BCBS Rhode Island posted a $10 million operating loss in 2025, the insurer shared March 12. The company had a normalized operating loss of $78 million, a -3.2% margin, up from $115 million in 2024, where it recorded a -5.2%…
The Latest
When pharmacy vacancies remain open, the effects are felt across the department. Workflows slow, overtime rises, clinical capacity is reduced and team burnout becomes harder to contain. This webinar will help pharmacy leaders look beyond hourly rates and better understand…
Apr 6, 2026 11:00 AM - 12:00 PM CDT
Presented by:
Presenters:
- Marty Hancock, Senior Vice President, Rx relief
- Melissa Chase, Pharm.D, BCSCP, CPEL, Director of Pharmacy Services, Valley Children's Healthcare and Hospital
- Susan Burke, RACL, RACR, Vice President, Talent Acquisition for a National Veterinary Care Organization
BCBS Illinois has plans to bolster its claims editing and review procedure, the insurer said March 16. The process will change July 1 for office, inpatient and outpatient evaluation and management services. If the billed services do not align with…
Molina Healthcare President and CEO Joseph Zubretsky earned $18.3 million in 2025. The company reported the earnings of its top executives in its annual proxy report. Mr. Zubretsky earned roughly $3.6 million less than in 2024, when he was paid…
New York City-based Mount Sinai released a 34-minute podcast on March 13, detailing the health system’s contracting dispute with Anthem. “At Thanksgiving, [Anthem] inexplicably just said, ‘We are not doing anything we agreed to, and we’re not talking to you…
Cigna Group CEO David Cordani earned $22.9 million in 2025. The company reported the earnings of its top executives in its annual proxy report. Mr. Cordani earned roughly $400,000 less than in 2024, when he was paid $23.3 million in…
Payment integrity teams are being asked to do more with more complexity, more data and less room for error. The opportunity is not to replace existing workflows. It is to make them smarter. AI can help health plans act earlier,…
On Demand
Presented by:
Presenters:
- Arun Rangamani, Senior Vice President, Payment Services, AI and Analytics Solutions and Services, EXL
- William O’Neil, Vice President, Healthcare Solutions, EXL
Continuous glucose monitors have been gaining traction among Medicare Advantage members with Type 2 diabetes, according to a study published in the Journal of Managed Care & Specialty Pharmacy‘s March edition. The Humana Healthcare Research team and Joseph Ross, MD,…
Almost every Medicare Advantage beneficiary in a plan that ended coverage for 2026 had at least one other MA prescription drug plan available this year, according to a March 13 KFF analysis. MA pullbacks, further illustrated by enrollment dips, have…
I feel compelled to raise the alarm about the worsening state of maternal health in our country – particularly here in Florida, where I trained as a physician, raised my family, and built my career. This issue is deeply personal for…