Revenue Cycle and Payer News 2-17-2021

Collaboration News:

Humana and IBM Watson Health Collaborate to Simplify and Enhance the Member Experience for Humana Employer Group Customers
Humana Inc. (@Humana) and IBM (@IBMWatsonHealth) Watson Health announced a collaboration leveraging IBM’s conversational artificial intelligence (AI) solution – to help provide a better member experience while providing greater clarity and transparency on benefits and other related matters for Humana Employer Group members.

Product News:

CVS Health launches Symphony™ to support senior safety at home and enhance caregiver peace of mind
CVS Health (@cvshealth) recently introduced the Symphony™ medical alert system to help caregivers monitor the safety and well-being of loved ones, even from afar.

Health Care and Employer Groups Announce Principles to Protect Patients and Achieve Universal Coverage
Blue Cross Blue Shield (@BCBSAssociation) reports that a broad coalition of health care and employer groups called for achieving universal health coverage by expanding financial assistance to consumers, bolstering enrollment and outreach efforts, and taking additional steps to protect those who have lost or are at risk of losing employer-based coverage because of the economic downturn caused by the COVID-19 pandemic.

Financial News:

Statement by President Joe Biden on the 2021 Special Health Insurance Enrollment Period Through
Starting today (2/15/2021) and running through May 15, 2021, we are opening for all Americans to have the opportunity to sign up for health insurance. Now, everyone will be able to use a special enrollment period to help secure some peace of mind as we work to beat the pandemic and strengthen and build on the Affordable Care Act.

Health Insurer Pays $5.1 Million to Settle Data Breach Affecting Over 9.3 Million People
Excellus Health Plan, Inc. has agreed to pay $5.1 million to the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services (HHS) and to implement a corrective action plan to settle potential violations of the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules related to a breach affecting over 9.3 million people. Excellus Health Plan is a New York health services corporation that provides health insurance coverage to over 1.5 million people in Upstate and Western New York.

Oscar Health, Inc. Announces Filing of Registration Statement for Proposed Initial Public Offering
Oscar Health, Inc. (@OscarHealth) announced that it has filed a registration statement on Form S-1 with the U.S. Securities and Exchange Commission relating to the proposed initial public offering of its Class A common stock.

CVS Health reports fourth quarter and full year 2020 results and provides 2021 full year guidance
CVS Health Corporation announced operating results for the three months and year ended December 31, 2020.

Anthem, Inc. to Acquire MMM Holdings, LLC and Affiliates From InnovaCare Health, L.P.
Anthem, Inc. (@AnthemInc) announced that the company has entered into an agreement with InnovaCare Health, L.P., to acquire its Puerto Rico-based subsidiaries, including MMM Holdings, LLC (“MMM”) and its Medicare Advantage (MA) plan MMM Healthcare, LLC as well as affiliated companies and Medicaid plan.

Cigna Reports Fourth Quarter and Full Year 2020 Results, Expects Continued Revenue and Earnings Growth in 2021
Global health services company Cigna Corporation (@cigna) reported strong 2020 results driven by focused execution through the ongoing COVID-19 pandemic.

To Read:

Resilient: The State of America and Its Health Care Industry from the AHIP Blog (@ahipcoverage) – It’s impossible to overstate how much Americans are focused on health care. In early 2020, we did not yet know how much the COVID-19 crisis would change our lives. Now we are keenly aware of sacrifices made, and the more than 420,000 lives lost.

Making the Cut:

Devon Valencia named to Modern Healthcare’s Women Leaders 10 to Watch List
CareSource (@caresource), a nonprofit multi-state managed care plan, is proud to announce that Chief Information Officer Devon Valencia was recognized by Modern Healthcare as one of 2021’s Women Leaders to Watch in Healthcare. The profiles of all the honorees are featured in the February 15 print issue of Modern Healthcare and at


UnitedHealth Group Announces Executive Leadership Actions
The Board of Directors of UnitedHealth Group (@UnitedHealthGrp) has named Sir Andrew Witty as chief executive officer, succeeding David S. Wichmann, who retires after successfully guiding the company through a period of growth and innovation and the deeply challenging onset of the COVID-19 pandemic.

Oscar Announces Two Strategic Senior Hires
Oscar announced that it has made two strategic hires to deepen its leadership bench in the insurance and clinical space.