Payer Roundup—Humana, Trinity Health reach MA network deal; AHIP adds 7 new members 

Close-up of handshake between person in suit and person in business shirt.
Humana has reached a deal with Trinity Health to include seven of its hospitals in the payer's Medicare Advantage network, plus more healthcare headlines. (Getty Images/FS-Stock)

Humana, Trinity Health reach Medicare Advantage network agreement

Humana and Trinity Health have reached a deal to ensure that seven of its Pennsylvania and New Jersey hospitals are in the payer’s Medicare Advantage network. 

In addition to the hospitals, Humana MA plan members have access to 700 primary care and specialty doctors. Terms of the deal, including length, were not disclosed. 

“This network expansion in Southeast Pennsylvania and Southern New Jersey is part of Humana’s commitment to providing additional options for care for our local Medicare Advantage members,” Humana regional president Eric Bohannon said. 


Home State Health Leverages Conversational AI to Activate Their Members, Address SDOH, and Improve Quality Measures

Like many health plans, engaging and activating vulnerable populations at scale is critical to Home State Health. This case study from Home State Health focuses on engaging Medicaid members at scale on numerous topics leading to desired outcomes including: working with the State to develop the most optimal opt-in program; the benefits of Conversational AI in orchestrating tailored dialogues at scale; and how to design and launch Conversational AI programs.

“Increasing access to care is essential in supporting our members as they strive to lead healthy lives.” (Release

Seven new members join AHIP

America’s Health Insurance Plans is welcoming seven new members. 

Bright Health, CareFirst Blue Cross Blue Shield, Central States Health and Life Company of Omaha, Fidelity, First Medical Health Plan, Inland Empire Health Plan and National Guardian Life serve more than 5 million customers combined, AHIP said. 

“These new members represent the breadth, depth and variety of healthcare choices that Americans need to protect their health and financial security,” AHIP President Matt Eyles said. (Announcement

BCBSA study: Generation Xers opting for earlier hip and knee replacements

A new study from the Blue Cross Blue Shield Association shows that Americans under 65 are increasingly opting for joint replacement surgeries earlier in life.

The study, which reviewed claims data from between 2010 and 2017, found that spending on planned orthopedic surgeries by BCBS members increased by 44% in that window, to $25 billion. These elective procedures account for nearly half (47%) of orthopedic care spending.

“As a leader in healthcare, providing coverage for one in three Americans, we know access to quality health care is important to our members, particularly as Gen X Americans—those younger than 55—are also undergoing hip and knee replacement procedures at increasing rates across the country,” said Mark Talluto, vice president of strategy and analytics for BCBSA. (Release)

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