UnitedHealthcare has named Krishna Ramachandran as CIO for operations and experience. “We are living through a pivotal moment in human history and evolution, with advancements in technology, data, and artificial intelligence changing our world at a rapid pace,” Mr. Ramachandran…
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From naming a new CFO to announcing it is complying with criminal and civil investigations into its Medicare Advantage business, here are 12 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since July 15: 1. U.S. Sens.…
Anthem Blue Cross and Blue Shield has named Michelle Stoughton president of its Medicaid plan in Ohio. Ms. Stoughton most recently served as the regional vice president of government relations for Anthem in Ohio and managed the central region team…
Disconnected platforms. Manual billing. Delayed collections. For DSOs and dental practices, fragmented tech isn’t just inefficient — it’s a growing threat to financial performance and care access. This live session unpacks how dental leaders are reducing friction across revenue systems,…
Presented by:
Presenters
Catlin Zuniga
Vice President of Sales, Wellfit Technologies
Blue Shield of California has partnered with Gemini Health to launch “Price Check My Rx,” a new tool that sends mobile alerts to prompt members to review drug prices and compare lower-cost alternatives through the insurer’s app. Blue Shield says…
Oscar Health reported a net loss of $228 million in the second quarter of 2025, compared to $56 million in net income during the same quarter last year, according to its Aug. 6 financial report. “Oscar is well-positioned to manage…
Aetna is rolling out a new inpatient reimbursement policy for its Medicare Advantage and Special Needs Plans, effective Nov. 15. “Our goal is simple: We want to help you get reimbursed faster for inpatient admissions that are initially denied. You’ll…
Hospitals are racing to prepare for CMS’ TEAM model – and Prime Healthcare is already ahead. As the BPCI-A era ends, the shift to TEAM requires fast action: robust data systems, cross-continuum coordination and SDOH strategies that support equitable, episode-based…
Presented by:
Presenters
Dr. Ahmad Imran
Vice President, Quality & Value-Based Care Prime Health Care
Dr. Mansoor Khan
CEO Persivia
Major insurers are retrenching their Medicare Advantage strategies as federal cost‑containment measures and rising medical expenses squeeze profitability. Amid the growing financial pressures the industry has faced for nearly two years, the largest MA carriers are cutting supplemental benefits, exiting…
In June, Cigna began launching a suite of new AI tools designed to help members better navigate their health benefits. The new features are being rolled out in phases on Cigna’s member portal, where enrollees will have access to an…
