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Alignment Healthcare added roughly 65,000 members in 2025, bringing its total enrollment to about 275,300 as of Jan. 1. The Medicare Advantage insurer disclosed the 31% year-over-year growth on Jan. 12, following a strong annual enrollment period. The company has…

CareOregon and Health Share of Oregon have notified members that unauthorized individuals accessed their personal information, which may have been used to create fraudulent claims. The Portland-based insurers learned of the breach Oct. 27 when one or more people viewed…

Administration and automation are not the only AI use cases payers should be focused on this year, according to McKinsey Senior Partner Adi Kumar, who broke down his 2026 predictions for insurers in a Jan. 12 report. His insights were…

Humana’s CenterWell Pharmacy will dispense Eli Lilly obesity medications under a new program targeting employers, according to a Jan. 12 news release. The pharmacy will serve those in employer plan-sponsored carve-out programs. Humana Pharmacy Segment President Bethanie Stein, PharmD, said…

UnitedHealth Group leveraged “aggressive strategies” to secure higher-paying Medicare Advantage diagnoses, according to a Jan. 12 Senate report.  The Wall Street Journal initially covered the news. Senate Judiciary Chair Chuck Grassley, R-Iowa, started an investigation into the insurer’s billing and…

The insurance sector has experienced its first year of job losses since the pandemic, according to Bureau of Labor Statistics data released Jan. 9. Four notes:

Infusion nurse schedules are notoriously difficult to balance. Between unpredictable demand, staff preferences, and fairness, nurse managers often spend hours manually building schedules only to end up short-staffed during peak hours and overstaffed during slow periods. In this session, leaders…

On Demand

Presented by:

Presented by
Presenters:
  • Lisa Fidyk MSN, MS, RN, Associate Clinical Director, Site Administrator, Penn Presbyterian Infusion Services
  • Melanie McAnulty Zisa, RN, BSN, OCN, Penn Presbyterian Medical Center, Infusion Supervisor Cherry Hill, Voorhees, Sewell, NJ, Director of Nursing, PMCH
  • Lisa Figueroa, BSN, RN, OCN, Associate Clinical Director, Infusion Services, Penn Medicine | Abramson Cancer Center
  • Alex Lash, MS, Senior Product Manager, iQueue for Infusion Centers, LeanTaaS

The Blue Cross Blue Shield Association commended the House of Representatives’ vote to extend enhanced ACA tax credits in a Jan. 9 statement shared with Becker’s. A spokesperson said the credits are “the most straightforward and effective step Congress can…

Washington state has fined Kaiser Foundation Health Plan $300,000 for failing to comply with federal mental health parity requirements, though $100,000 of that amount is suspended. The enforcement action came after Kaiser couldn’t provide adequate documentation on provider admission standards…

CMS has become more aggressive with its rollout of new payment and care delivery models. To provide healthcare leaders with an outlook for 2026, research firm ATI Advisory compiled observations from 2025 to gain a sense of CMS’ plans for…

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