Gm588

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Table of Contents Executive Summary 2 Introduction 5 Company Background 7 Quality Intitiatives 9 Key Observation Points 11 Comparative Analysis 12 Concluding Remarks 13 Future Recommendations 15 Appendix 17 References 21 Executive Summary Coventry’s roots can be traced back to November 21, 1986, the date the company’s predecessor company, Coventry Corporation, was incorporated. Coventry Health Care, Inc. became a public company in 1991, and is currently listed on the NYSE with ticker symbol "CVH". Since the company’s inception, the building blocks of “The Coventry Model” have remained financial discipline and service excellence. The company’s senior management team has long understood those two…show more content…
The company’s Health Plan and Medical Services division provides health plan commercial risk, commercial management services, Medicare advantage coordinated care plans, and Medicaid products. It also offers commercial risk products, including health maintenance organization, preferred provider organization, and point of service products to individuals and employer groups. In addition, this segment provides health insurance benefits under the federal employees health benefits program; administrative services only products, such as medical claims administration, pharmacy benefits management, and utilization management and quality assurance programs; consumer-directed benefit options comprising health reimbursement accounts and health savings accounts to commercial customers; and comprehensive health benefits on a risk basis to members participating in the Medicare Advantage Coordinated Care Plans and Medicaid programs. Its Specialized Managed Care includes Medicare Part D program that provides access to prescription drug coverage for eligible beneficiaries; network rental business that offers network rental services through a national PPO network to national, regional, and local third-party administrators, as well as insurance carriers; and behavioral health benefits business provides coordination of comprehensive mental health and substance abuse treatment services. The company’s Workers’ Compensation division offers managed care services, such as
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