The Latest - Page 39 of 1587 - Becker's Payer Issues

Penn Medicine and Stanford Health Care on where AI pays off in the revenue cycle

Generative and agentic AI are reshaping revenue cycle work faster than most teams can vet. The harder question isn’t whether to adopt, it’s where to invest and how to scale without breaking day-to-day operations. In this discussion, revenue cycle and…

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Presenters:

Noel Juaire, VP, Patient Financial Services, Stanford Health Care
Keith Cromwell, Sr. Director, Ambulatory Applications and Epic Connect, Penn Medicine

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What SCA Health and Cleveland Clinic leaders are saying about payer recoupments

Recoupments are one of the least-visible threats to an ASCs margin. They surface as offsets and provider-level balance adjustments months, sometimes years, after the money was already counted as collected. For surgery centers running lean billing teams, that timing is…

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Medicare Advantage insurers ranked by county entries, exits in 2027

Many major health insurers are pulling back from some counties in 2027, while Singh Holdings, Blue Cross of Idaho and Devoted Health boosted their footprint. CMS released data Sept. 28 on the 2027 Medicare Advantage landscape, showing which counties insurers…

Kaiser taps leader for national health plan

Tom Curtin was named executive vice president of Kaiser Permanente’s National Health Plan after serving as its interim leader since May. In the role, effective immediately, Mr. Curtin will lead health plan strategy and operations with a focus on growth,…

UnitedHealthcare exits international insurance markets, points membership to Cigna

UnitedHealthcare is withdrawing from international private medical insurance in the Americas, Europe, Africa and the Middle East, the insurer confirmed to Becker’s Sept. 29. According to a Cigna news release, UnitedHealthcare Global will exclusively recommend the Cigna Global Health Benefits…

BCBS Association names 3 new leaders

Blue Cross Blue Shield Association has named a chief transformation officer and hired two vice presidents, the organization said Sept. 29. Lynn Merritt has been promoted to executive vice president and chief transformation officer. She will oversee people experience, corporate…

UnitedHealthcare names networks president

Dennis O’Brien, CEO of UnitedHealthcare’s individual Medicare Advantage business, has been named president of UnitedHealthcare Networks, he announced in a LinkedIn post Sept. 29. In the new role, Mr. O’Brien said he will focus on strengthening the company’s relationships with…

The VBC Reckoning: A Payer’s Honest Look at Wins, Failures, and What Comes Next

Value-based care promised better outcomes at lower cost. Years of effort and millions in infrastructure later, payer leaders are asking a blunt question: is it delivering? On Oct. 21, join us for a candid discussion built for payer leaders that…

Oct 21, 2026 11:00 AM - 12:00 PM CDT

Presented by:

Presenters:

Tim Smith, ASA, MAAA, MS, Chief Actuary, Arbital Health
Niall Brennan, Chief Data and Analytics Officer, Horizon BCBS
Ali Khan, MD, MPP, FACP, Advisor, Andreessen Horowitz, Former CMO of Medicare, Aetna

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15 payers with Medicare Advantage enrollment caps for 2027

CMS released initial insights on the 2027 Medicare Advantage landscape Sept. 28, along with data breaking down plans. One wrinkle gaining attention: enrollment capacity limits. In April, CMS said insurers could include enrollment caps for specific plans in their 2027…

Behind the agent: How health systems scale patient access with AI

Patient access is often the first place health systems apply artificial intelligence. Scheduling, confirmations, cancellations and reschedules are high-volume, rules-heavy and chronically understaffed which is why voice agents and other automation tend to land here first. But the gap between…

Nov 12, 2026 1:00 PM - 2:00 PM CST

Presented by:

Presenters:

Caleb Wright, Enterprise Deployment, ElevenLabs
Peter Saul, Healthcare GTM Director, ElevenLabs
Robin L. Lang, DNP, MBA, CHCIO, CDH-E, Vice President and CIO, CaroMont Health
Sunil Dadlani, Executive Vice President, Chief Information and Digital Transformation Officer, Atlantic Health
Deb Muro, Chief Information Officer, El Camino Health

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