Revenue Cycle and Payer News 7-7-2021

Collaboration News:

C3LX Inc partners with athenahealth’s Marketplace Program
C3LX Inc, provider of XIAhealth®, a Remote Patient Monitoring, Patient Engagement and Care Management solution supporting Direct Primary Care, Direct Contracting Entities, and other value-based practices, announced a partnership with athenahealth (@athenahealth), Inc. through the company’s Marketplace program.

Financial News:

Anthem, Inc. Completes Acquisition of MMM Holdings, LLC and Affiliates From InnovaCare Health, L.P.
Anthem, Inc. (@AnthemInc) announced the completion of the acquisition of Puerto Rico-based MMM Holdings, LLC and its Medicare Advantage (MA) plan MMM Healthcare, LLC. as well as affiliated companies and Medicaid plan. Anthem acquired MMM from InnovaCare Health, L.P., a leading integrated, value-based payor and provider service organization.

Making the Cut:

Humana Ranked No. 1 Among Health Insurers for Customer Experience
Humana (@Humana) ranked No. 1 among Health Insurers for customer experience (CX) quality in Forrester’s proprietary 2021 US CX Index™ survey.

CareSource Receives National Award for Philanthropy
CareSource (@caresource), a nationally recognized nonprofit health plan, announced that they are the recipient of the 2021 Secretary’s Award for Public-Philanthropic Partnerships. The national award from the U.S. Department of Housing and Urban Development (HUD) in partnership with the Council on Foundations recognizes philanthropic and public sector partnerships that have a substantial impact on the quality of life for low- to moderate-income individuals and families.

Policy News:

CMS Proposed Rule to Increase Americans’ Access to Health Coverage for 2022
The Centers for Medicare & Medicaid Services (@CMSGov) proposed a series of provisions to follow through on President Biden’s commitment to build on the Affordable Care Act (ACA), expand health coverage access and advance health equity. These provisions are the third installment of the payment notice for 2022.

COVID-19 News:

Health Insurance Providers Help Vaccinate More Than 2 Million Seniors Against COVID-19 in Underserved Communities
Health insurance providers helped vaccinate more than 2 million seniors against COVID-19 in under 100 days as a result of the Vaccine Community Connectors (VCC) program. The VCC leveraged data on social determinants of health to improve equity and break down barriers to vaccine access for Americans in the most at-risk communities. More than 50 health insurance providers are now participating in this public-private partnership, launched by AHIP and the Blue Cross Blue Shield Association (@BCBSAssociation). Lessons learned will help health insurance providers connect more effectively with communities to tackle other pressing health challenges.

CareSource Partners with CSS Health to Help Members Get Vaccinated
CareSource announced they will team with CSS Health in order to increase COVID-19 vaccination rates for Medicaid members across Ohio to ensure all CareSource members have access to local pharmacist administered COVID-19 vaccinations.

New York Life and Cigna Expand Eligibility for ‘Brave of Heart Fund’ Grants to Support Families of Health Care Workers Who Lost Their Lives in the Fight Against COVID-19
The foundations of New York Life and Cigna (@cigna) announced that the Brave of Heart Fund (the Fund), which provides monetary grants to the families of heroic health care workers and volunteers nationwide who lost their lives in the fight against COVID-19, has extended its application deadline through the end of 2021. The Fund is also expanding its Phase 1 eligibility criteria to include parents, grandparents, siblings and non-dependent children in addition to spouses, domestic partners and dependent children.


New Health Disparities Report Reveals Urgent Need to Address Maternal Mortality, Mental and Behavioral Health, and Food Insecurity in the U.S.
The United Health Foundation, the philanthropic foundation of UnitedHealth Group (@UnitedHealthGrp), released its inaugural America’s Health Rankings Health Disparities Report, highlighting persistent and widening gaps in health and well-being by race and ethnicity, gender, geography and educational level.

New Cotiviti Research Captures Healthcare Payer Shift from Postpay to Prepay Claim Integrity
Cotiviti (@Cotiviti), a provider of data-driven healthcare solutions, has published new research capturing the healthcare payer industry’s challenges in optimizing pre and postpay claim payment integrity programs. The report, “Optimizing Payment Integrity with Enterprise Pre and Postpayment Solutions,” is based on a survey of 104 health plan stakeholders from more than 70 different payer organizations, conducted in partnership with HealthPayerIntelligence.

To Read:

You can now get free or low-cost health insurance if you collect unemployment at any point in 2021 by CNBC – Anyone who is receiving — or already received — unemployment benefits in 2021 could discover they now qualify for no-cost or low-cost private health insurance.

Health Insurance Options If You’re Retiring Before Age 65 by verwell health – The Affordable Care Act (ACA) has made health insurance coverage when retiring before age 65 a much less challenging situation. This is especially true for people with medical conditions or limited finances—both of which could be obstacles for early retirees seeking coverage in the pre-ACA era.

Rory McIlroy Helps UnitedHealthcare Launch Effort to Encourage Healthier Habits for Americans and Break a GUINNESS WORLD RECORDS™ Title for the Most Pledges Received for a Health Campaign in One Month – UnitedHealthcare is encouraging Americans to make health a priority with the 2021 Step Up for Summer Sweepstakes and World Record Challenge.

Upcoming Events:

AHIP National Conference on Medicare, Medicaid & Dual Eligilbles Online (@ahipcoverage)
What: National Conference on Medicare, Medicaid & Dual Eligilbles Online
When: September 21 – 24, 2021
Where: Virtual

National Conference on Medicare, Medicaid & Dual Eligilbles Online – As health care continues to dominate the national conversation, it’s more essential than ever to participate in the National Conference on Medicare, Medicaid and Dual Eligibles. We’ll take a closer look at the policy, regulatory, and operational issues affecting Medicare Advantage and Part D, Medicaid managed care, and programs to better serve those who are dually eligible.