“There is No Silver Bullet” for Fixing Texas’ Uninsured Problem: D CEO Breakfast Panel Recap

Last week, D CEO and the Dallas Regional Chamber hosted another installment of our D CEO Healthcare Breakfast Panels. We were fortunate to have some of the brightest minds in health insurance join us and educate guests on what is next for health insurance in North Texas. With representatives from the C-suites of Blue Cross Blue Shield of Texas, UnitedHealthcare, Cigna, and Texas Health Aetna, we discussed what role the major health insurers have in everything from improving the social determinants of health to price transparency. Improving the social determinants of health is not an easy task, but research shows… Full Story

Cigna Contract with Southwestern Health Resources Could End Jan. 1

The new year may mark the end of a relationship between two of the largest players in the local healthcare industry, as Southwestern Health Resources and Cigna have been unable to agree to a new contract, meaning SWHR will be out of of network for Cigna members on January 1. The conflict centers upon the connection between cost and quality, and how each organization measures them. The conflict could impact hundreds of thousands of people across the region. Over the past 18 months, there have been 136,000 interactions between Cigna members and SWHR, 66,000 of those interactions were at SWHR… Full Story

D CEO Healthcare Breakfast Panel: What’s Next for Health Insurance

D CEO Healthcare Breakfast Panel: What’s next for health insurance?   The health insurance industry is one of the country’s most dynamic, complicated, and impactful. Ideas about the best way to provide healthcare are discussed everywhere from the highest echelons of government to living rooms across America. With increasing costs, changing risk and employer relationships, and new regulations, the insurance world is increasingly complex and important to employers, providers, patients, and everyone in between.   At D CEO, our Healthcare Breakfast Panels serve as an opportunity for health professionals to network, but more importantly, the panels are educational opportunities for our… Full Story

Innovators Invited to Solve Industry’s Largest Problems at the Texas Healthcare Challenge

Health Wildcatters, a Dallas-based healthcare accelerator, will be hosting a competition meant to address problems facing the healthcare called the Texas Healthcare Challenge. On February 8-9, students and professionals are invited to problem solve, design, code, and pitch solutions around home health, managing chronic conditions, health insurance, nursing shortages, and more.  Cash and in-kind prizes will total $10,000 for the event, with a panel of judges selecting the best solutions based on the pitches. “Health Wildcatters, through our top-ranked accelerator program, is on the forefront of health innovation nationally and beyond,” said Health Wildcatters CEO, Dr. Hubert Zajicek via release.… Full Story

Tenet and Cigna Reach an Agreement After 11 Months of Negotiations

Dallas-based Tenet Healthcare has reached a multi-year agreement with insurer Cigna, according to a statement on Cigna’s “Save Our Healthcare” website. It says “Cigna commercial customers will have uninterrupted, in-network access to Tenet Healthcare facilities and affiliated providers.” Tenet facilities will remain in-network for Cigna customers as well as Medicare patients insured by a Cigna-HealthSpring Medicare Advantage plan. Healthcare Finance reports that Cigna customers would have lost in-network access to Tenet facilities if an agreement had not been reached by the beginning of 2019, and that the 11-month negotiation was over payment rates. Ron Rittenmeyer, Tenet’s Executive Chairman and Chief… Full Story

Tenet to Treat Cigna-insured Patients at all of its Hospitals, Outpatient Centers

Tenet Healthcare has agreed to open access to healthcare services at all its hospitals and outpatient centers to those who are Cigna-insured beginning next May. Under the agreement, Cigna customers will have access to healthcare services at all hospitals owned by Tenet subsidiaries, as well as freestanding: • Diagnostic imaging centers • Ambulatory surgery centers • Urgent care centers • Outpatient centers in which Tenet holds majority interest • Physicians under Tenet Physicians Inc. (About 800) This new contract also will allow facilitates the creation of Tenet’s Clinically Integrated Organizations (CIOs) and Accountable Care Organizations (ACOs) through Cigna’s proprietary Collaborative… Full Story