Jeff Davis is joining Centene’s Louisiana Healthcare Connections, a Medicaid plan, as its plan president and CEO, according to an Oct. 28 LinkedIn post. James Schlottman, who announced his retirement in May, previously held the role. He spent more than…
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Under a forthcoming Labor Department rule, pharmacy benefit managers would need to tell their employer clients more about how they get paid, according to an Oct. 28 report from The Wall Street Journal. The department is sharing more details Oct.…
Charlotte, N.C.-based Atrium Health and the North Carolina State Health Plan have signed a multiyear agreement, ending a legal dispute over the system’s affordability program and its placement in the plan’s 2027 provider network. Under the agreement, all remaining Atrium…
Forty-eight percent of Americans have used an AI tool to review health insurance offerings, according to research from broker eHealth published Oct. 28. The survey was conducted Oct. 7-9 and canvassed more than 1,000 Americans. The research comes just ahead…
Blue Cross Blue Shield of Massachusetts is working with precision medicine company Medzown to connect eligible members who have cancer and other complex conditions with clinical trials. Medzown’s technology identifies members who could be candidates for trials studying their specific…
Before investing in another facility or expanding headcount, health system leaders face a critical question: Are we making the most of the ambulatory capacity we already have? For Inova, answering that question means understanding how providers, clinical staff and space…
Presented by:
- Marque Macon, Vice President Ambulatory Services, Inova
- Suzie Shibla, VP, Primary Care Nursing and CNO, Ambulatory, Inova
- Chris Seaman, Vice President, Enterprise Sales, QGenda
WellSense Health Plan, under Boston Medical Center Health System, is restructuring teams, according to a statement shared with Becker’s Oct. 27. “WellSense is evolving our business and operations, and recently reshaped our teams, in response to significant industry and policy…
Health systems are putting AI to work, but many are still determining where workloads should run, how to support them reliably and what evidence justifies further investment. Adoption is broad. Infrastructure maturity is lagging. To map that gap, Becker’s Healthcare,…
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Health plans are rethinking the member experience from the member’s perspective. Becker’s asked leaders from health plans and partner organizations how they’re improving it, and most started in the same place: listening to members, finding where coverage and care get…
Payer denials, prior authorization delays and underpayments are straining health system revenue cycles, while uninsured patients and those on high-deductible health plans struggle to pay for care. Manual workarounds layered onto aging revenue cycle management infrastructure make those pressures even…
