Value-Based Care News Digest - August 2019

August 12, 2019

Every month, Evolent Health rounds up some of the latest value-based care news from the previous month spanning policy, research, innovations, payers and providers. 


Top Trending Themes

  1. CVS Health accelerates its efforts "to create a new health care model that is easier and simpler to use," despite delays in the federal courts with its Aetna acquisition.
  • The company is beginning human trials of a new at-home dialysis machine, news that comes on the heels of President Trump's executive order that aims to improve Americans’ kidney health. If the device proves effective at making dialysis easier and safer to do at home, CVS could threaten the two companies that dominate the market for outpatient dialysis clinics, which most users visit three times a week. The device was designed by a firm founded by Dean Kamen, the inventor of the two-wheeled Segway personal transporter.
  • MinuteClinic has rolled out its virtual-visit offering to eight additional states: Arkansas, Connecticut, Hawaii, Indiana, Minnesota, Missouri, Oklahoma and Texas. The additions make for 26 states where individuals can access MinuteClinic video visits 24/7 from their mobile device or computer.
  • In May, CVS announced that it will launch 1,500 HealthHUBs in its stores by the end of 2021, and CEO Larry Merlo recently told investors that the HealthHUBs are outperforming traditional stores. "We are seeing additional traffic and seeing that translate to sales momentum" throughout the store, including the "front end" and in the CVS MinuteClinics, Merlo said. The HealthHUBs dedicate more than 20% of the store space to health services.
  1. Under pressure: Executive changes at regional payers raise questions about the squeeze the regionals are feeling amid industry changes.
  • Top executives at Health Care Service Corp. (HCSC) CEO Paula Steiner and CFO Eric Feldstein, announced their resignations this month. Shortly after the announcements, some news outlets pointed to disagreements over Steiner's growth strategy for the insurer as the reason for her departure, stating the board felt the payer needed to be more aggressive given industry consolidation. Current board member David Lesar will fill in as interim CEO, while Maurice Smith, formerly president of HCSC's Illinois health plan, will serve as president.
  • How aggressive should regional payers be in this time of change? Many regionals, including HCSC, are moving into care delivery, yet questions remain whether it will be enough to combat the scale and care-delivery efforts from national payers and continued health system consolidation.
  1. Meanwhile, start-up insurers continue to expand into new markets with their narrow network plans.
  • Oscar will offer Medicare Advantage plans in New York and Houston this fall. Pending approval by CMS, residents in either state can begin enrolling in the plans in October.
    • New York: Oscar will partner with Montefiore Health System to launch a co-branded Medicare Advantage product.
    • Texas: Oscar will partner with HCA Houston Healthcare, Houston Methodist, Village Family Practice/VillageMD, St. Joseph Medical Center, IntegraNet and Privia Medical Group-Gulf Coast for its Medicare Advantage plans.
  • Bright Health will begin offering health plans in 13 new markets across seven states—Florida, Illinois, North Carolina, Ohio, Oklahoma, South Carolina, Nebraska—in 2020, plus expanded product offerings in every existing market. This expansion will bring Bright's footprint to a total of 22 markets in 12 states.

Industry News

General News

Primary Care

Maternal Health

Behavioral Health

Social Determinants of Health

Telemedicine


Evolent Partner News


Government and Regulatory Pulse

CMS


Survey Says/Studies Show

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