Revenue Cycle and Payer News 3-12-2019

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Posted By: Annmarie Budniak March 12, 2019

In the News:

Amazon’s joint health-care venture finally has a name: Haven
The joint health-care venture between Amazon, J.P. Morgan and Berkshire Hathaway finally has a name: “Haven.” Prior to the big reveal, many industry insiders referred to the venture as “ABC” or “ABJ.” The company said the name choice of “Haven” lines up with its mission to be a “partner” to care providers and to focus on the health-care needs of the 1.2 million Amazon, Berkshire Hathaway and J.P Morgan workers.

UnitedHealthcare Helps People Manage Chronic Conditions Through Data-Powered Nerve Center as Navigate4Me Program Expands
UnitedHealthcare (@uhc) announced that it will increasingly leverage data from digital devices flowing into the UnitedHealthcare Nerve Center to help people enrolled in its Medicare Advantage plans more effectively manage chronic conditions.

Blue Cross Blue Shield Association Proposes Steps to Cut Premiums 33 Percent and Increase Coverage
The Blue Cross Blue Shield Association (@BCBSAssociation) recently proposed a series of steps to reduce premiums for those who buy insurance through the individual market and expand access to coverage for more than 4 million additional people.

Nearly $1.5 Million in Grants Awarded by Medica Foundation to Health Organizations
The Medica Foundation (@Medica4Me) in 2018 awarded nearly $1.5 million in grants to nonprofit organizations. The Medica Foundation seeks to improve health by funding initiatives that are innovative in how care is delivered and have a high likelihood of creating long-term change.

New Appointment:

Oscar Welcomes Sid Sankaran as Chief Financial Officer
Oscar (@oscarhealth), a consumer-focused, technology-driven health care company, announced the appointment of Sid Sankaran as its new Chief Financial Officer. Sid brings extensive actuarial and financial leadership experience to Oscar. His first day will be March 1.

Collaboration News:

Molina Healthcare Announces Best-in-Class Partners Supporting Payment Integrity Program
Molina Healthcare, Inc. (@molinahealth) announced the Company is upgrading its technology to improve its claims payment speed and accuracy. Throughout 2018, Molina Healthcare has been focused on modernizing payment integrity capabilities. This includes updating editing software and deploying advanced analytics to identify irregular and invalid payments. To further these efforts, Molina has expanded agreements with Change Healthcare, Cogitativo, Cotiviti, HMS, and Optum, leveraging each company’s software to evolve the Company’s payment integrity efforts to support claims payment accuracy.

CarynHealth Selects HSBlox’s Blockchain-Powered Suite of Solutions to Give 28 Million Small Businesses the Buying Power of Big Corporations in HealthCare Benefits
CarynHealth, the small business association health plan brand of Association Health Plans of America, LLC (“AHPA”), announced that it has selected HSBSuite™ from HSBlox to power its “association in the box”, the next-generation approach to the small employer healthcare marketplace. AHPA was formed to meet the breakthrough opportunity provided by the Association Health Plan regulation recently put forth by the U.S. Department of Labor allowing small businesses to group together for health benefits.

Report Results:

Anthem Study Finds More Employers Are Integrating Health Care Benefits Due to Better Health Outcomes, Lower Costs and More Satisfied Employees
A new study released by Anthem (@AnthemInc) reveals a growing trend in the design of health care benefits that is helping to create better care, lower costs and create a more overall satisfied workforce for employers of every size. According to latest edition of the biennial Integrated Health Care report, more than 71 percent of the 222 employers with 100+ employees surveyed are either actively integrating or considering integrating their medical, pharmacy, dental, vision and / or disability benefits under their employer’s health and wellness programs in the next five years due to the positive impact integration has on their employees. This represents an 11 percent increase from the study conducted in 2016.

CareSource Employees are Engaged, Enabled and Energized

Making the Cut:

Humana’s former Chief Corporate Affairs Officer, Heidi Margulis, up for Most Admired Woman award
Today’s Woman magazine has nominated Humana’s former Chief Corporate Affairs Officer, Heidi Margulis, for its Most Admired Woman award in the Corporate category. According to Publisher Cathy Zion, “The award recognizes women in (the Louisville area) who have excelled in their careers and community service making them role models to many.”

PBMI Recognizes CIGNA with Excellence Award for Cost Containment
The Pharmacy Benefit Management Institute (PBMI) has recognized Cigna Pharmacy Management1 with an Excellence Award for Cost Containment for its multi-year effort demonstrating the value of integrated benefits for its customers and clients. Results from Cigna’s 2018 Value of Integration study show that individuals who have their medical, pharmacy and behavioral health benefits connected and administered by Cigna have higher levels of engagement in their health and well-being than those whose benefits are not fully integrated, resulting in reduced total medical costs.

Upcoming Events

AHIP’s National Health Policy Conference
What: AHIP’s National Health Policy Conference
When: March 13 – 14, 2019
Register for this event.
Where: Washington, DC
Hashtag: #AHIPPolicy

AHIP’s National Health Policy Conference – States need innovative ways to serve the growing number of Medicaid enrollees. Health insurance providers are an important part of the solution. But new policies are needed at the federal and state level to unlock more innovation. How can you prepare for the future? During AHIP’s National Health Policy Conference, experts will share their perspectives on what’s next in Medicaid, and what it means for patients, lawmakers, regulators, health systems, and health insurance providers. Early registration ends February 7.

AHIP Institute & Expo 2019 
What: AHIP Institute & Expo 2019
When: June 19 – 21, 2019
Register for this event.
Where: Nashville, TN
Hashtag: #AHIPInstitute

AHIP Institute & Expo 2019 – New concepts, new solutions, new contacts. It’s a few days out of the office, but so much more. Institute & Expo is an investment in your company, your career, and our country’s health care. It’s not surprising that thousands consider AHIP’s Institute & Expo the must attend health care event. Register now to take advantage of early bird discount. Super Saver ends March 18, 2019 and Early Registration ends May 3, 2019.