Revenue Cycle and Payer News – November 26, 2025

Headspace for Cigna Healthcare Enhances Everyday Mental Health Support Through Self-Guided, Science Backed Resources
Among rising rates of anxiety in the workforce, Cigna Healthcare, the health benefits division of The Cigna Group, is expanding mental health support to address the everyday moments of stress, burnout, and sleep issues through an industry-first collaboration with Headspace. Millions of Cigna Healthcare customers will benefit from exclusive digital features, such as custom content and seamless navigation to in-network clinicians for higher levels of care, in addition to Headspace’s digital mental health app.

AmeriHealth Caritas Adds New States and Counties to Its Health Insurance Marketplace® Footprint
Thousands of Health Insurance Marketplace enrollees across multiple states have a new coverage option for 2026 as AmeriHealth Caritas is expanding the availability of its marketplace product, AmeriHealth Caritas Next.

Aspirus Health and Anthem Blue Cross and Blue Shield in Wisconsin announce new agreement
Aspirus Health and Anthem Blue Cross and Blue Shield in Wisconsin (Anthem) have reached a new, multi-year agreement providing Anthem members with uninterrupted access to affordable, high-quality care at all Aspirus Health facilities and physician offices in Wisconsin.

Less Paperwork, More Connected Care: Humana and Epic Advance Data Sharing
Humana Inc. announced the broad activation of Epic’s Coverage Finder and Digital Insurance Card Exchange capabilities for its Medicare Advantage membership – marking a significant milestone in the shift toward digital-first, patient-centered care.

Independence Blue Cross announces 2026 benefits for large and small employers that emphasize whole person health
Independence Blue Cross (IBX) announces its 2026 commercial health plan portfolios for large (51+ employees) and small (2-50 employees) employers headquartered in southeastern Pennsylvania. IBX portfolios feature medical, pharmacy, specialty services, behavioral health, and wellness benefits that support the whole health of employees and their families. These benefits are available upon renewal for fully insured and self-funded groups effective January 1, 2026.

Aetna launches leading edge conversational AI navigation
Aetna, a CVS Health® company, is launching a market-leading, generative AI-powered conversational experience in its digital channels that will simplify health care, allowing members to quickly and easily navigate their benefits for a personalized experience.

Clearity by Cigna Healthcare, A New Tech-Enabled Health Plan Offers Customers Transparent, Predictable Prices
Cigna Healthcare, the health benefits division of The Cigna Group, announced today the launch of Clearity by Cigna Healthcare, a new copay-only health plan designed to bring greater transparency, predictability, and simplicity to the care experience. Leveraging Cigna Healthcare’s new industry-leading AI-powered digital tools, the Clearity plan empowers customers to make confident, informed healthcare decisions with upfront pricing, verified patient reviews, and a user-friendly digital experience designed for simplicity and trust.

What health plans need to know about AHIP’s prior authorization commitments By Cohere Health – The health insurance industry has entered a new phase of prior authorization reform. Led by AHIP, more than 60 health plans recently pledged to streamline and simplify the prior authorization (PA) process—aligning with commitments from HHS and CMS to reduce administrative burden, improve transparency, and accelerate access to care.

Congress Should Act Quickly to Extend Health Care Tax Credits – AHIP President & CEO Mike Tuffin issued a statement after the U.S. House of Representatives voted to reopen the federal government.

By the Numbers: The Importance of the Health Care Tax Credits by AHIP – Without Congressional action to extend the health care tax credits, millions of lower- and middle-income Americans will pay steeply higher costs throughout 2026 or lose coverage entirely.

2026 Medicare, Medicaid, Duals & Commercial Markets Forum (MMDC26)
When: March 23-25, 2025
Where: Washington, DC
Save the Date..
LinkedIn: AHIP

AHIP’s Medicare, Medicaid, and Commercial Markets Conference (MMDC26) is the leading even.t for health plan executives and policy leaders focused on driving better outcomes, ensuring coverage and care, and strengthening America’s health care system.