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President’s Message: External Review Requirements Go Into Effect January 2012

Claire Levitt Claire Levitt, MS, President,
Alicare Medical Management


This past summer, the federal government issued a technical release updating the “external review” requirements for health plans and insurers under the Patient Protection and Affordable Care Act (PPACA).

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Clinical Corner:
Promoting Patient Transitions of Care

Julie O’Brien Julie O’Brien, BSN, RN, MS,
Vice President/COO,
Alicare Medical Management


An increasing number of individual practices and medical organizations are using after-hours nurse triage to improve patient care, and they are reaping huge benefits.

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Medical Director’s Notes: Assessing the Clinical Efficacy of Gastric Bypass Surgery

Bernard M. Bettencourt, Jr. Bernard M. Bettencourt, Jr., DO, MPH, FACEP, CPE, Medical Director, Alicare Medical Management

This October, MSNBC reported on a phenomenon that has recently come to light in the bariatric surgical arena. The report discussed a young lady who gained weight to meet the BMI (body mass index) requirements so her weight loss surgery would be covered by her health insurance plan.

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Client Update: Alicare to Support HealthHelp’s Alert™ Program

Alicare Medical Management has begun providing clinical staff support for Houston, TX-based HealthHelp’s Alert™ Program.

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Employee Spotlight: Stacey Thomas-Roy

Stacey Thomas-Roy Stacey Thomas-Roy is a true New Englander at heart. A fan of the Red Sox, Celtics, Bruins and of course the Patriots, AMM’s director of utilization management is as loyal to the Boston sports teams as she is dedicated to her career.

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Medical Management News

  • Current Flu Vaccine Outdated, Study Finds
  • Are Vitamin Benefits Real?
  • U.S. Lung Cancer Rates Decline

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