Revenue Cycle and Payer News – August 27, 2025

Anthem Blue Cross and Blue Shield and OhioHealth Announce New Multi-Year Agreement
Anthem Blue Cross and Blue Shield in Ohio and OhioHealth announced they have reached agreement on a new network participation contract. The multi-year agreement continues uninterrupted access to care at OhioHealth hospitals, facilities, and physician practices for Anthem members in all health plans, including employer-sponsored, individual, Medicare Advantage, and Medicaid health plan networks.

CareSource and Radley Health Join Forces to Advance Behavioral Health Workforce Development in Ohio
CareSource, a national nonprofit managed care organization, announced its investment in Radley Health (d/b/a RadleyCare), an Ohio-based organization providing peer support services to empower adults with serious mental illness (SMI).

Hy-Vee Health and Oscar Serve Up a New Era of Employer Healthcare
Oscar Health, a healthcare technology company in the individual market, and Hy-Vee, Inc., America’s No. 1 grocery store based in the Midwest, are teaming up to introduce a one-of-a-kind healthcare benefit. The landmark health insurance plan saves employers money and gives employees concierge care at an affordable fixed price.

Firstsource and Guidehealth Partner to Accelerate AI-Enabled Value-Based Care Innovation for Health Plans
Firstsource Solutions Limited, a global provider of business management services and an RP-Sanjiv Goenka Group company, announced a strategic partnership with Guidehealth—a pioneer in quality outcomes and value-based care innovation. This collaboration will empower health plans to deliver measurable value for members and providers by accelerating the adoption of next-generation, outcome-driven care models and preventive care.

Independence Blue Cross Post-Acute Care Program improves recovery outcomes, lowers costs, and earns national BCBSA award
Independence Blue Cross (IBX) is helping to improve recovery outcomes for its Medicare Advantage members after they leave the hospital and reduce costs with its Post-Acute Care Program. The program combines predictive analytics, proactive case management, and a focus on home-based recovery, to ensure members receive the right care at the right time after a stay at the hospital. Since its launch in July 2022, it has helped to improve CAHPS survey scores — a tool used to measure members’ experiences with health care services and strengthen health care in the U.S. It has also delivered $13 million in cost savings and earned the prestigious Blue Cross Blue Shield Association’s (BCBSA) North Star Award for its measurable impact.

Humana Earns 2025 Great Place to Work Certification™ and PEOPLE Companies That Care® Recognition
Humana has been named a Certified™ Great Place To Work® for the fourth consecutive year and has earned a place on PEOPLE® Companies that Care list for the second year in a row. Both honors are based on direct employee feedback and recognize organizations that prioritize employee well-being, community involvement, and deliver positive outcomes for customers and communities.

Value-Based Care Issue Brief – Value-based care delivers a higher quality of care and better medication prescription adherence to evidence-based medicine for Medicare Advantage patients diagnosed with heart failure, according to findings released by health and well-being company Humana Inc. in its latest Value-Based Care Issue Brief .

2025 State Issues Retreat
When: October 7-8, 2025
Where: Nashville, TN
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Connect with leaders from coast-to-coast who are working to make health care better, equitable, and affordable for all Americans. Attendance is limited to AHIP health plan members, AHIP retained counsels, and state trade association executives.