Revenue Cycle and Payer News – May 1, 2024

Collaboration News


Cohere Health and Humana Expand Prior Authorization Partnership, Adding Diagnostic Imaging and Sleep Services
Cohere Health, a provider of clinical intelligence and prior authorization automation, announced that Humana Inc. will expand its use of Cohere’s prior authorization platform for diagnostic imaging and sleep services.

AHIP, AMA, and NAACOS Release Playbook with Recommendations Toward a Sustainable Future for Value-Based Care Payment
AHIP, the American Medical Association (AMA), and the National Association of ACOs (NAACOS) released a playbook on voluntary best practices as part of their efforts together to advance the adoption of value-based care arrangements in the private sector to improve the quality, equity, and affordability of care.

Company News

Independence Blue Cross launches sixth annual Celebrate Caring campaign to recognize outstanding nurses
Independence Blue Cross (IBX) is now accepting nominations for the 2024 Celebrate Caring campaign, which highlights the extraordinary work nurses in the region do every day. Members of the community can help IBX recognize those special nurses who demonstrate a continued excellence when caring for others by submitting nominations at ibx.com/nurses by Sunday, May 12. National Nurses Week is May 6-12, 2024.

UnitedHealth Group Reports First Quarter 2024 Results
UnitedHealth Group reported first quarter 2024 results reflecting broad-based growth at Optum and UnitedHealthcare, medical care activity consistent with expectations and the impact of the recent cyberattack on Change Healthcare.

Humana Reports First Quarter 2024 Financial Results; Affirms Full Year Adjusted 2024 Financial Guidance
Humana Inc. reported consolidated pretax results and net earnings per share (EPS) for the quarter ended March 31, 2024 (1Q24) versus the quarter ended March 31, 2023 (1Q23).

Accountable Care Organizations (ACOs)

inVio Health Network and CVS Accountable Care partner to increase Medicare patients’ access to value-based health care across South Carolina
inVio Health Network and CVS Accountable Care Organization, Inc., a division of CVS Health®, announced a collaboration to participate in an innovative Medicare model through the Center for Medicare & Medicaid Innovation (CMMI).

To Read

Coverage@Work Telehealth: Getting Care Where You Need It by AHIP – 68% of those with employer-provided coverage find it crucial for their plans to include telehealth services, says AHIP Coverage@Work survey.

Humana Focuses on Reducing Health Disparities and Making Healthy Living Possible for All – Humana Inc. announced the release of its 2023 Impact Reportopens new window, which includes details on the company’s continued commitment to improving the health outcomes for all as the foundation of its Environmental, Social and Governance (ESG) impact platform.

Upcoming Events

AHIP 2024 (@AHIPCoverage)

What: AHIP 2024
When: June 11-13, 2024
Where: Las Vegas, NV
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Experience what’s next in health care at AHIP 2024 (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.

2024 Consumer Experience & Digital Health Forum (@AHIPCoverage)

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