EmblemHealth’s CEO, Mike Palmateer, has retired, according to a Sept. 17 news release. Mr. Palmateer served as CEO over the past two years and has spent two decades with the insurer. The organization’s board of directors will begin an executive…
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Your technology is live—but can you demonstrate what improved? Before making the next investment, health system leaders need to understand what existing capabilities are delivering, what the data tells them about performance, and whether remaining gaps involve technology, workflow, ownership,…
Oct 23, 2026 1:00 PM - 2:00 PM CDT
Presented by:
Presenters:
- Chae Menard, Vice President, Professional & Advisory Services, Claritev
- Stephanie Farley, Professional Services Executive, Solutions & Consulting, Claritev
Provider organizations have the budget, the roadmap and the confidence. Scaling is still where initiatives break down. Digital transformation spending is climbing across the industry, and 92% of executives expect measurable ROI within 24 months. But asked to name the…
The National Committee for Quality Assurance has named the highest-quality and most-effective health plans of 2026 based on clinical quality, patient experience and health plan accreditation status. The ratings were released Sept. 15 and draw on 2025 data from commercial,…
Five Medicare Advantage plans scored a full five stars in this year’s health plan rankings from the National Committee for Quality Assurance, up from three in 2025. An additional 15 plans, including five more Kaiser health plans from around the…
The national uninsured rate held steady at 7.9% in 2025, with 26.7 million people having no health coverage, according to Census Bureau data released Sept. 15. Beneath the unchanged national rate, the coverage mix shifted as Medicaid enrollment fell by…
The No Surprises Act’s independent dispute resolution process has now generated more than $22 billion in total costs since 2022, with dispute volume still accelerating and the courts, Congress and federal regulators all moving in different directions on how to…
Connecticut Comptroller Sean Scanlon is establishing AI safeguards for the State Employee Health Plan and Partnership Plan. The protections, announced Sept. 16, will cover more than 270,000 members on the plan Mr. Scanlon oversees. The policy prevents adverse determinations and…
Blue Shield of California is expanding its virtual care program, Virtual Blue, in January 2027, with total enrollment in plans containing the benefit to increase from 150,000 to more than 410,000 members. This boost includes 200,000 mid-size employer PPO members…
St. Louis-based Ascension has reached an agreement to transfer full ownership of its co-owned Arizona managed care health plan, Mercy Care, to CVS Health subsidiary Aetna, a spokesperson for Ascension confirmed with Becker’s. Ascension co-owns the plan with San Francisco-based CommonSpirit’s Dignity Health.…