Revenue Cycle and Payer News 5-12-2021

Collaboration News:

Cigna + Oscar Launches New Plans to Expand Affordable Coverage for Connecticut Small Businesses
Cigna (@cigna), a global health service company, and Oscar Health, Inc. (@OscarHealth), the first health insurance company built on a full stack technology platform, announced that Cigna + Oscar small business health insurance will be available to Connecticut employers starting July 1, 2021.

For First Time, Humana Collaborates with Providers to Offer Value-Based Care for People with Original Medicare
Humana Inc. (@Humana) announced that it is contracting with health care providers to offer coordinated care for patients who are not Humana Medicare Advantage members, but rather are Original Medicare beneficiaries. Through the launch of the Direct Contracting Model (DCM), Humana, under Humana Direct Contracting Entity, Inc. and operating as Humana Care Solutions, is participating in a model that aims to improve care quality, health outcomes, and the patient experience, while lowering the cost of care for these Medicare beneficiaries.

Product News:

UnitedHealthcare To Offer New Post-Discharge Support for Retirees with Employer Group Medicare Advantage Plans
UnitedHealthcare (@uhc) announced it will be launching UnitedHealthcare® Healthy at Home, a new offering designed to help retirees safely transition back home after being discharged from a hospital or skilled nursing facility.

UnitedHealthcare Enhances Integration of Medical and Specialty Benefits, Helping Improve Health Outcomes and Affordability
UnitedHealthcare has introduced various enhancements to its integrated approach to medical and specialty benefits, providing members with a more simplified experience and enabling employers to help improve employee health outcomes, increase productivity and lower costs.

Oscar Health, Inc. Launches +Oscar to Power the Healthcare Ecosystem through Platform-based Partnerships
Oscar Health, Inc. announced the launch of +Oscar, Oscar’s tech-driven platform business designed to help healthcare clients drive improved efficiency, growth and superior engagement with their members and patients.

Financial News:

Integrity Continues to Innovate Insurance with Acquisition of Data Analytics Company Deft Research
Integrity Marketing Group, LLC, an independent distributor of life and health insurance products, announced its acquisition of Deft Research, LLC, the healthcare industry’s leading source for consumer and market data.

CVS Health reports strong first quarter results, raises 2021 full year EPS and confirms cash flow from operations guidance ranges
CVS Health Corporation (@cvshealth) announced operating results for the three months ended March 31, 2021.

Anthem, Inc. Completes Acquisition of myNEXUS Home Health Benefits Manager
Anthem, Inc. (@AnthemInc) announced that it has completed its acquisition of myNEXUS, Inc. (“myNEXUS”), a comprehensive home-based nursing management company for payors. myNEXUS delivers integrated clinical support services for approximately 1.7 million Medicare Advantage members across 20 states. Additionally, Anthem, Inc. reported first quarter 2021 results that reflect strong financial performance.

Blue Cross Blue Shield Association Announces National Health Equity Strategy to Confront the Nation’s Crisis in Racial Health Disparities
As part of its ongoing mission to improve the health of America, the Blue Cross Blue Shield Association (@BCBSAssociation) announced its National Health Equity Strategy to confront the nation’s crisis in racial health disparities. This strategy intends to change the trajectory of health disparities and reimagine a more equitable healthcare system. BCBSA has convened a national advisory panel of doctors, public health experts and community leaders to provide guidance.

Cigna Delivers Strong First Quarter 2021 Results, Raises 2021 Outlook
Global health services company Cigna Corporation reported strong first quarter 2021 results driven by focused execution across its businesses.

To Read:

News from the CEO: “Why I got vaccinated — and why you should, too” by Greg Deavens – Independence Blue Cross CEO, Greg Deavens, talks about receiving the COVID-19 vaccine.

COVID-19 News:

Cigna Introduces Broad Incentives to Encourage COVID-19 Vaccination
Cigna is introducing a broad range of new initiatives to encourage and expand access to COVID-19 vaccinations. These incentives include offering paid time off to receive the vaccination, an incentive award for employees who are fully vaccinated and transportation to vaccine appointments at no cost for most Medicare Advantage customers.


New Report People with Medicare Supplement Coverage Three Times Less Likely to Struggle with Medical Bills
Health insurance providers are committed to ensuring that all Americans have affordable, high-quality coverage and equitable care. For many Medicare-eligible Americans, Medicare Supplement insurance (Medigap) plays a vital role in protecting them from out-of-pocket costs that traditional Medicare does not cover. Using the latest available data sources, America’s Health Insurance Plans’ (AHIP) Center for Policy and Research released a report on Medicare Supplement coverage options, demographics of enrollees with Medicare Supplement policies, and the most recent enrollment trends.

By the Numbers: How Health Insurance Providers Contribute to State Economies and Peace of Mind
Health insurance providers deliver high-quality, affordable coverage to hundreds of millions of Americans and support millions of good-paying jobs. Those are two of the key takeaways from Health Coverage: State-to-State 2021, a biennial, comprehensive report by America’s Health Insurance Plans (@ahipcoverage). The latest recently released report takes a detailed look at health insurance coverage and industry employment for all 50 states and the District of Columbia.

Study Shows Medica’s Unique Provider Relationships Have Lower Costs, Better Outcomes than Open Access Plans
Members in an accountable care organization (ACO) plan experience better health at a lower cost than expected and, when compared to open access plans, better quality of care. The findings stem from data collected and analyzed by Medica (@Medica4Me) for its 200,000 commercial and individual members in ACO plans.


CareSource Adds Industry Expert to Executive Team
CareSource (@caresource), a nationally recognized nonprofit health plan, announced Scott Markovich has been named Executive Vice President of Markets and Products for the organization. In this role, Markovich oversees all health plans to support member growth, provider strategies and health plan performance. He also leads the product strategy as it relates to managing individuals with complex needs.

Upcoming Events:

AHIP Institute and Expo 2021 (@ahipcoverage)
What: Institute and Expo Online
When: June 22 – 24, 2021
Where: Virtual

AHIP Institute and Expo 2021 – At Institute & Expo Online, you’ll engage with health care’s most compelling experts as they take on such topics as the ongoing COVID-19 response, health equity, improving quality and value, industry transformation, behavioral health, and much more.