The Latest - Page 225 of 1589 - Becker's Payer Issues

Scaling AI with confidence: Turning early use cases into enterprise value

Healthcare leaders face daily tension: contact centers are overwhelmed, patient communication is fragmented, and staff workflows remain manual. Add a crowded, fast-moving AI ecosystem, and the risk of missteps increases. Many health systems recognize AI’s promise but struggle to translate…

Mar 26, 2026 11:00 AM - 12:00 PM CDT

Presented by:

Presenters:

Ajay Chadha, CFO, 42 North Dental & Orthodontics
Clayton Lawrence, COO, Unio Health Partners
Miguel Barcenas, Director, Healthcare Product Management, IntelePeer
Dr. Stephanie Lahr, CMIO, IntelePeer

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AmeriHealth Caritas to shut down PBM, move to Optum Rx

AmeriHealth Caritas is dropping its pharmacy benefit manager business, PerformRx, and transitioning to Optum Rx instead, the insurer confirmed to Becker’s Feb. 17. AmeriHealth Caritas is moving away “after a multiyear review” of PBM options. PerformRx will wrap operations “in…

Florida Blue shuffles C-suite, other leadership roles amid GuideWell changes

Florida Blue is undergoing a range of leadership changes, from welcoming an Elevance Health chief technology officer to expanding responsibilities for its chief medical officer. The changes come as GuideWell, parent company of Florida Blue and Triple-S Salud, is working…

UnitedHealth CEO privately invested in potential competitors: Wall Street Journal

UnitedHealth Group Board Chairman and CEO Stephen Hemsley privately invested in healthcare companies that work with UnitedHealth or have competing offerings, The Wall Street Journal reported Feb. 16. Mr. Hemsley’s investment firm, Cloverfields Capital Group LP, has made both public…

Beyond geography: Scalable care models for access, workforce and sustainability

Rural access challenges are no longer defined by distance. They are driven by workforce shortages, capacity constraints and the need to deliver care differently with limited resources. As demand rises, health systems are rethinking traditional models to extend access without…

Apr 29, 2026 1:00 PM - 2:00 PM CDT

Presented by:

Presenters:

Joanna Braunold, Director of Content Marketing and Communications, TytoCare
Cynthia Lee, EVP, Chief Strategy and Growth Officer, Sutter Health
Evalyne Bryant Ward, CAPPM, MBA, DBA, Vice President, Ambulatory Services, Civista Clinical Services, LLC (dba UM Charles Regional Medical Group), University of Maryland Medical System
Matthew Anderson, MD, MBA, CPE, Chief Medical Information Officer – Ambulatory, Clinical Innovation Department, HonorHealth Innovations H2I
Kevin Hartman, MD, MHCM, Ambulatory Chief Medical Officer, Bon Secours Mercy Health
Michelle Winfield-Hanrahan, MSN, MHA, BSN, RN, Chief Clinical Access Officer; Assistant Vice Chancellor, Access; Senior Nursing Director, Cancer Institute, University of Arkansas for Medical Sciences

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Humana closes on acquisition of MaxHealth primary care clinics

Humana’s healthcare services division CenterWell has completed its acquisition of MaxHealth, a Tampa, Fla.-based primary care network focused on adults and seniors, the company said Feb. 13. MaxHealth operates 54 primary care clinics, four specialty/ancillary clinics and 24 affiliated clinics…

Jefferson Health Plans narrows operating loss to $90.7M in H1

After factoring in $64.7 million in restructuring costs, Philadelphia-based Thomas Jefferson University, owner of Jefferson Health, recorded an operating loss of $201 million (-2.3% operating margin) in the first half of fiscal 2026, up from an operating loss of $55.3…

Cyber Resilience Is No Longer an IT Strategy. It Is a Patient Safety Strategy

When healthcare systems go down, care does not pause. It degrades. Downtime shifts clinicians to paper. Medication workflows slow. Access controls change. Communication patterns fracture. In pediatric environments and high acuity settings, even short disruptions carry real risk. Cyber resilience…

Mar 20, 2026 12:00 PM - 1:00 PM CDT

Presented by:

Presenters:

Kevin Chambers, Chief Information Executive at Bethany Children’s Health Center
Marlin McFate, Public Sector CTO and CISO at Cohesity

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Connecticut governor pitches state-backed health plan, ICHRA perk for small employers

In February, Gov. Ned Lamont proposed the “Connecticut Option” — a publicly created, but privately administered, health plan — in his 2027 budget proposal. He called for $1 million to outline the policy and conduct a feasibility assessment. He said…

How Michigan's governor plans to secure $780M for Medicaid

In a Feb. 11 budget proposal, Gov. Gretchen Whitmer laid out how she plans to secure $780.4 million to stabilize Medicaid. Ms. Whitmer is aiming to bring in $232 million from tobacco, $73.6 million from vaping and non-tobacco nicotine products,…