Picture a front end where coverage drops are caught early, authorizations are not missed and manual rework no longer creates downstream financial risk. This 2026 playbook shows how health systems, including Premier Health, are moving closer to that reality by…
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L.A. Care Health Plan has named Rob Geyer as its first chief operating and systems integration officer. Mr. Geyer will be responsible for integrating and aligning the insurer’s information technology, operations, and customer service departments, according to a Jan. 28…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Aspirus, based in Wausau, Wis., seeks a vice president of payer contracting and…
BCBS Arkansas promoted Anne Gardner to chief privacy officer, according to a Jan. 27 news release shared with Becker’s. In the role, which Ms. Gardner stepped into in 2025, she oversees the company’s information privacy program, encompassing HIPAA compliance, impact…
Healthcare leaders are navigating rising costs, workforce strain and growing pressure to maintain care quality. This report captures a candid discussion among health system leaders on where AI is already making a difference and where caution is still required. Rather…
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Active-duty family members enrolled in Tricare Prime Remote will no longer face copays when filling covered prescriptions, according to a Jan. 27 news release from the military’s healthcare program. Tricare Prime Remote is a managed care offering for military families…
Elevance Health posted nearly a $5.7 billion profit in 2025, the insurer revealed in its full-year and fourth-quarter earnings report published Jan. 28. Elevance had cut its earnings guidance in July due to steeper individual market and Medicaid costs. Total…
Health systems are entering a new era of cardiology care: one where pharmacy, finance and cardiovascular leaders must work together to improve access to provider-administered medications. But scaling delivery for emerging therapies — such as those for rare cardiac conditions…
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Medicare Advantage has long been viewed as a strong alternative to traditional Medicare, but the program has “deteriorated significantly” in recent years — benefitting commercial payers at the expense of patients and providers, according to Providence President and CEO Erik…
More than 850,000 members of Horizon NJ Health, the managed Medicaid plan operated by Horizon Blue Cross Blue Shield of New Jersey, will lose in-network access to CVS pharmacies after April 30. The insurer is advising affected members to transfer…
