Dual eligible special needs plans, or D-SNP, are the fastest growing segment of Medicare Advantage, as insurers increasingly focus on complex populations amid broader margin pressures within the program. At Becker’s 4th annual Fall Payer Issues Roundtable, Michael Carson, president…
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Wyoming’s proposal to CMS for the Rural Health Transformation Program included a pitch for “BearCare,” a state-operated public benefit plan to cover severe emergencies. Among them, bear attacks. Unlike other federal relief initiatives, the Rural Health Transformation Program is a…
Blue Shield of California has named Gary Culp as senior vice president of government markets and Greg Siebert as senior vice president for provider partnerships and network management. Mr. Culp will lead Blue Shield’s government health programs, including Medicare, Medi-Cal,…
Join Advisory Board expert as they unpack three foundational assumptions about the healthcare industry that are currently unraveling — and the emerging dynamics that will replace them. Things you’ll learn:
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- Daniel Kuzmanovich, Managing director and expert partner Advisory Board
Traditional cardiac imaging comes at a cost: longer appointment times, lower image quality and diagnostic ambiguity that leads to unnecessary procedures. This whitepaper breaks down the five biggest reasons hospitals are making the switch to Cardiac PET/CT. Backed by peer-reviewed…
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Blue Cross of Idaho requested the Idaho Department of Insurance investigate Nutex Health after months of failed negotiations with Nutex’s Post Falls (Idaho) ER & Hospital, according to a Nov. 17 news release. The insurer expressed concern over the hospital’s…
Employers can expect a 6.7% increase in total health benefit costs in 2026 — the steepest in 15 years — according to the 2025 National Survey of Employer-Sponsored Health Plans from consulting firm Mercer. The cost per employee is slated…
Health plans are no longer treating interoperability as a check-the-box requirement; they are embracing it as a driver of strategic transformation. That was the core message from a featured session at Becker’s Fall 2025 Payer Issues Roundtable, where a panel…
The Cigna Group is consolidating its board committee structure, dissolving its standalone compliance committee and redistributing oversight responsibilities across other committees, effective Jan. 1. The board approved the changes in late October, according to an SEC filing. The restructuring follows…
Documentation demands are still putting pressure on clinicians, but some health systems are finding a way to alleviate this burden. Ambient AI tools can help, but some don’t see lasting adoption. The difference at UNC Health? Their solution was co-designed…
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- Dr. David McSwain, Chief Medical Informatics Officer, UNC Health
- Dr. Reid Conant, Senior Physician Executive, Abridge
- Dr. Hilary Stempel, Clinical Success Director, Abridge