Revenue Cycle and Payer News – October 2, 2024

Collaboration News


American Lung Association and CVS Health Foundation collaborate to address and educate communities on health impacts of poor air quality
The American Lung Association and the CVS Health Foundation announced a new, comprehensive project to significantly bolster the efforts of health care providers and organizations nationwide to achieve cleaner air and improve health outcomes in their communities.

Texas A&M University Mays Business School and Humana Launch Annual Nationwide Healthcare Analytics Case Competition
Mays Business School at Texas A&M University and health and well-being company Humana Inc. have kicked off the 2024 Humana-Mays Healthcare Analytics Case Competition. The competition – in its eighth year – is a chance for students to showcase their analytical talents as they solve a real-world business problems.

Company News

Highmark, US Digestive Health Reach New Contract Agreement
Highmark and US Digestive Health have announced that the two organizations reached agreement on a new five-year contract that ensures long-term, in-network access to specialized gastrointestinal (GI) care for Highmark members in Pennsylvania and Delaware, effective September 20.

Anthem Blue Cross and Blue Shield Parent Company to Acquire Indiana University Health Plans
Anthem Blue Cross and Blue Shield announced that its parent company has entered into an agreement to acquire Indiana University Health Plans, a managed care organization created by Indiana University Health. After the acquisition closes, IU Health Plans will operate as part of Anthem Blue Cross and Blue Shield in Indiana.

UnitedHealthcare Community Plan of Kansas Awarded NCQA Health Equity Accreditation
UnitedHealthcare Community Plan of Kansas has been awarded Health Equity Accreditation by the National Committee for Quality Assurance (NCQA). This accreditation is in recognition of UnitedHealthcare’s commitment to providing high-quality, equitable health care to its members.

Humana Inc. to Release Third Quarter 2024 Results on October 30, 2024
Humana Inc. will release its financial results for the third quarter 2024 (3Q24), as well as prepared management remarks, on Wednesday, October 30, 2024, at 6:30 a.m. Eastern time. The company will host a live question and answer session at 9:00 a.m. Eastern time that morning to discuss its financial results for the quarter and earnings guidance for 2024.

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.

Making the Cut, Milestones, Accolades, Awards and More

Marking 50 Years of ERISA
This month marks the 50th anniversary of the bipartisan enactment of the Employee Retirement Income Savings Act (ERISA), which has ensured that generations of American workers and their loved ones can count on stable, affordable, quality health coverage.

Humana Earns 2024 Great Place To Work Certification
For the third consecutive year, Humana Inc., a health and well-being company, is named a Certified™ Great Place To Work. The prestigious award is based entirely on current employees’ experience working at Humana. This year, 81 percent of employees said Humana is “a great place to work” – 24 percentage points higher than the average company.

Product News

Independence Blue Cross expands member options for faster access to behavioral health services, to support their whole health journey
Independence Blue Cross (IBX) has expanded its covered behavioral health offerings, which include mental health and substance use disorder services and member programs, to better support members’ whole health. The offerings get members the type of care they need faster and give them a wider range of clinicians to choose from.

Cigna Healthcare Makes Virtual Care Even Easier and More Convenient with New E-Treatment Option from MDLIVE
Cigna Healthcare, the health benefits division of The Cigna Group, launched an “E-Treatment” option through MDLIVE by Evernorth. Beginning this month, customers have quick, flexible access to urgent care from board-certified doctors, without any direct interaction via phone or video.

Policy News

Biden-Harris Administration Releases Historic Guidance on Health Coverage Requirements for Children and Youth Enrolled in Medicaid and the Children’s Health Insurance Program
In another demonstration of the Biden-Harris Administration’s unwavering commitment to children’s health, the Centers for Medicare & Medicaid Services (CMS) released comprehensive guidance to support states in ensuring the 38 million children with Medicaid and the Children’s Health Insurance Program (CHIP) coverage – nearly half of the children in this country – receive the full range of health care services they need.

To Read

New Mental Health Rule Makes Changes, but More Must Be Done by Blue Cross Blue ShieldA new rule from the Biden administration makes changes to mental health parity requirements but more must be done to increase access to mental health and substance use disorder support services according to David Merritt, senior vice president of external affairs at the Blue Cross Blue Shield Association.

Virtual Care Trends Across Dozens of Health Plans by Teladoc – How health plans are using virtual solutions to meet member demand for accessible whole-person care, increase engagement, drive better clinical outcomes and deliver cost savings.

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