Revenue Cycle and Payer News – March 1, 2023

Company News

Humana to Exit Employer Group Commercial Medical Products Business
Humana Inc. (@Humana) announced that it will be exiting the Employer Group Commercial Medical Products business, which includes all fully insured, self-funded and Federal Employee Health Benefit medical plans, as well as associated wellness and rewards programs.

Site-Neutral Payments Would Save Nearly $500 Billion Over 10 Years
The Blue Cross Blue Shield Association (@BCBSAssociation) released policy solutions that could save patients and taxpayers $471 billion over 10 years.

UnitedHealth Group Board Authorizes Payment of Quarterly Dividend
The UnitedHealth Group (@UnitedHealthGrp) board of directors has authorized payment of a cash dividend of $1.65 per share, to be paid March 21, 2023, to common stock shareholders of record as of the close of business March 13, 2023.

Humana Prices $1.25 Billion Debt Offering
Humana Inc. announced that it has priced a public offering of $1.25 billion in aggregate principal amount of senior notes.

One Medical joins Amazon to make it easier for people to get and stay healthier
Amazon (@amazonnews) and One Medical (@onemedical) announced that Amazon completed its acquisition of One Medical. One Medical’s seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses, and mental health concerns have been delighting people for the past 15 years. Together, Amazon and One Medical look to deliver exceptional health care to more people to achieve better health outcomes, better care experiences, and more value, within a better care team environment.

Collaboration News

Walmart and CareSource Enter Agreement to Address Health Disparities
Walmart and CareSource (@caresource), a nonprofit, nationally recognized managed care organization, announced it has entered into a unique agreement, to address racial health inequities.

Product News

CVS Health launches new virtual primary care offering, expands access to mental health support
CVS Health® (@CVSHealth) Virtual Primary Care is a new virtual care offering that provides primary care, 24/7 on-demand care1 and scheduled mental health services. If in-person follow-up care is needed, a patient can seek care at any in-network provider, including MinuteClinic®.

UnitedHealthcare Introduces New Rewards Program With a Modern Approach to Well-Being
UnitedHealthcare (@uhc) has introduced UnitedHealthcare Rewards, a new rewards program in which eligible members, including spouses, can use wearable devices to earn up to $1,000 each per year by completing various daily health goals and one-time activities.

Policy News

FACT CHECK: Why the Medicare Advantage 2024 Advance Rate Notice Represents a Cut, Not an Increase
More than 30 million seniors and people with disabilities choose Medicare Advantage (MA) because it delivers lower costs, more choices, and better access to care. Any proposed policy changes to MA must be carefully considered and based on data and evidence – described clearly and based on agreed-upon facts. Unfortunately, the Centers for Medicare & Medicaid Services’ (CMS) latest Advance Notice Fact Sheet breaks precedent with past rate notice changes, raising significant concerns about how proposals would impact premiums and benefits.

Blue Cross Blue Shield Association Statement on Medicare Advantage Risk Adjustment Validation Rule
Blue Cross Blue Shield Association Senior Vice President of Policy and Advocacy David Merritt issued a statement on the Centers for Medicare and Medicaid Services’ (CMS) new Medicare Advantage Risk Adjustment Validation rule.

Making the Cut, Milestones, Accolades, Awards and More

Independence awarded national recognition for workplace excellence
Philadelphia’s hometown insurer, Independence Blue Cross (@ibx), received two national honors recognizing the company as a great place to work. For the third straight year, Independence was named to the Top Workplaces USA list. The company was also named one of America’s Greatest Workplaces for Diversity 2023.

To Read

Best Health Insurance For Retirees Of 2023 by Forbes (@ForbesAdvisor) – Most retirees get Medicare at age 65, but there are health insurance options for retirees if you’re not yet eligible for the federal health insurance program.


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.