UnitedHealthcare’s commercial business is planning more prior authorization rollbacks and wants to be seen as a better partner to the health systems it negotiates with, the unit’s CEO and CFO said at Becker’s 16th Annual Meeting in Chicago. Dan Kueter,…
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Imagine your plan has a member in Wisconsin needing open heart surgery. The procedure would cost at least $200,000 in state, but Baltimore-based Johns Hopkins Health System could do it for $80,000. This was a real scenario for Self Fund…
Pharmacy is no longer a cost center defending its budget. It is an enterprise lever, and the executives running it are being asked to behave — and be staffed — accordingly. At the 2026 CPO Summit, the chief pharmacy officers…
AI is a people-and-process story — not a tech one. At Becker’s 16th Annual Meeting, the CIOs, CDOs, and CMIOs running Cleveland Clinic, Penn Medicine, Jefferson Health, Prisma Health, Northwell Health, Allina Health, Ochsner Health and CommonSpirit told each other…
The CEOs named the mandate. The CFOs are building the operating answer. At Becker’s 16th Annual Meeting, the CFOs running Cleveland Clinic, Ascension, Kaiser Permanente, Sentara Health, Allina Health, NYC Health + Hospitals, UChicago Medicine AdventHealth and Temple Health told…
The payer business model built for the last twenty years can’t carry the next ten. At Becker’s Spring Payer Issues Roundtable, the leaders running health plans at Humana, Kaiser Permanente, Blue Shield of California, Elevance Health, Highmark, Oscar Health and…
The cost-cutting playbook that carried health systems through the last decade has run out of road. At Becker’s 16th Annual Meeting, the CEOs running Sutter Health, CommonSpirit Health, Banner Health, Penn Medicine, Dartmouth Health, Inova, Boston Children’s Hospital and Ascension…
Behavioral health has moved from service line to operating model. At Becker’s Behavioral Health event, the leaders running behavioral health at Ascension, Advocate Health, Children’s Hospital of Philadelphia, Cleveland Clinic, CommonSpirit Health, Hartford HealthCare, Nationwide Children’s Hospital, Northwell Health and…
Multi-location dental groups are facing rising complexity, tighter margins and increasing expectations from leadership and capital partners. As dental organizations grow beyond single practices, finance functions are being pushed beyond traditional models. Manual processes, fragmented systems and spreadsheet-based reporting can…
Roughly 50 insurers signed an AHIP and Blue Cross Blue Shield Association commitment to standardize electronic prior authorization across most medical services, according to an April 24 news release. The approach will apply to services commonly requiring prior authorization, including…