Revenue Cycle and Payer News – September 20, 2023

Humana Announces New Agreement with Interwell Health That Expands Comprehensive Care for Members Living with Chronic Kidney Disease
Health and well-being company Humana Inc. (@Humana), and kidney care management company Interwell Healthopens, have announced a new value-based care agreement in 13 states for most Humana Medicare Advantage HMO and PPO members living with chronic kidney disease (CKD), as well as members across the country living with end-stage kidney disease (ESKD).

CareSource announces partnership with Attend Behavior to provide support and resources to caregivers of children diagnosed with autism
CareSource (@caresource), a mission-driven Medicaid plan serving more than 500,000 Georgians, is excited to announce a partnership with Attend Behavior, a mobile platform designed to empower parents and caregivers of children with autism spectrum disorder or other behavioral conditions.

Aetna Better Health® of Illinois provides $12.7 million to improve health outcomes in the state
Aetna Better Health® of Illinois, a CVS Health® company (@CVSHealth), delivered more than $12.7 million in value-based care incentive payments to several community health centers in Illinois. The funds will help the centers improve quality of care in under-resourced communities.

Independence Blue Cross now accepting applications for 2024 Clinical Care Innovation Grants
Independence Blue Cross (@ibx) is now accepting applications for its 2024 Clinical Care Innovation Grants. The grants foster innovative approaches to care delivery that can help improve the health and well-being of Independence members and the community at large. Health systems and large specialty groups that are in the Independence network and have a value-based contract are encouraged to apply for a 2024 Clinical Care Innovation Grant.

Cigna Healthcare Removes 25 Percent of Medical Services From Prior Authorization, Simplifying the Care Experience for Customers and Clinicians
Cigna Healthcare (@cigna), the health benefits provider of The Cigna Group, announced the removal of nearly 25 percent of medical services from prior authorization (or precertification) requirements.

CVS Health announces additional responsibilities for executive leadership team members
CVS Health® Corporation (@CVSHealth) announced additional responsibilities for several members of the company’s executive leadership team, effective immediately.

Fortune Media and Great Place To Work Name CareSource to 2023 Best Workplaces in Health Care List, Ranking No. 28
Great Place To Work® and Fortune magazine have selected CareSource for the 2023 Fortune Best Workplaces in Health Care™ List. This is CareSource’s first time being named to this prestigious list, this year coming in at 28 out of 40 organizations recognized.

AMA Releases the CPT 2024 Code Set
To bridge language barriers and make health care more inclusive and transparent for patients who speak Spanish, the American Medical Association (@AmerMedicalAssn) now offers Spanish language descriptors for more than 11,000 medical procedures and services.

AMA sheds light on commercial payer coverage for digital medicine
The American Medical Association issued new research examining the status of digital health advancement in the commercial health insurance industry by comparing current coverage across private health insurers and exploring how coverage decisions are made for digitally enabled care services.

Costs for Common Health Care Procedures Significantly Higher When Performed in Hospital Outpatient Departments by Blue Cross Blue Shield (@BCBSAssociation) – When common medical procedures were performed in a hospital outpatient department (HOPD) rather than a doctor’s office, costs were substantially higher according to a national analysis of tens of millions of claims.

AMA sheds light on commercial payer coverage for digital medicine – The American Medical Association (AMA) issued new research examining the status of digital health advancement in the commercial health insurance industry by comparing current coverage across private health insurers and exploring how coverage decisions are made for digitally enabled care services.

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.