Revenue Cycle and Payer News – February 16, 2022

Collaboration News:

Banner|Aetna Partners with Virta Health to Bring Type 2 Diabetes Reversal to More Than 100K Members
Banner|Aetna, a joint venture owned by Banner Health and Aetna/CVS, announced a strategic relationship with type 2 diabetes reversal leader Virta Health (@virtahealth). The collaboration brings Virta’s innovative diabetes care approach to the insurer’s eligible members of fully insured and Administrative Services Only groups.

CVS Health and Uber Health collaborate to advance health equity in communities nationwide
CVS Health (@cvshealth) announced a collaboration with Uber Health, Uber’s healthcare arm, to provide critical transportation support at no cost to people who need it most when seeking access to medical care, work or educational programs.

Sesame Workshop Launches New Resources to Help Children and Families Build a Lifelong Foundation of Resilience
Sesame Workshop, the nonprofit behind Sesame Street, is launching new bilingual resources, made possible by UnitedHealthcare, to help children build resilience and thrive in their communities. The new Sesame Street in Communities content includes a comprehensive course to help providers and caregivers implement new resilience resources with the children they serve, helping them to build happy and healthy communities together.

Company News:

Independence Supplier Diversity Director Chuck Stefanosky receives leadership awards
Independence Blue Cross (@ibx) Supplier Diversity Director Chuck Stefanosky received two awards for his leadership and support of the company’s longstanding supplier diversity program.

Blue Cross Blue Shield Association Names New Chief Information Security Officer
The Blue Cross Blue Shield Association (@BCBSAssociation) announced Chris Lugo as its vice president and chief information security officer.

CareSource Announces “CareSource Kids Collaborative” Statewide Network of Pediatric Accountable Care Organizations
CareSource (@caresource), a multi-state managed care plan, announced the formation of a strategic initiative to create a statewide network of pediatric accountable care organizations with several children’s hospitals in Ohio. The new alliance, named the CareSource Kids Collaborative, is designed to improve quality, efficiency and patient experience.

Medica Names David Webster, M.D., MBA, Chief Clinical and Provider Strategy Officer
Medica (@Medica4Me) announced that David Webster, M.D., MBA, has been named Chief Clinical and Provider Strategy Officer. In this new role, David will lead the strategic direction of Medica’s clinical programs and key provider relationships to improve member outcomes throughout the communities served by the organization.

Oscar Health, Inc. Announces Enhanced Cost Estimator Tool, Improving Cost Transparency for More Members
Oscar Health, Inc. (@OscarHealth), a health insurance company built on a full stack technology platform, announced that members now have access to its enhanced Cost Estimator Tool as part of an ongoing effort to drive more transparency around medical costs. With this latest product launch, members will have access to an improved tool, with better overall performance as well as increased options for engagement.

Financial News:

Anthem Reports Fourth Quarter and Full Year 2021 Results
Anthem, Inc. (@AnthemInc) reported fourth quarter and full year 2021 results reflecting strong financial performance, including double-digit top and bottom line growth.

CVS Health reports strong fourth quarter and full-year 2021 results, confirms 2022 full-year EPS guidance
CVS Health Corporation announced operating results for the three months and year ended December 31, 2021.

Humana Reports Fourth Quarter 2021 Financial Results; Provides Full Year 2022 Financial Guidance
Humana Inc. (@Humana) reported consolidated pretax results and results per common share for the quarter ended December 31, 2021 (4Q21) versus the quarter ended December 31, 2020 (4Q20) and for the year ended December 31, 2021 (FY 2021) versus the year ended December 31, 2020 (FY 2020).

Cigna Reports Fourth Quarter and Full Year 2021 Results, Expects Continued Revenue and Attractive Earnings Per Share Growth in 2022
Global health services company Cigna Corporation (@cigna) reported 2021 results reflecting continued strong business growth aided by the Company’s diversified portfolio.

Oscar Health Delivers Historic Growth, Issues Guidance for 2022 of More Than $6B in Premiums
Oscar Health, Inc. issued 2022 guidance reflecting significant growth for its business with premiums expected to increase more than 80% YoY at the midpoint. In conjunction with guidance, the Company also announced a $305 million convertible notes transaction to strengthen the balance sheet and provide strong liquidity to support the growth of the organization.

Policy News:

Blue Cross Blue Shield Association Statement on Medicare’s Coverage of At-Home COVID-19 Tests
Blue Cross Blue Shield Association (@BCBSAssociation) President and CEO Kim Keck issued a statement in response to the Centers for Medicare & Medicaid Services’ plan to cover at-home COVID-19 tests at no cost for Medicare beneficiaries, including those in Medicare Advantage.

To Read:

Health Insurance Providers Leading Work to Advance Health Equity by AHIP – Health insurance providers are doing our part to improve health equity by addressing health care disparities; removing social barriers to good health; and promoting diversity, equity and inclusion in health care organizations and workplaces. Here are just a few recent examples of health insurance providers in action.

Even insured Americans lack funds for out-of-pocket medical costs by Aflac (@aflac) – Insured, but still exposed – that’s what Aflac, a leading provider of supplemental insurance in the U.S., discovered in its inaugural Aflac Care Index. This survey of more than 6,500 adults was designed to help measure Americans’ awareness of and exposure to debt resulting from medical bills not covered by health insurance – and findings revealed that a staggering 46% of respondents do not have enough savings set aside to pay for potential unexpected medical expenses, even when they have insurance. For those living in economically distressed communities, that percentage is even higher.

Upcoming Events:

National Conference on Health Policy and Government Health Programs (@ahipcoverage)
What: National Conference on Health Policy and Government Health Programs
When: March 14 – 17, 2022
Where: Washington, D.C. and Virtual
Register here.

National Conference on Health Policy and Government Health Programs – In March, AHIP’s National Health Policy Conference and AHIP’s National Conferences on Medicare, Medicaid & Dual Eligibles will combine to create one powerful new experience. Expect AHIP’s signature brand of high caliber content, hear from renowned policy experts, government officials, and health care leaders, and engage with innovators focused on building a more equitable and sustainable health care system…plus so much more.

AHIP 2022 (@ahipcoverage)
What: AHIP 2022. (Formerly AHIP Institute & Expo)
When: June 21 – 23, 2022
Where: Las Vegas, NV
Register here.

AHIP 2022 – What’s next for your members and the communities you serve? Find it at AHIP 2022. (Formerly AHIP Institute & Expo.) Health care’s essential event has a new name that prioritizes what’s next right now, building on AHIP’s decades-long heritage of bringing together the people, ideas, and solutions guiding greater health.