Revenue Cycle and Payer News – April 23, 2025

IBX teams up with Isaac Health on a new way to support brain health
Independence Blue Cross (IBX) knows that the brain is at the center of everything a person does, and that keeping it healthy is essential to their well-being. Keeping this and the cognitive well-being of its members at the forefront, IBX has teamed up with Isaac Health, a virtual-first clinic that provides brain health and dementia care.

AbsoluteCare expands its partnership with CareSource
AbsoluteCare®, a value-based health care company, and CareSource Ohio are expanding their partnership to bring whole-person care to dual-eligible MyCare members who qualify for both Medicare and Medicaid. With a promise to go Beyond Medicine™, AbsoluteCare delivers comprehensive care and support to vulnerable and chronically ill members.

Payer Workgroup Publishes Payer-to-Payer FHIR® API Compliance Readiness Checklist Ahead of CMS Deadline
The Sequoia Project, a non-profit focused on advancing healthcare interoperability, is pleased to publish the “Payer-to-Payer Compliance Readiness Checklist.” This checklist is designed to help payers assess their readiness for compliance with the payer-to-payer components of CMS-0057-F, a critical regulation for improving data sharing and interoperability in healthcare.

CVS Health announces chief financial officer transition plan; Appoints chief medical officer
CVS Health® announced two leadership updates.

• Brian Newman has been named executive vice president and chief financial officer designate, effective April 21. He will succeed current Chief Financial Officer, Tom Cowhey, who will transition to serve as a strategic advisor to President and Chief Executive Officer David Joyner, effective May 12.
• Amy Compton-Phillips, MD, is the company’s new executive vice president and chief medical officer, effective May 19, also reporting to David Joyner.

Humana’s Initiatives Deliver Improved Health Outcomes in Communities
Humana Inc., a national health and well-being company, released its 2024 Impact Report, showcasing the company’s dedication to improving health outcomes and supporting communities across the nation. The report underscores Humana’s efforts to improve member outcomes, advance environmental sustainability, and foster a culture of belonging and well-being among its employees, while contributing to a more effective and equitable healthcare system.

Financial Reports:

• Independence Health Group reports sustained revenue growth for 2024 amidst significant industry headwinds
• The Cigna Group’s First Quarter 2025 Earnings Release Details
• Medica Reports 2024 Financial Results
• UnitedHealth Group Reports First Quarter 2025 Results and Revises Full Year Guidance
• Humana Inc. Announces Dates for First Quarter 2025 Earnings and June Investor Conference

Strategic investment in Percipio Health aims to help improve access to high-quality, lower-cost healthcare for Blue Cross of Idaho’s members
Granite Financial Holdings, an affiliate of Blue Cross of Idaho, has made a strategic investment in Percipio Health to help advance the health insurance industry’s ability to impact rising and high risk members among broader populations, and ensure patients receive the proactive interventions they need, resulting in lower costs and more optimal outcomes.

Anthem Blue Cross and Blue Shield Honors Three New Hampshire Primary Care Practices in Inaugural Care Provider Recognition Program
Anthem Blue Cross and Blue Shield in New Hampshire proudly named DMC Primary Care, Southern NH Internal Medicine Associates, and Saco River Medical Group as three of only 19 national recipients in its inaugural Care Provider Recognition Program. Created in partnership with its affiliated health plans across the country, Anthem’s new program celebrates top performing independent and hospital-owned medical groups across the nation, recognizing those who deliver unparalleled patient care.

UnitedHealthcare Individual & Family Plans and Small Business Plans in Maryland Awarded NCQA Health Equity Accreditation
In Maryland, UnitedHealthcare – under the umbrella of its Individual and Family ACA Marketplace Plans (IFP) as well as Small Business Health Options Program (SHOP) plans – was awarded Health Equity Accreditation by the National Committee for Quality Assurance (NCQA).

AmeriHealth Caritas New Hampshire Earns NCQA Health Equity Accreditation
AmeriHealth Caritas New Hampshire has earned the Health Equity AccreditationOpens a new window from the National Committee for Quality AssuranceOpens a new window (NCQA), a private, nonprofit organization dedicated to improving health care quality.

Investing in Doulas for a Healthier Future by Anthem BCBS – Every mom-to-be deserves the chance to experience a healthy pregnancy, free from unnecessary complications. Yet, in the United States, we fall tragically short in delivering healthy birth outcomes, lagging behind other developed nations.

The impact of a HouseCalls practitioner by UnitedHealthcare – Visiting an older adult in their home for preventive care can be a powerful thing. It’s in these comfortable settings where millions of people each year spend about an hour with an advanced practice clinician (APC) to discuss their health and coordinate appropriate follow-up care.

United Health Foundation partners with Cherokee Health Systems to improve access to health care in rural areas by United Health – As part of our commitment to improve health outcomes, the United Health Foundation has partnered with Cherokee Health Systems (CHS) to expand and enhance a prescription delivery program.

Millions Could Lose Health Insurance Under Proposed Regulations from the Centers for Medicare & Medicaid Services – The American Public Health Association and George Washington University public health scholars, have sounded the alarm over newly proposed regulations from the Centers for Medicare & Medicaid Services (CMS) that could lead to the loss of health insurance for up to two million Americans.

AHIP 2025 (@AHIPCoverage)

What: AHIP 2025
When: June 17-19, 2025
Where: Seattle, Washington
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Experience what’s next in health care at AHIP 2025 (Formerly Institute & Expo), building on AHIP’s decades-long heritage of bringing together the people, ideas, and solutions guiding greater health for years to come.