Featured Content
A federal judge has largely rejected Alignment Healthcare’s bid to throw out a former senior executive’s whistleblower lawsuit that accuses…
Most Read
The Latest
SCAN Health Plan and Sacramento, Calif.-based Sutter Health are bringing their co-branded Medicare Advantage plans to four more Northern California counties in 2027, up from six in 2026. SCAN and Sutter first announced their collaboration in 2025, with Sutter hinting…
Norfolk, Va.-based Sentara Health ended negotiations with Anthem Blue Cross and Blue Shield of Virginia on 2027 contract extensions for Medicare Advantage, Medicaid and ACA exchange plans. An Oct. 5 update on Sentara’s website said the health system set an…
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
UnitedHealthcare is exiting Georgia’s ACA marketplace Jan. 1, 2027, the insurer and Georgia’s Office of the Commissioner of Insurance and Safety Fire confirmed to Becker’s Oct. 6. “We remain committed to serving members throughout the transition and will continue providing…
Health Care Service Corp. has cut its Medicare Advantage footprint in half less than two years after buying Cigna’s Medicare business for $3.3 billion, but the Chicago-based insurer says the narrowed focus will allow it to achieve sustainable growth over…
AI could help hospitals lower costs, but Fitch said those savings could prompt payers and policymakers to reprice reimbursement. The analysis appears in Fitch’s “Artificial Intelligence Stress Test” report, published Oct. 5. The report scores 107 subsectors on how adverse…
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
Texas Attorney General and U.S. Senate candidate Ken Paxton has launched an investigation into UnitedHealth Group. An Oct. 5 news release said the investigation resulted from allegations of “deceptive and unlawful practices” that could have denied Texans medically necessary care.…
The California Medical Association and the California Association of Health Plans are challenging the state’s restructured managed care organization tax, according to an Oct. 1 California Supreme Court filing. The legal action is directed at California’s Department of Health Care…
UnitedHealthcare is facing a class-action lawsuit, which alleges the insurer inappropriately stopped crediting payments funded by drug manufacturer assistance toward a member’s deductible and out-of-pocket limit, according to a Sept. 30 complaint in a Connecticut federal court. The complaint, from…
Popular in Executive Moves
How CareSource Indiana reached 90th-percentile follow-up performance for high-need members
Presenters: Kristi Carney, Indiana MarketNishi Rawat, MD, Bamboo Health
Becker’s offerings
-
Events
Where healthcare leaders meet — see what’s coming up.
View All Events
-
Webinars
Explore and register for webinars across a wide variety of topics.
View All Webinars
-
Whitepapers
Gain valuable insights & knowledge from our leading industry experts.
View All Whitepapers
-
Podcasts
Listen to interviews and conversations on healthcare’s most pressing issues.
View All Podcasts
