Revenue Cycle and Payer News – August 7, 2024

Humana and Google Expand Partnership to Help Reduce Cost of Care and Improve Member Experiences
Humana Inc., a health and well-being company, announced a new multi-year agreement with Google Cloud to further modernize Humana’s cloud infrastructure and leverage cutting-edge AI capabilities to accelerate innovation in healthcare. This agreement builds on an ongoing collaboration between Google Health and Humana to co-develop solutions focused on population health and bringing the best of Google’s AI technologies and products to Humana members and patients.

AmeriHealth Caritas Ohio and Zest Pediatric Network Launch Value-based Program to Improve Child Health
AmeriHealth Caritas Ohio’s youngest members in northeast Ohio can now receive more personalized care quicker than before at no additional cost to their families. The Medicaid health plan is teaming up with Zest Pediatric NetworkOpens a new window to test a new value-based payment model that will utilize concierge-style pediatric care for Medicaid members in the Cleveland area.

Humana and VFW Continue Collaborative Effort to Address Health-Related Social Needs for Veterans
Humana and the Veterans of Foreign Wars (VFW) announced the results of the 2024 Uniting to Combat Hunger campaign and expanded the scope of the 2025 campaign during the 125th VFW National Convention today at the Kentucky International Convention Center.

The Cigna Group Foundation Launches Its Health Equity Impact Fund
As part of its ongoing commitment to community health and vitality, global health company The Cigna Group announced the creation of The Cigna Group Health Equity Impact Fund, a community program in which The Cigna Group Foundation will commit $9 million over three years to reduce key health barriers by specifically targeting health disparities most prevalent in local communities.

Molina Healthcare to Acquire ConnectiCare
Molina Healthcare, Inc. announced that it has entered into a definitive agreement to acquire ConnectiCare Holding Company, Inc., a wholly owned subsidiary of EmblemHealth, Inc. The purchase price for the transaction is $350 million, representing 25% of expected 2024 premium revenue of $1.4 billion.

CenterWell Announces Plans to Open 23 Senior Primary Care Centers at Walmart Locations in Florida, Georgia, Missouri and Texas
CenterWell, the health care services business of Humana Inc., announced plans to lease clinical space and open senior-focused primary care centers at 23 Walmart Supercenter retail stores in Florida, Georgia, Missouri and Texas.

UnitedHealth Group Reports Second Quarter Results
UnitedHealth Group reported second quarter 2024 results reflecting broad-based growth at Optum and UnitedHealthcare.

Humana Reports Second Quarter 2024 Financial Results; Affirms Full Year Adjusted 2024 Financial Guidance
Humana Inc. reported consolidated pretax results and diluted earnings per share (EPS) for the quarter ended June 30, 2024 (2Q24) versus the quarter ended June 30, 2023 (2Q23) and for the six months ended June 30, 2024 (YTD 2024) versus the six months ended June 30, 2023 (YTD 2023).

CVS Health announces quarterly dividend
CVS Health has announced that its board of directors has approved a quarterly dividend of sixty-six and one-half cents ($0.665 cents) per share on the Common Stock of the Corporation.

When Announces $4.6 Million in Seed Funding to Transform the Employee Offboarding Experience
When, the AI-powered offboarding solution designed to help employees navigate post-employment transitions and maintain access to healthcare by offering more affordable alternatives to COBRA, announced it has closed its latest Seed funding round of $4.6 million led by B Capital and joined by TTV Capital, Joyance Partners, Alumni Ventures, Network Ventures, and Enfield Capital Partners.

Anthem Blue Cross and Blue Shield Certified by J.D. Power for Providing Outstanding Customer Service for Phone Support to Charter Communications
Anthem Blue Cross and Blue Shield’s call center for Charter Communications recently obtained J.D. Power Certification for providing outstanding customer service for phone support.

AmeriHealth Caritas Wins International Treasury Award
AmeriHealth Caritas (ACFC), a national leader in health care solutions, recently received a “Highly Commended” award for Best Cash Flow Forecasting Solution in the 2024 Adam Smith Awards.

Independence Blue Cross Clinical Care Innovation Program wins top honors from Blue Cross Blue Shield Association
Independence Blue Cross (IBX) was honored recently with the Blue Cross Blue Shield Association’s (BCBSA) Brand Innovation Award. IBX won the award for its Clinical Care Innovation Program, which supports hospitals and doctors efforts to develop and test rapid, safe, and structured approaches to improve health care.

CareSource Earns 2024 Great Place To Work Certification™
CareSource, a nationally recognized nonprofit health plan, announced that it has been Certified™ by Great Place To Work® for the third year in a row.

Blue Cross Blue Shield of Michigan and Blue Care Network Expand Muscle and Joint Health Solutions with New, Virtual Program in 2025
Blue Cross Blue Shield of Michigan and Blue Care Network will add a new, virtual program to its suite of musculoskeletal solutions as a coverage option in 2025. The program offers members personalized plans to help meet their physical needs, goals and abilities, as well as dedicated support and convenient exercise therapy sessions.

The Individual Health Insurance Market Is Working for Millions of Americans by AHIP – The individual health insurance market is highly competitive, offering more consumer choice than ever before. More than 21 million people – including working families, entrepreneurs, early retirees and gig workers – choose their health insurance coverage through the Marketplace.

2024 Consumer Experience & Digital Health Forum (@AHIPCoverage)

What: Consumer Experience & Digital Health Forum
When: September 24-26, 2024
Where: Nashville, TN
Register Now

Discover cutting-edge technologies and data-driven solutions that are shaping the future of the industry and gain valuable insights into the latest breakthroughs and best practices.

AHIP 2025 (@AHIPCoverage)

What: AHIP 2025
When: June 17-19, 2025
Where: Seattle, Washington
Save the Date

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.