Revenue Cycle and Payer News – April 26, 2023

Collaboration News

Oscar Health Renews and Expands Relationship with Digital Solutions Platform Provider Ciox Health
Ciox Health (@CioxHealth), a Datavant company, and Oscar Health, Inc. (@OscarHealth), the first health insurance company built around a full stack technology platform, announced that they have renewed and expanded their digital services agreement.

Company News

AHIP Launches New Campaign that Puts Big Pharma on Notice
AHIP (@AHIPCoverage) launched a major new advertising campaign that spotlights the role health insurance providers play in securing savings, promoting competition, and providing more choices than ever before for millions of Americans. The ads call out how Big Pharma spends millions pointing fingers at others in the health care system to distract Americans from manufacturers’ soaring drug prices – attempting to deflect blame, limit competition, and undermine patients’ bargaining power.

Independence Health Group reports strong membership and revenue in 2022
Independence Health Group, Inc., (@ibx) the parent company of Independence Blue Cross, LLC, released its financial results for 2022, a preview of the organization’s annual report.

Aetna awarded the City of New York Medicare Advantage plan contract for retirees
The City of New York Office of Labor Relations announced the award of a Medicare Advantage contract for City retirees to Aetna®, a CVS Health® company (@CVSHealth). The plan is being offered to approximately 250,000 retirees and their eligible dependents age 65 and over.

UnitedHealth Group Reports First Quarter Results
UnitedHealth Group (@UnitedHealthGrp) reported first quarter 2023 results reflecting consistent broad-based growth at Optum and UnitedHealthcare.

Humana’s Impact Report Focuses on Transforming Care and Positive Health Outcomes for All
Humana Inc. (@Humana), a national health and well-being companies, released its 2022 Impact Reportopens new window, which highlights the company’s continued commitment to its Environmental, Social and Governance (ESG) strategy.

Policy News

HHS Releases Proposal to Expand Health Care for DACA Recipients
The Department of Health and Human Services (@hhsgov), through the Centers for Medicare & Medicaid Services (CMS), released a notice of proposed rulemaking (NPRM) that, if finalized, would expand access to health care by reducing barriers for Deferred Action for Childhood Arrivals (DACA) recipients. The proposed change applies to the Health Insurance Marketplaces, the Basic Health Program, and some Medicaid and Children’s Health Insurance Programs (CHIP).

HHS Finalizes Rule to Strengthen Medicare, Improve Access to Affordable Prescription Drug Coverage, and Hold Private Insurance Companies Accountable to Delivering Quality Health Care for America’s Seniors and People with Disabilities
HHS through the Centers for Medicare & Medicaid Services (CMS), is finalizing a rule to put people with Medicare first and put strong protections in place so that Medicare Advantage (MA) works for them. This final rule will strengthen Medicare Advantage and hold health insurance companies to higher standards for America’s seniors and people with disabilities.

To Read

Health Insurance Providers Actions Concerning Mental Health by AHIP – Read what Health Insurers are doing to address mental health.

The Facts: Why Health Insurance Providers Are Supporting Americans Through Medicaid Redetermination by AHIP – Every American deserves access to affordable health coverage and care. Throughout the COVID-19 pandemic, health insurance providers took decisive actions in support of this commitment. That commitment continues today, as health insurance providers have launched new efforts to guide Americans as states confirm whether those enrolled in Medicaid and CHIP are still eligible.

To Listen


A Payer’s Pathway to Outcomes and Equity

Each health and wellness consumer has a different journey, hence a different set of needs. A virtual first delivery of care model aims to provide access to healthcare services through digital platforms and technologies, such as telemedicine, remote monitoring, chronic care management and other mobile health applications.

This 10-page guide outlines the strategies for establishing a virtual first delivery of care model.  Read the Guide

Upcoming Events

AHIP 2023 (@AHIPCoverage)

What: ATA’s 2022 EDGE Policy Conference
When: June 13-15, 2023
Where: Portland, OR
Register Now

Experience what’s next, now at AHIP 2023 (Formerly Institute & Expo.) We’re building on AHIP’s decades-long heritage of bringing together the people, ideas, and solutions guiding greater health for years to come.