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Showing posts from February, 2022

Aetna CVS Health Will Continue Serving Medicaid In Louisiana

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  Aetna Better Health selected to continue serving Louisiana Medicaid program Aetna Better Health of Louisiana, a CVS Health company announced that the Louisiana Department of Health intends to award the company a new statewide Medicaid contract through the Louisiana Medicaid Managed Care Program. Aetna Better Health has served Medicaid enrollees in Louisiana for more than seven years. Through the contract award, Aetna Better Health of Louisiana would continue to serve several Medicaid eligible populations, including those enrolled in the Louisiana Children's Health Insurance Program, Temporary Assistance for Needy Families, Supplemental Security Income, Louisiana Medicaid expansion population and Specialized Behavioral Health programs. Aetna Better Health of Louisiana has been working to improve the health of Medicaid enrollees and their communities. The organization has reduced health care disparities and achieved the highest percentage of COVID-19 vaccinated enrollees among all

Blue Cross and Blue Shield of Texas Celebrates 25-Year Partnership With Abilene, Texas

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  Blue Cross and Blue Shield of Texas Marks 25-Year Partnership With the City of Abilene In 1997, when Blue Cross and Blue Shield of Texas opened the doors to its new office in southeast Abilene, there were roughly 200 employees. 25 years in, the BCBSTX Abilene office is one of the city’s leading employers, with a workforce of more than 1,000. When BCBSTX opened its Full Service Unit on Feb. 3, 1997 to support its Federal Employee Program, the company was driven by the philosophy that it could better serve its members by expanding beyond its Richardson headquarters into local communities like Abilene. The Abilene office, which became the first of what would be a series of FSUs situated across the state, has played a key role in BCBSTX providing assistance to more than six million members in Texas and beyond. The Abilene center ranks among the city’s top 10 employers, a distinction made possible largely through its association with the Development Corporation of Abilene, the organizatio

New Payment Policy Effective May 1, 2022

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  Effective May 1, 2022: New Payment Policy - Genetic and Molecular Testing Services  Superior HealthPlan presents a new payment policy to communicate the expanded requirements for billing of molecular and genetic testing to advance the reliability of laboratory quality information and reduce variability in billing. As a result, the following policy has been added, and is posted on Superior’s Clinical, Payment and Pharmacy Policies website for review, prior to its implementation.  Policy Genetic and Molecular Testing Services TX.PP.551 Effective Date  05/01/2022 Applicable Products  Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP, Health Insurance Marketplace (Ambetter from Superior HealthPlan, Medicare (Wellcare By Allwell)  New Policy Overview Or Updated Policy Revisions  To verify the accuracy of a test catalog and review coding engine standards for each molecular and genetic test, laboratories billing for genetic and molecular testing services should register using the Con

New Policy for Ambetter

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  Effective March 31, 2022: Clinical Policies  Superior HealthPlan has updated certain clinical policies to ensure medical necessity to review criteria is current and appropriate for members and the scope of services provided. As a result, the following policies are effective on March 31, 2022 at 12 AM.  Policy  Hospice  Applicable Products - Ambetter  Policy updates include:  Revised forced vital capacity (FVC) in II.B.3.a from < 40% to < 30% Revised II.F.b.3 from, “>33% lean body mass,” to, “loss of at least 10% lean body mass”  Nerve Blocks and Neurolysis for Pain Management Applicable Products - Medicaid, Ambetter  Policy updates include:  Revised policy title from “Nerve Blocks for Pain Management” to “Nerve Blocks and Neurolysis for Pain Management” Added VII. Insufficient evidence to determine the safety and effectiveness of intraosseous radiofrequency nerve ablation of basivertebral nerve. Get contracted with Ambetter through  Agility Insurance Services  Now! 

Need Protection for a Lifetime? Gerber Life Makes It Easy

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  Gerber Life Makes Protection Plans Easy At Gerber Life, we understand that a good way to provide peace of mind to your clients is to help them put lifetime insurance protection in place. They’ll be covered for as long as they live, as long as premiums are paid. Their loved ones won’t be burdened with leftover debt upon their passing. And, depending on the coverage amount, an inheritance may be provided. An important part of lifetime protection is ensuring payments are up to date to keep the policy valid. Using ACH (Automated Clearinghouse) can help your clients make safe and timely payments. Agents benefit because it can help dramatically improve policy persistency, providing the opportunity for full commission payments Clients benefit from ACH’s discount on premium rates, plus paying premiums automatically makes it easier to keep insurance protection in place for a lifetime Gerber Life’s array of adult whole life insurance products include:  Gerber Life Whole Life  Gerber Life Simp

Make Sure To Save Clients Money With Tax Credits

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  Be sure clients get the premium tax credit they deserve! Clients who had a Marketplace health plan in 2021 will receive their 1095-A Health Insurance Marketplace Statement in the mail at the beginning of March.*   Clients need to use their 1095-A to file Form 8962 with their tax return. If they don't, they could lose their premium tax credit, resulting in higher premiums on their plan. It's important for clients to use these two forms to file their taxes correctly and on time. These two forms determine the amount of their premium tax credit and records the credits they used to lower their health plan premiums. Both forms are required when clients are filing their taxes. Get contracted with Ambetter through  Agility Insurance Services  Now! 

CVS Announces Diversity and Minority Summit

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  CVS Pharmacy Announces 2022 Supplier Diversity & Minority Owned Summit CVS Pharmacy announced its second annual Supplier Diversity & Minority Owned Summit, hosted from April 5 - 8, in partnership with ECRM and RangeMe. This summit is part of CVS Pharmacy's ongoing efforts to bring a broader assortment of products from diverse suppliers and brands to customers and work with those suppliers and brands to ensure mutual success through customized support and resources. CVS Pharmacy currently carries more than 100 diverse-owned brands across front store categories and is committed to increasing that selection with enhanced merchandising protocols for diverse suppliers. Within beauty and personal care, for example, CVS Pharmacy has made significant strides in amplifying its commitment to build out diverse-owned assortments. It has recently added several new Black-owned brands and nearly 200 items from new and existing Black-owned brands, with many more launching across the cate

CVS Health Full Report

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  CVS Health reports strong fourth quarter and full-year 2021 results, confirms 2022 full-year EPS guidance Fourth quarter highlights Total revenues increased to $76.6 billion, up 10.1% compared to prior year GAAP diluted EPS from continuing operations of $0.98 and Adjusted EPS of $1.98 Full-year highlights Total revenues increased to $292.1 billion, up 8.7% compared to prior year GAAP diluted EPS from continuing operations of $5.95 and Adjusted EPS of $8.40 Generated cash flow from operations of $18.3 billion Net repayments of long-term debt of $8.8 billion 2022 full-year guidance Confirmed GAAP diluted EPS from continuing operations guidance range of $7.04 to $7.24 Confirmed Adjusted EPS guidance range of $8.10 to $8.30 Revised cash flow from operations guidance range to $12.0 billion to $13.0 billion from $12.5 billion to $13.0 billion CEO commentary “We’re engaging millions of customers across our businesses and in our community health destinations, becoming an even bigger part of

CVS Health Invests In Affordable Housing

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  CVS Health to invest $12.7 million in affordable housing in Nashville CVS Health today announced it will invest $12.7 million with R4 Capital to build 204 new affordable housing units for individuals and families in the Chestnut Hill neighborhood in Nashville. The investment is part of CVS Health's commitment to address racial inequity and social determinants of health in underserved communities. The 2021 Affordable Housing Task Force Report issued by Mayor John Cooper's office found that an estimated 65,000 households, nearly half of Nashville's renter population, is rent burdened, meaning they spend more than 30% of household income on rent. The housing development, which is named 101 Factory, will support individuals and families earning up to 30% to 70% of Area Median Income and provide them with the resources they need to live healthier and reach their full potential.   CVS Health is working with Elmington Capital Group, LLC to build Factory 101. The new development

Blue Cross and Blue Shield of Texas Opens Family Grant

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  Blue Cross and Blue Shield of Texas Opens 2022-2023 Healthy Kids, Healthy Families Grant Cycle Blue Cross and Blue Shield of Texas will launch its 2022-2023 Healthy Kids, Healthy Families grant cycle on February 2 and is seeking partnerships with nonprofit organizations engaged in health and wellness initiatives as well as social determinants of health. Last year, nearly $1.9 million in HKHF grants were awarded to community-based organizations statewide. While the key focus of the HKHF program has not changed, the ongoing effects of the pandemic as well as social justice initiatives in the United States, remain a top priority for BCBSTX’s health equity initiatives. Since the inception of the HKHF program in 2011, the investment strategy has been predicated on four key pillars: disease prevention and management, nutrition, physical activity and safe environments. The program has evolved to include emphasis on initiatives that create measurable results to address the current public he