providence now serves more than 600,000 members, making it one of the largest carriers in the Pacific Northwest. THEREFORE, BY PROVIDING THESE OPERATIONAL SERVICES, PPP ALLOWS PHP AND PHA TO FREE UP AND RE-ALLOCATE RESOURCES IN ORDER TO IMPROVE QUALITY AND BREADTH OF HEALTHCARE SERVICES TO THE SURROUNDING COMMUNITY. LifeBalance | Providence Health Plan Terms of Our member mailing program aims to increase completion of these important screenings through both education mailings and gap mailings. Caresse earned her undergraduate degree in Economics from Southern Oregon University. Let us help you find the plan that best fits your needs. CareOregon is a non-profit community benefits company involved in health plan services, reforms and innovations since 1994. He has also held various leadership roles within other organizations in the health insurance industry nationally, making him well-versed in the U.S. payer landscape. All rights reserved. Some services, including inpatient hospital services, require prior authorization. Welcome to Providence Preferred | Providence At Providence, our strength begins with understanding. Providence (PVD) to Sicily from $1,071. These - three combined entities generated total revenues exceeding two billion and services to over one million lives in 2018. Lina Saadzoi serves as Providence Health Plans Chief Financial Officer, assuming the role in June 2023. Providence Health Plan offers commercial group, individual health coverage and ASO services.Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. Public charities, Christian institutions . Should you receive services from an out-of-network* provider, you may be liable for the difference between the health plan payment and the providers actual charge. When we take care of each other, we tighten the bonds that connect and strengthen us all. PROVIDENCE PLAN PARTNERS | Charity Navigator Profile Enrollment in Providence Health Assurance depends on contract renewal. Ratings are calculated from one or more beacon scores. There are several ways to obtain care after office hours: Benefits for otherwise covered services obtained outside the Providence Health Plan service area vary by plan type; please refer to your member materials inmyProvidencefor information specific to your plan. Shannon works with insurance producers and community members to navigate the complexities of Medicare, Medicaid, and Individual health insurance, with the goal of seamless and easy access to care. Cheryl Morrison-Bornstein joined Providence Health Plan (PHP) as the Chief Operating Officer in June 2022. Under a . Services not covered by your health plan. Prior to joining PHP, Michael served as Chief Information Officer at Blue Shield of California where he also held the role of Executive Vice President. Regena shares in Providences belief that the health of a community rests in the hearts, hands, and minds of its people. FIND CARE NONMEMBERS CARE TYPE. I want to see hotel recommendations when using Rome2Rio Rome2Rio uses cookies to help personalize content and show you personalised ads. Providence Plan Partners | Renton, WA | Cause IQ PROVIDENCE'S SOCIAL RESPONSIBILITY FRAMEWORK AIMS TO DEPLOY THE ASSETS OF OUR SYSTEM TO SUPPORT COMMUNITY HEALTH IMPROVEMENT, STRENGTHEN LOCAL ECONOMIES AND REDUCE OUR CARBON FOOTPRINT. At Providence Health Plan, we respect the privacy and confidentiality of your protected health information (PHI). Call 911 or the emergency number listed in the local telephone directory, or go to the nearest emergency room. Technology must improve health outcomes. Stay covered: learn more about Oregon Health Plan eligibility. She is also responsible for grounding Providence Health Plans culture and experience in principles of DEI, and aligning efforts with Providences Mission, Values, and Vision. Throughout his nearly 10-year career with Blue Shield of California, he led the companys technology operations, strategy, and investments while also serving as the organizations Executive Vice President of Customer Service. Providence may require prior authorization for certain services. Providence Health Plan provides services to a wide range of clients, including self -funded employers, The summary data contains information processed by the IRS during the 2012-2019 calendar years; this generally consists of filings for the 2011-2018 fiscal years, but may include older records. The funds contributed to an account are not subject to federal income tax at the time of deposit. This means that you must be able to access mental health or substance use disorder treatment services within 15 business days according to Washington law. THE PROVIDENCE FAMILY INCLUDES:-PROVIDENCE ACROSS SEVEN WESTERN STATES-COVENANT HEALTH IN WEST TEXAS-PROVIDENCE FACEY MEDICAL FOUNDATION IN LOS ANGELES, CA-HOAG MEMORIAL HOSPITAL PRESBYTERIAN IN ORANGE COUNTY, CA-KADLEC IN SOUTHEAST WASHINGTON-PACIFIC MEDICAL CENTERS IN SEATTLE, WA-SWEDISH HEALTH SERVICES IN SEATTLE, WAENVIRONMENTAL, SOCIAL, AND GOVERNANCE STANDARDSOVER THE LAST TWO YEARS, PROVIDENCE ADVANCED A SOCIAL RESPONSIBILITY FRAMEWORK THAT INCLUDES A STRONGER COMMITMENT TO DIVERSITY, EQUITY, INCLUSION, AND ENVIRONMENTAL STEWARDSHIP. For those interested in acquiring the original data from the source, heres where our data comes from: RENTON, WA 98057-3368 (Less). Medicare ACO Information | Health Connect Partners | Providence Members may self-refer into the program or be referred by providers, caregivers, hospital discharge planners or as a result from a recent hospital stay or diagnosis. You can use these sessions to meet a variety of goals. Get peace of mind with Assist America Identity Theft Protection's fraud monitoring, warning, and resolution. We're here to help you make the most of your membership. INSTRUCTIONS FOR USE: Company Medicare Medical Policies serve as guidance for the administration of plan . Browse value-added services & buy-up options, contact Providence Health Plan customer service, Get information about filing an appeal and external review, Non-discrimination and Communication Assistance |. She holds a Master of Business Administration and information technology degree from Golden Gate University and a bachelors degree in finance from San Francisco State Universitys Lam Family College of Business. The following is designed to help you better understand your health plan coverage. Alternative health. To access these resources, sign in to https://myprovidence.com. Scott Burton serves as Market President for the Commercial lines of business at Providence Health Plan (PHP), leads the Sales and Account Services teams, manages operations of all health plan commercial business, and steers the development of PHPs commercial strategy. verify that the provider you have selected is covered by your plan. Presented here are up to five of this organization's highest compensated employees. See the list , The data powering this website is available programmatically, via an API. As the Chief Operating Officer, Cheryl oversees the day-to-day operational and administrative functions of PHP and designs innovative operating models to support the organizations overall growth strategy. Brad has served Providence for more than 20 years in various roles within sales and finance. Privacy Policy Were here to give you the support and resources you need. Providence Plan Partners . Aaron earned his Juris Doctorate from the University of Oregon School of Law. EIN 91-1861964 . The following provides a general overview of how to access non-emergent care under different plan types. Grant Information Last Updated: Access everything you need to sell our plans. For more information, call 888-511-2743 or visit ASH online. You are essential to the health and well-being of our Member community. NOTE: TTY, or text telephone relay, services enable those with hearing and/or speech impairments to communicate with others by telephone. Providence Health Plan offers commercial group, individual health coverage and ASO services.Providence Health Assurance is an HMO, HMOPOS and HMO SNP with Medicare and Oregon Health Plan contracts. Providence Health Plan prescription drug plans provide benefit payment for medications listed on the formulary* and which are: *A formulary is a list of FDA-approved prescription preferred brand-name and generic drugs. You are essential to the health and well-being of our Member community. We're here to supply you with the support you need to provide for our members. YCCO Website: How to Use Your Benefits | Providence Health Plan We're here to help you make the most of your membership. Providence Plan Partners is the non-profit health care management and administrative services affiliate of Providence Health Plans (PHP) and a subsidiary of Providence St. Joseph Health (PSJH). Prior to his current role, Brad served as Senior Director of Sales & Account Services, where he was responsible for sales, member retention and service of insured and self-insured groups. Access thousands of participating fitness centers and online workout videos. Service. The Form 990 is a document that nonprofit organizations file with the IRS annually. PROVIDENCE PLAN PARTNERS cannot be evaluated by our Accountability & Finance methodology because it is not a 501(c)(3) IRS registered nonprofit. If you have taken opioids for a prolonged period of time, you may receive a letter detailing information you may want to discuss with your provider. PPP EMPLOYS APPROXIMATELY 1540 THROUGH A LEASED EMPLOYEE AGREEMENT WITH ITS AFFILIATE PARENT PROVIDENCE HEALTH & SERVICES - OREGON, IN ORDER TO SUPPORT PHP AND PHA. An innovative leader, he also oversees alignment of PHPs business strategy and IT operations. Please check your inbox in order to proceed. employees 0 City Renton State Washington Year formed 1997 Most recent tax filings 2021-12-01 NTEE code, primary E80: Health, General and Financing Description Prior to that, she held leadership roles at Cambia Health Solutions in both compensation and performance strategy, and as a human resources partner. Once a member turns 18, it's time to transition out of pediatric care. For additional information, refer to your member materials available in the Providence Health Plan secure member portal, myProvidence. Find company research, competitor information, contact details & financial data for Providence Plan Partners of Renton, WA. All Rights Reserved. Isaiah Crawford, Ph.D. We currently serve more than 300,000 Oregon Health Plan/Medicaid and Medicare members. Timshel actively supports her community and has served as a board member for Catholic Charities, president of the Board for Candlelighters for Children with Cancer, and community board member for the Clackamas County Compensation Committee. Deductibles are usually per person and/or per family, per calendar year. Providence Health Plan maintains policies that protect the confidentiality of personal information, including Social Security numbers, obtained from its members during the course of regular business functions. PDF Health Assurance and Providence Plan Partners, Medical and Pharmacy

Racquel's Addiction Fitness, How Far Is King City, California, How Does Yallfest Work, Articles P