We’ve Jumped on the AI Trend!At @Managed Care Consultants of America, we decided to have a little fun and turn our team into AI caricatures — and let’s just say… the results are spot on 😄
We love blending innovation with personality — because while we take compliance, billing, and consulting seriously… we also know how to have a little fun as a team.
Let the guessing game begin! 🎭
Now it’s your turn! 👀
Can you guess who’s who? Drop your guesses in the comments below ⬇️
The below are all pictured can you guess who is who?
@[Alana Hanson-Williams, BSW](urn:li:person:Phufs6eVo3), @[Tabitha Faulk, BSN](urn:li:person:-m2UCc5eFB), @[Melanie Paulk](urn:li:person:BkEEJ4mbu1),
@[Christopher Langebrake](urn:li:person:XizlKgIoBj), @[Destiny Quinones, BSW, CEO](urn:li:person:bf2g6WOE44), @[Jeanine Rockett-Deveney, LPN,FAACM,MHCC-C](urn:li:person:OjDjVXXzu5), @[Nanette Johnson-Smith](urn:li:person:ffNTuFa6iz), @[Nikole Blackman, BSW](urn:li:person:0SAscLjfgW)
#ManagedConsultantsOfAmerica #HealthcareConsulting #AITrend #TeamSpotlight #GuessWho #HealthcareLeaders #SeniorCare #PostAcuteCare #InnovationInHealthcare #LinkedInFun #TrendingNow
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Texas Providers: Important Payment & EOP Update from Wellpoint Texas \(Effective Mid-January 2026\)@Wellpoint Texas is transitioning to expanded electronic payment and remittance options for providers serving Medicare Advantage and Medicaid members, beginning mid-January 2026.
🔹 Electronic Funds Transfer \(EFT\) remains the fastest and most secure payment method and connects directly to 835 ERAs for easier reconciliation
🔹 Providers not enrolled in EFT may receive virtual credit card \(VCC\) payments instead of paper checks \(processing fees may apply\)
🔹 Enrolling in EFT automatically opts providers out of VCC payments
🔹 Paper Explanation of Payment \(EOP\) and VCCs will no longer be mailed to providers using Availity Essentials
🔹 Digital ERAs and EOPs can be accessed anytime through Availity Remit Viewer
🔹 Providers not using Availity Essentials will continue to receive paper VCCs and EOPs
These updates are part of Wellpoint Texas’ ongoing efforts to reduce administrative burden and streamline reimbursement for provider partners across the state.
Texas providers should review their payment preferences and @Availity access ahead of the mid-January transition.
#WellpointTexas #TexasProviders #ProviderUpdates #ElectronicPayments #EFT #RevenueCycle #MedicareAdvantage #Medicaid #ManagedCare #MCCA
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Part 33: Joke of the weekBought new camera last weekend but it’s having a hard time staying together….
it’s really a loose Cannon
#Linkedinjokes #Jokeoftheweek #Jokes #Networking #PAC #PostAcuteCare
#Consulting #Consultants
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@BayCare Health System Medicare Advantage – Prior Authorization UpdateBayCare Plus has announced an updated timeline for its expanded Prior Authorization \(PA\) program to support a smooth transition for providers and members.
No PA changes will take effect until March 1, 2026
The delay allows time for provider education, system readiness, and aligned workflows
A new PA platform will enable instant authorization for medically necessary services that meet criteria
Expedited approvals remain in place for select services until go-live
Provider training materials begin rolling out the week of January 26, 2026
Providers should continue following current PA processes until March 1 and watch for additional guidance ahead of implementation.
A thoughtful approach focused on minimizing provider abrasion and member impact.
#ManagedCare #MedicareAdvantage #PriorAuthorization #ProviderUpdates #HealthcareAdministration #MCCA
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We’re grateful for the opportunity to be part of a meaningful 3-day tour with our very own @Tabitha Faulk, BSN](urn:li:person:-m2UCc5eFB) and @[US Family Health Plan- A TRICARE Prime option, visiting and connecting with our skilled nursing facility partners.This tour was all about collaboration, appreciation, and strengthening relationships across the continuum of care. A heartfelt thank you to @[Dusty Dolnik](urn:li:person:Oc5ewi0PFE), @[Vanessa Melancon](urn:li:person:nQUYlZ1rth), and Bryan Thompson for your time, partnership, and commitment to supporting SNF providers every step of the way.
At Managed Care Consultants of America, we value opportunities like these to engage directly with providers, say thank you, and continue working together to improve outcomes for the residents and communities we serve.
Looking forward to continued collaboration and many more conversations ahead!
#ManagedCareConsultantsOfAmerica #USFHP #SNFPartners #HealthcareCollaboration #Grateful #StrongerTogether
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Congratulations to @Avante Group Inc. on the Grand Opening of your Orlando location! What an incredible celebration highlighting not only your beautifully renovated facility, but also the heart and dedication of your team. It was inspiring to see so many well-deserved awards presented and to recognize the outstanding staff who went above and beyond—especially those who were on site during the emergency evacuation. Your commitment to resident care and safety truly shines.
Thank you for welcoming Managed Care Consultants of America and allowing us to be part of such a special milestone. We wish you continued success and look forward to all that’s ahead for Avante Orlando!
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Today we honor the life and legacy of Dr. Martin Luther King Jr. — a leader whose courage, compassion, and commitment to equality continue to inspire generations.At Managed Care Consultants of America, we believe in serving others with integrity, empathy, and purpose. Dr. King’s vision reminds us that progress is built through unity, respect, and meaningful action. His words challenge us to lead with heart, stand for what is right, and create opportunities that uplift those around us.
As we reflect today, may we each find ways—big or small—to serve, support, and strengthen our communities.
“Life’s most persistent and urgent question is, ‘What are you doing for others?’”
— Dr. Martin Luther King Jr.
#MLKDay #Leadership #Service #Community #ManagedCare #PurposeDriven
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Have you heard @CarePlus Health Plans has transitioned to Availity?CarePlus is transitioning the authorization process effective January 1, 2026.
Authorizations will now be requested via Availity or by faxing clinicals.
Case Management will now be handled by Humana's One Home team once authorization is approved.
Starting 2/1/2026 the One Home team will transition to the Anna portal where you can communicate the case management via the platform, and upload clinicals. Please note authorizations will still need to be requested via Availity.
View CarePlus' update's by clicking the link below:
https://lnkd.in/etPE-cX7
Have you encountered any challenges with CarePlus lately?
#CarePlus #ManagedCare #OneHome #MedicareAdvantage #CaseManagement
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Happy New Year from Managed Care Consultants of America! As we step into the new year, we reflect with gratitude on the partnerships, trust, and collaboration that made the past year so meaningful. We are thankful for our clients, partners, and healthcare leaders who continue to inspire excellence and innovation in everything they do.
The new year brings fresh opportunities, new goals, and continued growth. We look forward to supporting you with expertise, integrity, and dedication as we navigate the evolving healthcare landscape together.
Wishing you a successful, healthy, and prosperous year ahead!
🥂✨ #HappyNewYear #NewYearNewGoals #ManagedCare #HealthcareExcellence #ManagedCareConsultantsOfAmerica
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Provider Update: @AvMed is transitioning their Provider Portal to Availity. Availity will provide enhanced access and streamlined process over the prior provider site. Avmed will begin utilizing Availity for the below items effective 1/1/2026.Key updates include a new portal experience through Availity Essentials, allowing Providers to manage eligibility, benefits, and claims in one familiar, multi-payer platform, and a transition to Zelis Payments, offering improved transparency and easier access to payment and remittance information.
These enhancements create a stronger foundation for efficiency today and innovation in the future.
https://lnkd.in/e9TJxGqQ
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As we close out the year, our team came together to celebrate our accomplishments, share new ideas, and set meaningful goals for the year ahead. Our end-of-year party and meeting was a wonderful opportunity to connect, reflect, and collaborate as we prepare for continued growth and success.These moments remind us of the power of teamwork, innovation, and shared purpose. We’re excited about what’s ahead and grateful for the dedicated team that makes it all possible.
Here’s to a new year filled with fresh ideas, clear goals, and continued excellence in serving our clients and partners.
🥂✨ #TeamCulture #EndOfYearCelebration #StrategicPlanning #NewYearGoals #ManagedCare #ManagedCareConsultantsOfAmerica
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HealthSpring Takes Over Prior Authorizations January 1, 2026Beginning January 1, Cigna Healthcare® Medicare Advantage transitions to HealthSpringSM, which will manage prior authorizations for Post-Acute Care \(PAC\) services — including SNF, Home Health, Inpatient Rehab, and LTACH.
🔹 Through Dec. 31, 2025 → Submit to EviCore by Evernorth®
🔹 Starting Dec. 29, 2025 → Submit 2026 requests to HealthSpring via Availity
The Cigna MA payer space will also be renamed HealthSpring Medicare Advantage on Availity Essentials.
#ManagedCare #HealthSpring #CignaHealthcare #MedicareAdvantage #PostAcuteCare #UtilizationManagement #HealthcareConsulting #HealthcareProviders #RevenueCycle #ValueBasedCare #HealthPlans #HealthcareAdministration
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Happy Kwanzaa from Managed Care Consultants of America As Kwanzaa begins, we honor the values of Umoja \(Unity\), Kujichagulia \(Self-Determination\), Ujima \(Collective Work and Responsibility\), Ujamaa \(Cooperative Economics\), Nia \(Purpose\), Kuumba \(Creativity\), and Imani \(Faith\).
These principles align closely with our commitment to collaboration, integrity, purpose, and community within the healthcare industry. We are grateful for the partnerships and relationships that allow us to work together in service of quality care and positive outcomes.
Wishing our clients, partners, and communities a meaningful and joyful Kwanzaa filled with reflection, unity, and hope.
#HappyKwanzaa #Unity #Community #HealthcareLeadership #ManagedCareConsultantsOfAmerica
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Merry Christmas from Managed Care Consultants of America!As we celebrate this special season, we want to express our sincere gratitude to our clients, partners, and dedicated healthcare professionals who trust and collaborate with us throughout the year. Your commitment to excellence, compassion, and service makes a meaningful impact every day.
Christmas is a time for reflection, gratitude, and togetherness. We are thankful for the relationships we’ve built and the opportunities to support healthcare organizations in navigating managed care with confidence.
Wishing you and your families a joyful Christmas filled with peace, health, and happiness. We look forward to continuing our work together in the year ahead.
🎁❤️ #MerryChristmas #SeasonOfGratitude #ManagedCare #HealthcareLeadership #ManagedCareConsultantsOfAmerica
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Thank You, Life Care Center of Orlando! ✨🎄Managed Care Consultants of America would like to extend our sincere thanks to Life Care Center of Orlando for welcoming us to their beautiful Festival of Trees Celebration Open House. It was a wonderful afternoon filled with holiday cheer, community connection, and generosity.
We are grateful to be part of an event that not only brought local vendors and families together, but also supported such a meaningful cause. Knowing that all funds raised benefit Matthew’s Hope Ministries made the celebration even more special.
Thank you to the Life Care Center of Orlando team for hosting such a festive and impactful event and for all that you do for your residents and the greater Orlando community. We truly appreciate the opportunity to celebrate alongside you during this holiday season.
#ThankYou #FestivalOfTrees #CommunityImpact #HolidayGiving #LifeCareCenterOfOrlando #ManagedCareConsultantsOfAmerica
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Happy Hanukkah from Managed Care Consultants of America!As we celebrate the Festival of Lights, we want to thank our valued clients for the trust, partnership, and collaboration you share with us throughout the year. Your continued confidence in our team inspires us to deliver excellence, innovation, and results every day.
May this season bring light, peace, and prosperity to you, your teams, and your organizations. We look forward to continuing our work together in the year ahead. ✨🕎
#HappyHanukkah #FestivalOfLights #ClientAppreciation #HealthcareConsulting #ManagedCare #HealthcareLeadership #LongTermCare #HomeHealth #HospiceCare #PartnershipMatters #Grateful
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Reminder PostBayCare Plus will be hosting their next Provider Webinar on December 17th at 12 PM — a great opportunity to stay informed and connected.
This session will cover:
✅ 2026 plan news and updates
✅ Enhancements to the provider portal
✅ A presentation from the pharmacy department
…and more valuable insights for providers!
Don’t miss out on the latest updates that help us better serve our members and communities.
👉 To request an invitation, email baycareplusprovider\@baycare.org
#BayCarePlus #ProviderWebinar #HealthcareUpdates #MedicareAdvantage #ManagedCareConsultantsOfAmerica #ContinuingEducation #Collaboration #HealthCareProfessionals
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@BlueCross BlueShield of South Carolina, BlueChoice HealthPlan, and Healthy Blue have expanded their 2026 Annual Provider Summit to include three virtual sessions via Microsoft Teams. Providers can now join from anywhere to receive key updates for the upcoming benefit year.Virtual Summit Dates \(9–11:30 a.m.\):
• Dec 2 – Authorizations, Benefits, Claims
• Dec 3 – Provider Enrollment, Self-Service Tools
• Dec 11 – Healthy Blue, Provider Enrollment, Self-Service Tools
Space is limited—register for the session that best fits your needs and stay up to date on essential changes for 2026.
Register here: https://lnkd.in/eRQfEnbc
#ManagedCare #ProviderRelations #HealthcareConsulting #BCBSSC #BlueChoice #HealthyBlue #ProviderSummit #2026Updates #ManagedCareConsultantsOfAmerica #HealthcareProviders #MedicareMedicaid #ProviderEducation
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