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Medicare Advantage plan choices are shrinking modestly, with the number of MA prescription drug plan options for an average beneficiary…
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CareSource has named Stephanie Williams as its new chief financial officer. She succeeds Larry Smart, who will be retiring after serving as the insurer’s CFO for 6 years, according to an Oct. 1 news release. Ms. Williams first joined CareSource…
Tacoma, Wash.-based MultiCare Health System is launching a health insurance plan. MultiCare Health Plan, announced Oct. 1, will operate as a wholly owned subsidiary of the 13-hospital nonprofit system. Its first product is a Medicare Advantage HMO with prescription drug…
Ask a health plan executive what they want AI to do, and they’ll usually answer with a goal, faster credentialing, cleaner directories, fewer complaints. But AI isn’t the goal. It’s one way to get there, and for most of what…
Presented by:
- Chris Lance, Chief Product Officer, Quest Analytics®
- Adam Sullivan, VP of AI, Change Healthcare, Labcorp
A Massachusetts federal judge dismissed claims against Aetna on Sept. 30 in antitrust litigation over the use of Zelis’ repricing tools. The judge determined the providers’ latest complaint did not plausibly allege Aetna used the tools. The plaintiffs filed a…
Cigna is launching a modernization and productivity initiative, expected to bring in $3 billion in savings by 2030. During the company’s Sept. 30 investor day call, CFO Ann Dennison said the multiyear program focuses on automating workflows, ensuring a future-ready…
The Trump administration has begun sending $500 checks to more than 950,000 people in 30 states it says were overcharged through the ACA’s federal exchange, according to information an administration official shared with Becker’s. Five things to know: 1. The…
By the time MLR pressure shows up in your numbers, the margin may already be locked into the quarter. The question is whether you’ll spot the signals early enough to change the outcome. Most health plans don’t recognize margin pressure…
Presented by:
- Stewart Hinrichsen, Senior Director, Value-Based Strategy, Martin's Point
- Raj Lakhanpal, Chief Executive Officer, SpectraMedix
- Sean Kelly, Senior Vice President, Growth and Business Development, SpectraMedix
- Charles Chervitz, Consultant, SpectraMedix
Retired Lt. Gen. Patricia Horoho, MSN, is stepping back into her previous role as CEO of Optum Serve, UnitedHealth Group’s federal government health services business. An Optum announcement shared with Becker’s said Ms. Horoho was Optum Serve’s founding CEO. She…
The Medicare Advantage market remains a bit of a paradox: it may look unchanged from a national level heading into 2027, but seniors will have fewer plans to choose from in more than half of the states and growth continues…
There will be four new entrants to the Medicare Advantage market in 2027, according to CMS data. In contrast, 12 payers that sold MA plans in 2026 won’t offer them next year, and the largest insurers collectively are pulling out…
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