At Becker’s Fall Payer Issues Roundtable in early November, payer and provider executives discussed the shifting realities facing health plans, from regulatory pressure and AI adoption to member experience and cultural inclusion. Leaders described an environment where operational complexity, new…
Author: Laura Dyrda
Between mounting scrutiny of Medicare Advantage plans, calls for greater price transparency, and the ever-growing demand for value-based care, payer organizations are entering a period of heightened pressure and scrutiny. To confront these challenges head-on, more than 700 top executives…
May is Women’s Health Month, a time dedicated to raising awareness about the unique health challenges faced by women. As we end the month, this is a good time to look at the accumulating evidence that shows significant disparities in…
In my experience as a physician and healthcare leader, I’ve often encountered people whose needs fall outside the scope of our healthcare system. Frankly, for many years, while I understood the magnitude of those needs and the need to fulfill…
Most company presidents and CEOs spend a majority of their time behind a desk in the office leading meetings or managing their teams. Matt Gerrell, president of Brevard County-based Health First Health Plans spends a lot of his time meeting…
When it comes to delivering health care, Medicaid health plans are committed to serving our most vulnerable members. However, funding cuts compromise our ability to provide quality care. Instead, we advocate for “smart spending” – increased investments into Medicaid that…
