Revenue Cycle and Payer News – December 4, 2024

Penn Medicine and Independence Blue Cross announce new long-term agreement
The University of Pennsylvania Health System (UPHS) and Independence Blue Cross (IBX) have reached a long-term agreement on reimbursement rates for a new contract renewal, which would take effect on July 1, 2025. The agreement cements an impactful partnership that serves as a backbone of Philadelphia’s strength as a national health care leader.

PsychArmor collaborates with CareSource to ensure their employees are Military & Veteran Ready
PsychArmor, the leader in military culture training, is collaborating with CareSource, a nationally recognized, nonprofit managed care organization serving over 2 million members to achieve Military & Veteran Ready Organization (VRO) Certification in order to support employee understanding of the unique experiences of the military community. By taking this step to offer enhanced training for employees, CareSource is demonstrating its commitment to offering a more genuine connection and better support for Veterans, active-duty personnel and their families.

Ohio Medicaid Selects Anthem Blue Cross and Blue Shield as One of Four Managed Care Organizations to Provide the Next Generation MyCare Program
The Ohio Department of Medicaid has selected Anthem Blue Cross and Blue Shield as one of four managed care organizations (MCOs) to provide services under its new Next Generation MyCare Ohio program. This expanded program will serve Ohioans eligible for both Medicaid and Medicare, building on the foundation of the current MyCare Ohio initiative.

Cigna Healthcare, Infirmary Health Reach Medicare Advantage Agreement
Cigna Healthcare and Mobile-based Infirmary Health have reached an agreement that allows Cigna Healthcare’s Medicare Advantage (MA) customers to have in-network access to Infirmary Health’s hospitals, facilities and doctors.

Oscar Health Announces New Health Insurance Options in New Jersey in 2025
Oscar Health, Inc., a healthcare technology company, announced it will bring the Oscar experience to more individuals, families, and businesses through the ACA marketplace in New Jersey in 2025. Oscar is introducing affordable health insurance products that empower everyone to pursue a healthy life on their terms.

Humana Recognized for Commitment to Veteran Employment by Military Times and Military Friendly®
Humana Inc. has been recognized by both Military Times and Military Friendly as a top employer for veterans and military families.

Independence Blue Cross launches Epic Payer Platform to transform care coordination and boost member health outcomes
Independence Blue Cross (IBX) is implementing the Epic Payer Platform with health systems and providers in its network to streamline data exchange, close gaps in care, and improve health outcomes for members.

Consumers challenged by a decade of limited health insurance options – Dominant health insurers in the vast majority of metropolitan areas across the United States have consolidated significant market share and driven away competition leaving consumers in local markets with a decade of very limited options for medical coverage, according to a new market analysis from the American Medical Association (AMA).

Strong Majority of Americans Satisfied with Employer-Provided Health Coverage by AHIP – With more than half of Americans – approximately 180 million people – receiving health care coverage through work, a new nationwide poll finds that a strong majority are satisfied with their current employer-provided plans (75%) and prefer to get their coverage through an employer rather than through the federal or state government (74%).

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.