Montana saw the largest increase in catastrophic plan enrollment from 2025 to 2026, while Pennsylvania saw the largest decrease, according to CMS data analyzed by KFF. Catastrophic plan enrollment grew nearly 25% nationally, from 54,000 to almost 68,000, even as…
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It is no secret that prior authorization has long been a sore subject between payers and providers. In June 2025, insurers committed to easing prior authorization requirements. Now, AHIP (formerly American’s Health Insurance Plans) and the Blue Cross Blue Shield…
Arkansas BCBS promoted Vice President of Infrastructure Operations David Martin to CIO earlier this year, according to an April 7 news release shared with Becker’s. Mr. Martin will lead the planning, delivery, cybersecurity and performance of the insurer’s technology. In…
In 2024, the uninsured rate grew for the first time since 2019, according to an April 9 KFF issue brief. KFF reviewed data on uninsured trends and demographics in recent years, focusing on individuals under 65 years old. Following a…
UnitedHealthcare has named Paul Sharkey as CEO of its Mid-Atlantic employer and individual business, covering West Virginia, Maryland, Virginia and Washington, D.C. Mr. Sharkey has been with the company since 2008, serving in a variety of sales and financial leadership…
Health systems are moving quickly to adopt clinical AI, but scaling it across complex environments remains a challenge. This report explores how leading organizations — including Akron Children’s, Christus Health, Inova Health System, UCHealth and WVU Medicine — are implementing…
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Healthcare organizations are navigating workforce strain while balancing financial constraints and evolving care demands. During this conversation, leaders from Children’s Hospital Los Angeles, Fairview Health and Penn State Health share how finance, HR and clinical teams are working together to…
Presented by:
- Mamoon Syed, SVP and Chief People Officer Children's Hospital Los Angeles (CHLA)
- Patrick Adams, VP of Finance & Chief of Staff Fairview Health
- Rita Barry, System Director of Workforce Management Penn State Health
- Enderson Miranda, Vice-President Strategic Accounts AMN Healthcare
Digital payment modalities aren’t enough: How health plans can build provider payment confidence
As administrative costs rise and reimbursement grows more complex, both health plans and providers are under increasing pressure to improve the payment experience. Faster payment remains important, and digital payment modalities such as standard ACH and virtual cards have helped…
Arkansas will begin a soft launch of Medicaid work and community engagement requirements for enrollees in its Medicaid expansion program on July 1, with full enforcement set to begin Jan. 1, 2027. State officials said in February that healthy adults…
Fallon Health Senior Vice President Anthony Consolmagno has taken over the CFO role in a permanent capacity after serving a stint as the interim CFO, the insurer confirmed to Becker’s April 10. The change took effect Feb. 9. As CFO,…
