Only 1 in 4 agency nurses feel included where they work. That lack of belonging doesn’t just affect morale, it compromises care quality, safety and retention. With staffing shortages expected to persist through 2031, failing to integrate contingent staff isn’t…
Presented by:
Provider network performance is now a competitive differentiator for health plans. Members expect choice and access, regulators expect adequacy and parity, and executives expect measurable ROI. The catch: artificial intelligence and machine learning only create value when the underlying network…
Presented by:
James Lamb
Vice President of National Payers, Quest Analytics
Stephen Gold
Senior Advisor at Vestar Capital, Board of Directors Member, Quest Analytics
UnitedHealth Group has named Michael Pencina, PhD, as its chief AI scientist, following his departure from Durham, N.C.-based Duke University and Duke Health. Dr. Pencina stepped down Sept. 30 as vice dean for data science at Duke University School of…
As of Oct. 1, Cigna is back in network for Sarasota (Fla.) Memorial Health Care System, according to a statement on the health system’s website. The agreement allows Cigna commercial plan members to access two acute-care hospitals, outpatient and urgent…
A federal judge in Massachusetts denied a bid by a coalition of 21 Democratic-led states to halt new ACA rules they argue will impose significant barriers to receiving health coverage. The lawsuit was filed in July challenging a final rule…
New Mexico lawmakers are advancing legislation that would use state funds to offset the impending expiration of ACA enhanced premium tax credits. The bill, passed Oct. 1 in the state’s House of Representatives, would take effect immediately if signed by…
Blue Cross Blue Shield is exiting the Medicare Advantage market for 2026, citing an unsustainable market to offer affordable products. The company will continue to offer Medicare supplement plans, according to an Oct. 1 news release. Many insurers have exited…
CMS has suspended Gold Kidney of Florida from enrolling new members into one of its Medicare Advantage plans after state regulators found significant compliance and financial oversight failures. On Sept. 12, the Florida Office of Insurance Regulation issued a consent…
NeueHealth, formerly known as Bright Health, went private Oct. 2 with the closing of a $1.5 billion deal. The company was acquired by an affiliate of venture capital firm New Enterprise Associates, according to an Oct. 2 news release. Common…
Blue Cross North Carolina is offering voluntary separation packages to eligible employees, according to a company statement shared with Becker’s. The changes come months after the insurer restructured. “The rising cost of healthcare, market volatility and legislative and regulatory pressures…
