On Dec. 15, CMS published 24 quality and efficiency measures under consideration for adoption in Medicare programs. HHS employs this pre-rulemaking process to decide on measures for Medicare programs and releases a public list of the pitched measures each year.…
Author: Elizabeth Casolo
Two-thirds of U.S. adults believe the government should be responsible for ensuring Americans have health coverage, according to a Pew Research Center survey. The survey canvassed 10,357 U.S. adults and ran Nov. 17-30. Here are six other notes from the…
If a “typical” background exists for leading a health plan, Anirban Gangopadhyay certainly does not have it: The co-founder and CTO of AI-forward Angle Health comes from tech powerhouse Palantir. “I would say Palantir operates in a very unique way…
Chapel Hill-based University of North Carolina Health and Cigna have established a “long-term” agreement to maintain coverage, according to a Dec. 12 news release from the health system. UNC Health and Cigna previously missed their Dec. 1 contracting deadline, prompting…
Several major payer acquisitions have closed or were announced in 2025. 19 deals to note: Blue Cross and Blue Shield of Kansas City (Mo.) and Highmark shared plans to affiliate, with Blue KC planning to keep its brand and headquarters.…
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Blue Cross and Blue Shield of Kansas City (Mo.) and Highmark are affiliating. While this is far from Highmark’s first affiliation agreement, there is not a one-size-fits-all blueprint. Four leaders from the organizations spoke with Becker’s about how the arrangement…
Coming into 2025, health insurance industry leadership encountered overwhelming uncertainty. Despite this, 2025 proved to be a year of executive mobility. Here are 19 payer CEO moves from this past year: 1. Krista Nelson will lead Optum Health as CEO. …
UCare is laying off roughly 250 employees in early January as the Minneapolis-based nonprofit insurer moves toward shutting down, the Minnesota Star Tribune reported Dec. 11. Another 650 workers are expected to transition to jobs at Medica, which announced in…
Throughout 2025, health insurance leaders have weighed in on the role AI should play in the industry, from advancing operational efficiencies to integrating with consumer-facing technology. Here are 14 statements and updates on AI from health insurers in 2025: 1.…
Neither bill proposing solutions to the impending ACA enhanced subsidy expiration survived a Dec. 11 Senate vote. While Senate Democrats advocated for a three-year ACA tax credit extension, Republicans pitched an alternative focusing on health savings accounts. Both motions failed…