Sustained GLP-1 use slows medical cost growth, according to findings published Jan. 13 from professional services firm Aon. The firm analyzed 192,000 GLP-1 users from July 2022 to March 2025, comparing outcomes to non-users, through commercial medical and pharmacy claims…
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Salt Lake City-based University of Utah Health Plans has named Michael Hales CFO, effective Jan. 1. Mr. Hales will lead the financial, actuarial and Medicaid strategy for the health plan, while continuing in his current role as associate executive director…
Alignment Healthcare has California roots, but its CEO, John Kao, is confident about planting seeds for growth elsewhere. Mr. Kao weighed in on Alignment’s strategy Jan. 14 during the J.P. Morgan 2026 Healthcare Conference in San Francisco. Just days before,…
President Donald Trump released a sparsely detailed healthcare policy framework Jan. 15 that calls on Congress to codify voluntary drug pricing agreements with major pharmaceutical companies, direct payments to Americans over extending enhanced ACA subsidies, and expand price transparency requirements…
Ninety-three percent of health plan executives anticipate AI will contribute value by automating prior authorizations, according to an analysis of Deloitte survey results released Jan. 15. The Deloitte Center for Health Solutions surveyed more than 100 C-suite leaders across healthcare,…
Massachusetts Gov. Maura Healey is the latest state leader to push for prior authorization reform, fleshing out her plan in a Jan. 14 news release. Just one day prior, New York Gov. Kathy Hochul had shared her intentions to tackle…
The ACA open enrollment period for 2026 ended Jan. 15, as a tumultuous battle over enhanced subsidies continues. The possible return of subsidies may no longer mean much for this year. Here are six things to know about how the…
Blue Cross Blue Shield of Vermont backed a campaign, called Vermont Affordable Care, focused on comparing pricing policies at independent facilities and academic centers. The initiative — also led by St. Albans, Vt.-based Northwestern Medical Center, Colchester, Vt.-based Green Mountain…
Fidelis Care New York has named Paul Portsmore plan president and CEO, effective Jan. 5. Previously, Mr. Portsmore served in leadership roles at Empire BlueCross BlueShield, Healthfirst, and AmeriHealth New Jersey. “I’m excited to join Fidelis Care at a pivotal…
Dozens of health insurers have received Human Experience Pinnacle of Excellence awards from Press Ganey, an annual recognition of healthcare organizations for performance across experience, engagement, quality and safety metrics. Winners represent the top 5% of health plans nationwide based…