Tag: Elevance Health
CMS will not take action on Elevance Health at this time
June 1, 2026HME News Staff
WASHINGTON – The Centers for Medicare & Medicaid Services (CMS) has notified Elevance Health that it will not impose intermediate sanctions on the insurer at this time. The agency says it is satisfied that Elevance has:
Completed the initial submission in its established electronic systems (Risk Adjustment Processing System, the Encounter Data Processing System and the Risk Adjustment Overpayment Reporting module); and
Remitted a wire transfer of the total overpayment amount based on...
In brief: Latest UHC-Synapse deal, Dexcom stolen sensors, WeOxy debut
May 29, 2026HME News Staff
SKOKIE, Ill. – UnitedHealthcare has announced that Synapse Health will manage durable medical equipment (DME) orders for certain UnitedHealthcare Medicare Advantage plans in additional states beginning Sept. 1, 2026.
For individual HMO & PPO plans, Synapse Health will manage DME for members in Connecticut, District of Columbia, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania and Rhode Island.
For chronic special needs plans (C-SNP), Synapse...
Elevance Health to expand access to digital tools
May 27, 2026HME News Staff
INDIANAPOLIS – Elevance Health is expanding its Get Connected for Health program to ensure that individuals – especially those in underserved communities – have the tools, connectivity and support needed to help them better manage their health care. Get Connected for Health provides eligible members with a high-quality smartphone preloaded with a curated suite of digital and virtual health tools, along with unlimited data, talk and text service at no cost. These tools include telehealth...
In brief: CMS puts Elevance Health on notice, Trace names Mark Farmer president, Next Day Access marks triple-digit growth
March 3, 2026HME News Staff
WASHINGTON – The Centers for Medicare & Medicaid Services (CMS) will suspend Elevance Health’s ability to enroll people in its Medicare Advantage plans if the insurer doesn’t comply with risk adjustment data submission requirements.
In a Feb. 27 letter to Elevance, CMS said sanctions would begin March 31 for Elevance’s “pattern of knowing noncompliance.”
In its letter, CMS states: Since...
CMS notifies Elevance Health it may suspend enrollment capabilities
March 3, 2026HME News Staff
WASHINGTON – The Centers for Medicare and Medicaid Services (CMS) will suspend Elevance Health’s ability to enroll people in its Medicare Advantage plans if the insurer doesn’t comply with risk adjustment data submission requirements.
In a Feb. 27 letter to Elevance, CMS said sanctions would begin March 31 for Elevance’s “pattern of knowing noncompliance.”
In its letter, CMS states: Since November...
Carelon sees CareBridge as foundation for home health business
October 31, 2024HME News Staff
INDIANAPOLIS – Carelon, a division of Elevance Health, recently entered into an agreement to acquire CareBridge, a value-based manager of home and community-based services for chronic and complex members that will serve as the foundation for its home health business, company officials announced during a conference call to discuss its third quarter 2024 financial results.
"We're excited to continue to serve all its customers and members,” said Gail Koziara Boudreaux,...
In brief: Elevance Health, Float get new backing & NCPA calls out Express Scripts
April 16, 2024HME News Staff
INDIANAPOLIS – Health insurer Elevance Health and private equity firm Clayton, Dubilier & Rice have formed a strategic partnership to bring together certain care delivery and enablement assets of Elevance Health’s business unit Carelon Health and CD&R’s portfolio companies aspree health and Millenium Physician Group.
The companies say the strategic partnership’s advanced primary care models take a whole health approach to address the physical, social and behavioral...
Elevance Health partners with PE firm for ‘whole health’ approach
April 15, 2024HME News Staff
INDIANAPOLIS – Health insurer Elevance Health and private equity firm Clayton, Dubilier & Rice have formed a strategic partnership to bring together certain care delivery and enablement assets of Elevance Health’s business unit Carelon Health and CD&R’s portfolio companies aspree health and Millenium Physician Group.
The companies say the strategic partnership’s advanced primary care models take a whole health approach to address the physical, social and behavioral...
Elevance Health ramps up integrated approach to infusion
January 12, 2024Theresa Flaherty, Managing Editor
INDIANAPOLIS – The acquisition of Paragon Healthcare by Elevance Health, formerly Anthem, “builds out” the health insurer’s infusion platform and better positions it to compete in a vertically integrating market, say industry analysts.
Texas-based Paragon Healthcare, which serves more than 35,000 patients at more than 40 ambulatory infusion centers across eight states and in their homes, joins BioPlus, the specialty pharmacy subsidiary of CarepathRx which Elevance...
In brief: Elevance Health’s vertical integration, Aeroflow’s rebrand, Lifeway’s acquisition
January 10, 2024HME News Staff
INDIANAPOLIS – Elevance Health, which, through its affiliates, offers a comprehensive suite of commercial, Medicare and Medicaid plans, has entered into an agreement to buy Paragon Healthcare, a Plano, Texas-based provider with a network of ambulatory infusion centers, home infusion pharmacies and specialty pharmacies.
Elevance Health’s affiliates include Anthem and Wellpoint, as well as Carelon. Paragon Healthcare will operate as part of CarelonRx, the pharmacy services segment...