In healthcare, success has always depended on collaboration, but never more so than today. As the industry continues its transition from fee-for-service to value-based care (VBC), it’s become clear that progress depends on how well payers, providers and patients align…
Author: Vedant Bhosale
Emergency departments are increasingly overburdened by long wait times, complex patient cases and limited visibility into care history. But during a session at the Fall 2025 Becker’s Payer Issues Roundtable, participants argued that these transition points — if better coordinated…
At the Fall 2025 Becker’s Payer Issues Roundtable, CareSource Senior Vice President Todd Carlson participated in a fireside chat on how the nonprofit payer is modernizing its technology infrastructure to deliver more personalized, efficient and scalable healthcare. In partnership with…
Obesity treatment is entering a transformative era — and few therapies have garnered more attention or raised more questions than GLP-1 receptor agonists. In a featured session at Becker’s Fall 2025 Payer Issues Roundtable, Lia Gass Rodriguez, MD, chief medical…
Health plans are no longer treating interoperability as a check-the-box requirement; they are embracing it as a driver of strategic transformation. That was the core message from a featured session at Becker’s Fall 2025 Payer Issues Roundtable, where a panel…
AI continues to hold promise for transforming healthcare operations, but realizing that potential requires more than plug-and-play solutions. In a featured session at Becker’s Fall 2025 Payer Issues Roundtable, leaders from Raport and Precision Medicine Diagnostic Partners explored what it…
Today, nearly half of Americans struggle to afford basic healthcare, and patients wait an average of 38 days to see a doctor. At the same time, 80% of at-risk members remain unreachable. These barriers are unsustainable for members and health plans alike. While value-based care…
For all the progress made in shifting the U.S. healthcare system toward value-based care, one of the most powerful levers for improving outcomes and reducing costs remains underused: medications. Medications influence every dimension of health outcomes. They prevent disease progression,…
Today’s durable medical equipment (DME) process can be fragmented, inefficient and unreliable, leading to delays, errors, and rising costs. At Optum, we’re rethinking what’s possible with a transformative, digital, end-to-end experience that enhances efficiency, transparency, and reliability. Read more to…
The Medicare Advantage (MA) market is entering a potentially transformative phase. Profit pressures, regulatory shifts, and an evolving reimbursement landscape are converging to prompt a strategic reset. A shift from growth-at-any-cost to profitability-first Like many publicly traded payors with significant…
