Revenue Cycle and Payer News – July 26, 2023

Collaboration News

Anthem Blue Cross and Blue Shield Foundation, Up Center Address Community Health
The Anthem Blue Cross and Blue Shield Foundation (@elevancefnd) has partnered with The Up Center, formerly Child & Family Services of Eastern Virginia, to fund a community outreach campaign providing a pathway for dads to engage in family growth and development.

Independence Blue Cross teams up with Carallel to give caregivers a support system to lean on as their loved ones are discharged from the hospital
Independence Blue Cross (@IBX) is working with Carallel to give more support to those caring for a loved one on Medicare Advantage who was just discharged from the hospital. Carallel is a company that provides high-touch support and high-tech tools to caregivers.

Blue Cross Blue Shield Association Partners with Boys & Girls Clubs of America to Address Youth Mental Health Crisis
The Blue Cross Blue Shield Association (@BCBSAssociation) announced a partnership with Boys & Girls Clubs of America to combat the youth mental health crisis in the United States through trauma-informed approaches to behavioral health care.

CareSource and Radiant Alliance ink new deal
CareSource (@caresource), a national nonprofit health plan, announced a definitive agreement with Radiant Alliance, a group of highly respected, Ohio-based nonprofits to achieve groundbreaking new capabilities for the organizations to further their community-based missions.

Company News

Independence Group completes migration of Data Warehouse to Google Health Cloud BigQuery
Independence Health Group, Inc. announced that it successfully completed migrating its Data Warehouse to Google Cloud BigQuery, marking a major milestone in the company’s digital transformation as a leading health care company.

CareSource offers free work development program to assist with requirements in new Pathways Medicaid program
With Georgia Pathways to Coverage™ positioned to help low-income individuals qualify for Medicaid who are not otherwise eligible for traditional Medicaid, CareSource (@caresource) is assisting its members in adapting to new Medicaid eligibility requirements for this new program. CareSource, a mission-driven Medicaid plan serving more than 500,000 Georgians, gives all members free access to the industry-leading work development program called CareSource Life Services® which fosters employment opportunities while removing barriers to success.

Humana Inc. to Release Second Quarter 2023 Results on August 2, 2023
Humana Inc. (@Humana) will release its financial results for the second quarter 2023 (2Q23) on Wednesday, August 2, 2023, at 6:30 a.m. Eastern time. The company will host a conference call at 9:00 a.m. Eastern time that morning to discuss its financial results for the quarter and earnings guidance for 2023.

Product News

Cigna Healthcare Adds New Biosimilars to Formularies to Expand Access, Advance Affordability
Cigna Pharmacy Management, which supports Cigna Healthcare’s (@cigna) plans with integrated medical and pharmacy benefits, is adding four biosimilars to HUMIRA as preferred products on its formularies.

Making the Cut, Milestones, Accolades, Awards and More

Independence Blue Cross named a Top Workplace for fifth straight year
For the fifth year in a row, The Philadelphia Inquirer has recognized Independence Blue Cross (Independence) as one of the Top Workplaces in the Philadelphia area. Independence has earned a place in the “large employers” category every year since 2019.

Policy News

The Long Road to Reining In Short-Term Plans
Don’t miss this episode of What the Health from Kaiser Health News Network. It took more than two years, but the Biden administration has finally kept a promise made by then-candidate Joe Biden to roll back the Trump administration’s expansion of short-term, limited-duration health plans. The plans have been controversial because, while they offer lower premiums than more comprehensive health plans, they offer far fewer benefits and are not subject to the consumer protections of the Affordable Care Act.

To Read

AHIP, the American Medical Association, and the National Association of ACOs Release New Playbook with Recommendations Toward a Sustainable Future for Value-Based CareAHIP, the American Medical Association (@AmerMedicalAssn), and the National Association of ACOs (@NAACOSnews) announced the release of data sharing best practices that organizations may voluntarily adopt to support a sustainable future for value-based care. The playbook, The Future of Sustainable Value-Based Care and Payment: Voluntary Best Practices to Advance Data Sharing, is intended to advance the adoption of value-based care arrangements in the private sector that could have a greater impact on the quality and equity of care and ease participation by fostering voluntary alignment of data sharing practices.

Companies like CVS and UnitedHealth are now some of the world’s biggest businesses. Is that healthy for the rest of us? by Fortune – The companies and their rivals say their enormous size and scope makes them the best candidates to fix America’s health care system. After a new wave of mergers, they’re under pressure to prove it.

Upcoming Events

Consumer Experience & Digital Health Forum (@AHIPCoverage)

What: Consumer Experience & Digital Health Forum
When: September 13-14, 2023
Where: Portland, OR
Register Now

Join AHIP for a dynamic program focused on the emerging digital health innovations and novel strategies transforming the consumer experience in health care.