Advanced and Accelerated Insurance Payment Programs Available During COVID-19
Several private insurers have created advanced or accelerated payment programs to provide financial support to physician practices during this uncertain time. Here you will find more information on national and regional programs that may be available to you. Although CMS has suspended the Advanced Payment Program, you can still apply for accelerated payments from the plans listed below. Refer to the CMS Fact Sheet for more details on if your practice is eligible.
CMS issued information about recovering these payments, which began on March 30, 2021. Providers who requested these payments should make sure that their billing staff is aware that the recovery process for these payments has begun: https://www.cms.gov/files/document/se21004.pdf.
Anthem – Accelerating payments to Medicaid providers and to targeted independent primary care physician organizations and multispecialty groups who are facing financial pressure. Reach out to any Anthem-affiliated plans you contract with to see if you qualify for accelerated payments!
Medicare – Although the Centers for Medicare and Medicaid Services has suspended the Medicare Advanced Payment Program, you can still apply for accelerated Medicare payments. Refer to the CMS fact sheet for more details and to see if your practice is eligible.
Molina Healthcare – Accelerated $150 million across payments to providers, as well as ensured payment parity for telehealth services.
UnitedHealth Group – Accelerating claim payments for their commercial, Medicare Advantage, and Medicaid businesses.
State and Local Programs
Blue Cross Blue Shield of Arizona – Advancing $10 million in payments to Arizona medical physicians and hospitals affected by COVID-19.
Blue Cross Blue Shield of Kansas City – Advancing August and September 2020 value-based payments to healthcare providers who participate in Blue KC’s Advanced Primary Care Program for July 2020.
Blue Cross Blue Shield of Massachusetts – Accelerating payments to practices that participate in the Alternative Quality Contract (AQC). These payments would have been updated in late 2020 or early 2021, but are being expedited due to the financial pressures of COVID-19 on practices.
Blue Cross Blue Shield of Michigan – Accelerating payments to about 40 practices that are part of the Blue Cross Physician Group Incentive Program.
Blue Cross Blue Shield Minnesota – Advancing $80 million in payments to providers for quality and cost standards achieved in 2019, which were previously scheduled for payment in late 2020.
Blue Cross Blue Shield of North Carolina – Advancing payments to health care providers by speeding up their claims process to assist with financial challenges.
Blue Cross of Idaho – Private practices and other independent providers can receive advance payments once per month in April, May, and June to cover shortfalls due to COVID-19. Blue Cross will recover these payments interest-free in the fourth quarter of 2020.
Blue Shield of California – Providing guaranteed loans and advance payments to practices to assist with anticipated costs. Blue Shield plans to offer favorable repayment terms.
Capital BlueCross – Offering advance payments through July 15 to eligible healthcare providers in Pennsylvania who had at least a 40% decrease in average payments for services provided to Capital BlueCross members during March and April, 2020. These providers can receive funding advances based on their average monthly payments from 2019.
Capital District Physicians' Health Plan (CDPHP) – Advancing payments to some in-network providers in New York.
CareFirst BlueCross BlueShield – Offering a cash advance program for independent practices, rural primary care practices, and other qualifying practices throughout the Mid-Atlantic region.
CareOregon – introducing lump sum advancements for their providers in Oregon to increase financial stability.
Empire Blue Cross Blue Shield – Advancing payments to certain independent primary care physician organizations and multi-specialty groups in the New York area.
Harvard Pilgrim – providing $3 million in advanced payments to independent primary care physicians across New England.
Highmark – Providing advanced payments to local primary care physicians through the True Performance reimbursement program. These payments would normally be made in June, but Highmark is sending them out early to practices in Pennsylvania, West Virginia, and Delaware.
InnovaCare Health – advancing over $100 million in payments by the end of May to providers across Florida and Puerto Rico impacted by the COVID-19 pandemic.
L.A. Care – Accelerating claims payments and other financial support, including grants, for providers in Los Angeles County impacted by the COVID-19 pandemic.
Premera Blue Cross – Providing advance payments of claims to practices facing significant financial pressures in Washington state and Alaska. Premera will recuperate these funds as a percentage of claims over nine months beginning January 1, 2021.
Information on financial relief programs available during the COVID-19 pandemic is developing rapidly and ACOG will release updates to policy and funding opportunities as they arise. ACOG continues to support its members during this time. If you have any further question or concerns, please reach out to us and submit your questions at firstname.lastname@example.org or acogcoding.freshdesk.com.