Anthem
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Bon Secours Mercy Health Sues Anthem Health Plans of Virginia for Unpaid Claims
In a new lawsuit, Bon Secours Mercy Health Virginia alleges that Anthem Health Plans of Virginia owes the health system more than $93 million in outstanding unpaid and underpaid claims.
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Anthem BCBS in Virginia selects Confidant Health for mental health/substance use support
Members of the payer struggling with opioid use disorder can access a full suite of health services offered by Confidant Health that include medication management, therapy, counseling and group support.
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Payer’s Place: Dr. Anil Singh
Dr. Anil Singh shares his insights into the strategies employed by the organization to identify the most effective digital solutions for their members.
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CMS suspends enrollment in UnitedHealthcare, Anthem MA plans
The agency has suspended enrollment in three UnitedHealthcare plans and one Anthem plan for 2022 because the plans did not spend enough of their premium incomes on medical benefits and claims. The payers can contest the suspension, though it is unclear if they plan to.
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CareMax to add 50 new senior care centers through Anthem collaboration
The senior care provider currently operates 34 medical centers offering healthcare and social services, like transportation. Through the collaboration, the companies will bring more seniors into value-based arrangements with the goal of improving outcomes for Anthem patients.
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Anthem, Humana join hedge fund administrator to launch technology for PBMs
The hedge fund administrator SS&C Technologies Holdings will be the majority stakeholder, while the two payers will each hold a minority interest in the joint venture, dubbed DomaniRx. The company will develop a claims adjudication platform to support its operations.
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Emergency physicians oppose new UnitedHealth policy enabling retroactive ED claims denial
UnitedHealthcare is instituting a new policy beginning July 1 that changes how the payer assesses emergency department claims, allowing it to retroactively deny ones it deems “non-emergent” or not an emergency. The American College of Emergency Physicians has made its opposition clear, stating the policy may violate federal law.
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Bright Health follows rival Oscar Health down IPO path
Bright Health has filed preliminary paperwork for an IPO, joining its rivals in the insurance technology space in going public. Though there are few confirmed details at the moment, Bright Health is reportedly looking to raise $1 billion through the offering.
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Discover the Next-Gen Platform for Integrated Collaborative Care
Beyond EHRs and digital front doors, reducing the gaps in patient care journeys.
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Startups, Employee Benefits, Health Services
Filing discloses Anthem’s $50M investment in Sharecare
After acquiring startup Doc.AI, Sharecare is going public through a merger with a Mnuchin-backed special purpose acquisition company. In a recent filing, the company disclosed it had received $50 million in backing from Anthem.
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Cigna won’t get $1.85B from Anthem breakup, Delaware Supreme Court rules
The Delaware Supreme Court ruled on Monday that Cigna can’t seek a $1.85 billion breakup fee after its failed merger with Anthem, upholding a judge’s decision last year.
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Stanford Health Care seeks up to $1.9M from Anthem in new suit
The California-based provider has filed a lawsuit against the payer, claiming Anthem has yet to pay for the care it provided to patients covered by its affiliate. Stanford and Anthem had an implied contract, and if it is not upheld by the court, the provider is seeking $1.9 million in reimbursement.
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Health IT, Health Tech, Payers
Anthem, K Health, Blackstone launch digital health company
The new joint venture will bring K Health’s artificial intelligence-driven technology to the consumer, employer and insurer markets. The solution enables patients to understand their symptoms and connect with a doctor if needed.
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New White House, Covid-19 pandemic spurring insurer participation in ACA marketplace
Insurer participation in the ACA individual marketplace is on the rise and the trend is driven by policy changes at the federal level and the lingering effects of the Covid-19 pandemic.
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Health Tech, Patient Engagement
Sharecare confirms plans to go public through SPAC merger
Digital health startup Sharecare plans to go public through a merger with a blank-check company created by Alan Mnuchin. The deal will value the company at $3.9 billion.