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Humana teams with Mercy to expand access to virtual care

Humana has unveiled a new virtual care partnership with Missouri-based Mercy. (Getty/airdone) Humana is teaming with Missouri-based health system Mercy to grow access to virtual health resources. Humana s Medicare Advantage members will have in-network access to Mercy Virtual, the system s hospital without beds, the companies announced Thursday. Mercy Virtual is staffed with more than 300 clinicians and provides care around the clock, including virtual primary care. As part of the partnership, Mercy is also entering into a value-based care arrangement with Humana. “This agreement unites two organizations striving to offer care that is more accessible, personalized and coordinated a commitment that is more important than ever right now,” said Jeremy Gaskill, Humana regional Medicare president, in a statement. “We’re pleased to broaden our efforts to improve the health and well-being of people in the communities we serve by teaming up with Mercy, an organization that shar

Chutes & Ladders—Humana Military names new CMO; VillageMD hires HR chief

Humana Military, a wholly-owned subsidiary of Humana Inc. Mesiwala will serve as a member of the Humana Military leadership team and report to Brent Densford, who is president of Humana Government Business, Inc.–Humana Military. Humana Military is a convener of care for the TRICARE East region.  Mesiwala previously served as a senior medical director for value-based care and innovation for the University of Pittsburgh Medical Center Health Plan where she led the clinical design and implementation of primary care and specialty-focused alternative payment models officials said.  She also previously served as a senior policy advisor in healthcare to former President Barack Obama and as the healthcare lead for the White House National Economic Council. She was credited with launching a multi-stakeholder public-private partnership to further kidney care and organ transplantation and also launched a national provider-focused collaborative to collectively address workforce chal

Insurers urge SCOTUS to take a look at appeals court ruling on ACA cost-sharing reduction payments

Insurers are asking the Supreme Court on cost-sharing reduction payments. (Getty/BrianPIrwin) Two insurers are urging the Supreme Court to review a lower court decision that they say could prevent many plans from receiving the full amount in owed cost-sharing reduction payments. In a filing with the court (PDF) this week, Maine Community Health Options and Community Health Choice argue that the decision allows the government to avoid paying out its full obligation in CSR payments under the Affordable Care Act.  In the August 2020 ruling, the Court of Appeals for the Federal Circuit says that the Supreme Court s ruling that mandated the government pay back-owed risk corridor payments meant CSR payments were also mandatory.

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