Revenue Cycle and Payer News 10-28-2020

Collaboration News:

Cohere Health Announces Partnership with Humana to Modernize Prior Authorization and Improve Physician and Member Experience
Cohere Health (@CohereHealth), a healthcare collaboration technology company, announced an agreement with Humana Inc. to improve the prior authorization process for musculoskeletal treatment across 12 states, starting Jan. 1, 2021. Cohere aligns physicians, patients and health plans on a patient’s optimal healthcare experience—enabling access to higher quality care while at the same time minimizing administrative burden and siloed decision-making.

CVS Health to Partner with Long-term Care Facilities When COVID-19 Vaccine is Available
CVS Health (@cvshealth) announced it will be providing COVID-19 vaccinations to long-term care facilities throughout the country when the vaccine becomes available.

Cigna and Earvin “Magic” Johnson Join Forces to Combat Health Disparities and Support Minority and Women-Owned Businesses
Cigna (@cigna) is teaming up with Earvin “Magic” Johnson, chairman and chief executive officer of Magic Johnson Enterprises, to combat health disparities and to support minority and women-owned small and mid-size businesses in the greater Los Angeles area.

Oscar and MercyOne Announce Partnership to Offer Affordable Health Insurance and Care in Iowa
Oscar (@OscarHealth), the first tech-driven health insurance company, and MercyOne, a connected system of health care facilities and services dedicated to helping patients and communities live their best life, announced they are partnering to offer Oscar Individual and Family health insurance plans in 23 counties in Iowa beginning in 2021, pending regulatory approval.

Financial News:

Anthem Announces Settlement with State Attorneys General Following 2015 Cyber Attack
Anthem (@AnthemInc) announced that it has reached a settlement with the group of State Attorneys General investigating the company’s cyber-attack that occurred back in 2015, in which it was a victim of a sophisticated state sponsored criminal attack group. Anthem cooperated with the State Attorneys General throughout their investigation and has agreed to pay $39.5 million in settlement in connection with their investigation.

Bind raises $105M in Series B funding
Bind Benefits, Inc. (@bind_odhi) announced a $105 million Series B funding round, as investors show continued confidence in the Bind approach to health insurance innovation and market interest.

Product News:

HST Announces HST Connect App Now Available
HST, provider of Value-Based Payments (@HST_VBP), announced the availability of HST Connect 2.0 for consumers to improve access to care, reduce out-of-pocket costs and find the right healthcare provider at the right time. As part of its commitment to simplify—and revolutionize—healthcare, HST’s latest app leverages transparency tools and technologies for HST’s VBP Plan members.

UnitedHealthcare’s 2021 Medicare Plans Bring Unique Solutions for Unique Times
UnitedHealthcare (@uhc) introduced its 2021 Medicare Advantage and prescription drug plans, showcasing affordable coverage, exclusive benefits, expanded plan access and a simplified member experience that connects people to quality care – when and where they need it.

Aetna 2021 Medicare plans focus on total health and making care more affordable and convenient
Aetna, a CVS Health company, announced its 2021 Medicare offerings, featuring increased integration with CVS Health; expanded and differentiated Medicare Advantage plan options, including HMO and Dual Eligible Special Needs Plan offerings in new states; new Aetna Medicare Eagle plans designed especially for Veterans; and the lowest premium standalone prescription drug plan product in all 50 states and D.C.

Blue Cross® and Blue Shield® Federal Employee Program® (FEP®) Announces New Telemedicine Benefits and Cost Transparency Tool for Members in 2021
The Blue Cross and Blue Shield (@BCBSAssociation) Federal Employee Program® (FEP®) announced 2021 benefits, including newly expanded telemedicine benefits, along with a new tool to help provide greater cost transparency for members. Additionally, FEP will keep the rates the same in 2021 for its newest product, FEP Blue Focus®, as well as for Blue Cross Blue Shield FEP Vision℠. Rates for Blue Cross Blue Shield FEP Dental℠ products will remain at 2020 levels.

Humana Rolls Out 2021 Medicare Advantage Health Plans with Expanded $0 Premiums and Enhanced Benefits in More Counties Nationwide
Humana (@Humana) announced details of its 2021 Medicare product offerings, including Medicare Advantage and Prescription Drug Plans that are built with the benefits and options people eligible for Medicare need most. Beneficiaries will also have new choices through the launch of 69 new MAPD plans across hundreds of additional counties.

Cigna Expands Medicare Advantage Offerings to Deliver Greater Affordability, Predictability and Choice to Customers
Cigna Corporation, a global health service company, is rapidly expanding its Medicare Advantage (MA) plans to make it easier for more customers to access affordable, predictable and simple health care.

GetInsured Launches Technology Behind Pennie™, the New State-Based Health Insurance Marketplace in Pennsylvania, Facilitates Transition from
GetInsured (@getinsuredtweet), a government healthcare IT provider, announced it has completed the transition for the new state-based health insurance marketplace in the Commonwealth of Pennsylvania, known as Pennie™. Pennie will replace for 2021 coverage and was created in partnership with GetInsured to increase affordability and access to coverage for Pennsylvanians.

COVID-19 News:

UnitedHealthcare Eye Care Program Helps Support Children’s Eye Health by Reducing Exposure to Blue Light Amid COVID-19
UnitedHealthcare (@UnitedHealthGrp) has launched a vision program that will help children across the country reduce their exposure to blue light and support their overall eye health, addressing the unique eye-health challenges young people may face amid COVID-19.