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Wrong Gale Arden?

Ms. Gale P. Arden

Vice President for Medicare and Duals

Centene Corporation

HQ Phone: (314) 725-4477

Email: g***@***.com

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Centene Corporation

7700 Forsyth Blvd.

St. Louis, Missouri 63105

United States

Company Description

Centene Corporation is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government sponsored healthcare programs, focusing on under-insured and uninsured individuals. Many receive benefits provided under Medicai ... more

Find other employees at this company (6,880)

Background Information

Employment History

Vice President and General Manager of Senior Care Division

BlueCross BlueShield of Tennessee Inc

Director

Private Health Insurance Group

Director of Center for Medicaid and State Operations Disable and Elderly Health Programs Group

Ahlborn

President

Arden Health Advisors LLC

Senior Executive

Centers for Medicare and Medicaid Services

Affiliations

Founder
Office of Managed Care for CMS

Senior Advisor Helping the Company
BCBST

Education

Master of Business Administration

Johns Hopkins University

undergraduate degree

University of Illinois

Web References (36 Total References)


About | Arden Health Advisors LLC

ardenhealthadvisors.com [cached]

GALE P ARDEN, PRESIDENT

ARDEN HEALTH ADVISORS
Gale P Arden, President, Arden Health Advisors LLC, offers consulting services in the health care arena. She has a unique background combining extensive federal health care regulatory and policy leadership with experience in the private payor environment. In her career with the Centers for Medicare and Medicaid Services (CMS), she held senior executive positions in both the Medicare and Medicaid programs. From 1993 through 1995, she established the Office of Managed Care for CMS which regulated and provided oversight for managed care in both the Medicare and Medicaid programs. Later in her career, from 2004-2009, she served as Director of Disabled and Elderly Health Programs. In that position she had senior executive responsibility for Medicaid programs serving the long term care needs of the elderly and disabled. She had oversight of home and community based programs as well as grant and demonstration programs assisting states in transforming their long term care Medicaid programs. After leaving CMS, Gale gained experience in the private payor sector at Blue Cross Blue Shield Tennessee (BCBST). At BCBST, Gale was a senior advisor from 2009-2010 helping the company anticipate and prepare for changes due to federal health care reform legislation. From 2010 to 2011, Gale was the Vice President and General Manager for the Medicare managed care operations for BCBST with responsibility for managed care and Part D prescription drug benefit lines of business.


Capability Statement | Arden Health Advisors LLC

ardenhealthadvisors.com [cached]

Gale P. Arden, President, has an extensive background in health care policy and operations. She held Senior Executive positions for many years with the Centers for Medicare and Medicaid Services. Her subject matter expertise includes Medicaid long-term care, issues involving dual eligibles, operation and policy perspectives on both Medicare and Medicaid managed care, coverage and eligibility concerns involving Medicaid, and state interaction and coordination involving the Medicaid program. In addition, Ms. Arden has held positions in the private sector advising a large insurance firm on health care reform. She also headed operations for the firm in their Medicare managed care, Part D, and Medicare Supplement lines of business.

...
Gale P. Arden, President
Arden Health Advisors LLC
410-591-9176
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Arden Health Advisors LLC | Relevant information about the healthcare industry.

ardenhealthadvisors.com [cached]

[1]42 U.S.C. §1396a(n); Memorandum of February 27, 2008 from Gale P. Arden, Director, Disabled and Elderly Health Programs Group to All Associate Regional Administrators, Division of Medicaid and Children's Health, Subject: Medicare Cost-Sharing for Medicaid Beneficiaries, Attachment: Balance Billing of Qualified Medicare Beneficiaries (QMB) Q&A (February 27, 2008 memo)

...
[4]June 11, 2007 Memorandum from Gale P. Arden, Director, Disabled and Elderly Health Programs Group to All Associate Regional Administrators, Division of Medicaid and Children's Health, Subject: Medicaid Obligations for Cost-Sharing in Medicare Part C Plans, Attachment.
...
Gale Arden, a consultant who used to run the Medicare Advantage program for BlueCross BlueShield of Tennessee, worries the pressure to please customers "forces health plans into a situation where they can never say no to any treatment or to any customer because it impacts the rating. They're afraid to ever say no to an MRI."
Such complaint calls are counted toward star results even if they are unjustified, she said.


Arden Health Advisors LLC

ardenhealthadvisors.com [cached]

[1]42 U.S.C. §1396a(n); Memorandum of February 27, 2008 from Gale P. Arden, Director, Disabled and Elderly Health Programs Group to All Associate Regional Administrators, Division of Medicaid and Children's Health, Subject: Medicare Cost-Sharing for Medicaid Beneficiaries, Attachment: Balance Billing of Qualified Medicare Beneficiaries (QMB) Q&A (February 27, 2008 memo)

...
[4]June 11, 2007 Memorandum from Gale P. Arden, Director, Disabled and Elderly Health Programs Group to All Associate Regional Administrators, Division of Medicaid and Children’s Health, Subject: Medicaid Obligations for Cost-Sharing in Medicare Part C Plans, Attachment.
...
Gale Arden, a consultant who used to run the Medicare Advantage program for BlueCross BlueShield of Tennessee, worries the pressure to please customers “forces health plans into a situation where they can never say no to any treatment or to any customer because it impacts the rating. They’re afraid to ever say no to an MRI.�
Such complaint calls are counted toward star results even if they are unjustified, she said. “If a customer doesn’t pay his premiums and we dis-enroll him and he calls CMS to complain, then we’ve got a problem because it shows up as a complaint.


Articles | Arden Health Advisors LLC

ardenhealthadvisors.com [cached]

Gale P. Arden, President

Arden Health Advisors LLC

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