New Hampshire legislators have introduced two bills that would impose new requirements on health insurers operating in the state, with both measures set to take effect in 2027 if enacted. HB 1406 would prohibit insurers from using artificial intelligence to…
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Kaiser Permanente’s Northern and Southern California health plans have been named the highest-quality commercial plans in the state by the California Center for Data Insights and Innovation. The center rates commercial health plans using a rating system on a 1…
Inpatient care makes up just 7% of healthcare encounters but drives disproportionate costs and contributes to rising financial strain, even bankruptcy for patients. Low value care erodes hospital margins yet is difficult to define. Ardent Health launched a systemwide initiative…
Presented by:
- Susan Hughes, Vice President Case Management, Ardent
- Mukul Mehra, Senior Physician Executive CDS, Premier’s Stanson Health
As more patient monitoring devices connect to clinical networks and EHRs, health systems face a new frontier of cybersecurity risk. A Becker’s–Philips survey of 100 healthcare leaders found that only half feel their organizations have a moderately or highly mature…
Presented by:
If a “typical” background exists for leading a health plan, Anirban Gangopadhyay certainly does not have it: The co-founder and CTO of AI-forward Angle Health comes from tech powerhouse Palantir. “I would say Palantir operates in a very unique way…
Chapel Hill-based University of North Carolina Health and Cigna have established a “long-term” agreement to maintain coverage, according to a Dec. 12 news release from the health system. UNC Health and Cigna previously missed their Dec. 1 contracting deadline, prompting…
Several major payer acquisitions have closed or were announced in 2025. 19 deals to note: Blue Cross and Blue Shield of Kansas City (Mo.) and Highmark shared plans to affiliate, with Blue KC planning to keep its brand and headquarters.…
Turquoise Health has detailed its first comprehensive payer price transparency scores in its 2025 impact report, evaluating machine-readable file quality across 97 payers. Ten key findings: 1. Turquoise Health now tracks 219 payer files monthly. The company has assigned transparency…
Blue Cross and Blue Shield of Kansas City (Mo.) and Highmark are affiliating. While this is far from Highmark’s first affiliation agreement, there is not a one-size-fits-all blueprint. Four leaders from the organizations spoke with Becker’s about how the arrangement…
Optum executives spoke with Becker’s throughout 2025 about how the company is applying AI and data analytics to address inefficiencies across the healthcare system, from claims processing delays and operating room bottlenecks to pharmacy operations and value-based care delivery. What…
