Revenue Cycle and Payer News – February 26, 2025

Anthem Blue Cross and Blue Shield and Stamford Health Announce New Multi-Year Agreement
Anthem Blue Cross and Blue Shield in Connecticut and Stamford Health announced the organizations have reached agreement on a new network participation contract. The multi-year agreement continues uninterrupted access to care at Stamford Hospital and all other Stamford Health facilities and physician practices for Anthem members in all health plans.

Humana and Monogram Health Announce Expansion of Comprehensive Kidney Care Program
Humana and Monogram Health are pleased to announce a significant expansion, extending member access to in-home treatment for kidney disease and its underlying causes. Eligible Humana Medicare Advantage members in Alabama, Louisiana, Mississippi, Tennessee, and now Georgia with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) will have access to Monogram’s evidence-based nephrology and multispecialty value-based care in the comfort of their homes.

Aflac and the American Cancer Society Team Up to encourage proactive health care and early detection
Aflac Incorporated (Aflac), a provider of cancer insurance in the United States and Japan, is teaming up with the American Cancer Society (ACS), a cancer-fighting organization with a vision of ending cancer as we know it — for everyone. Together, they will shine a light on the ways early cancer detection can support individuals as they navigate the physical, emotional and financial challenges associated with the disease, particularly as data from the most recent (2024) Aflac Wellness Matters Survey found that 77% of Americans delay important health checkups,1 and 60% admit to avoiding important health and cancer screenings altogether,2 with millennials leading the pack.

Value-Based Care Simplifies Healthcare for Patients and Clinicians, New Report Finds
Value-based care results in patients spending more time with their primary care clinician, less time in the hospital, and more frequent preventive care, based on research released by health and well-being company Humana Inc. in its annual Value-Based Care Reportopens new window.

Cigna Healthcare Announces Actions To Accelerate Access to Care and Improve Patient and Physician Experience
Cigna Healthcare, the health benefits division of The Cigna Group, announced the first set in a series of planned actions to improve the health care experience for patients and physicians. The actions are part of a multi-year commitment by The Cigna Group to make the health care experience simpler and more transparent for the millions of customers it serves.

Independence Blue Cross expands its work with Carallel to give more family caregivers support and assistance
Independence Blue Cross (IBX) knows how challenging it can be to care for a loved one who is aging or struggling with their health. That’s why IBX has expanded access to Carallel, a company that provides support, guidance, and assistance to caregivers, to all IBX Medicare Advantage members and the people who are caring for them.

Blue Cross Blue Shield of Massachusetts Adds New Visana Health Virtual Care Option to Support Women’s Health
Building on its commitment to women’s health, Blue Cross Blue Shield of Massachusetts announced a new virtual care option designed to support women through all life stages. Visana Health, a virtual women’s health clinic that goes beyond family planning to provide medical care for all women, is now available to most Blue Cross members.

Introducing the CVS Health® app: Your go-to companion for health & wellness
CVS Health® announced the launch of the CVS Health app. New features of the app will bring together all CVS Health has to offer to consumers, helping make health care more accessible, affordable and convenient.

No More Credit Score Impact from Medical Bills by CrowdHealth – The Consumer Financial Protection Bureau(CFPB) has finalized a rule, going into effect in March, that will remove medical debt from credit reports, fundamentally shifting the power dynamic between healthcare providers and patients.

Competition in Health Insurance: A Comprehensive Study of US Markets
The 2024 edition of Competition in Health Insurance: A Comprehensive Study of US Markets examined 382 metropolitan statistical areas (MSAs), the 50 states and the District of Columbia and tabulated commercial and Medicare Advantage (MA) market shares for the two largest health insurance companies in each of those geographic markets. It also analyzed state-and MSA-level market concentration according to measures used in federal merger guidelines issued in December 2023. Markets that exceed a regulatory threshold set by federal guidelines are considered “highly concentrated” and lack adequate health insurer competition.

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.