Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with contract losses.
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A first-of-its-kind, peer-reviewed study published in JAMA Network Open provides compelling evidence for what anecdotal reports previously suggested: ambient AI not only reduces documentation burden — it improves clinician wellbeing. Led by Yale School of Medicine and conducted across six…
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Arkansas Blue Cross and Blue Shield has started offering “an early-out option to eligible employees,” according to a statement shared with Becker’s on Dec. 1. The insurer said the decision stemmed from “current budget constraints, including changes in membership for…
Chapel Hill-based University of North Carolina Health and Cigna missed their Dec. 1 contract negotiation deadline, according to both organizations. UNC Health hospitals, clinics and providers are all out of network, but some patients may qualify for continuity of care…
Emergency departments are increasingly overburdened by long wait times, complex patient cases and limited visibility into care history. But during a session at the Fall 2025 Becker’s Payer Issues Roundtable, participants argued that these transition points — if better coordinated…
UnitedHealth Group is selling its last South American business, Banmedica, to Brazilian private equity firm Patria Investments for $1 billion, CNBC reported Nov. 30. Banmedica operates in Colombia and Chile and includes 1.7 million health insurance members, seven hospitals and…
Get the proven playbook for compliant, high-performance audience targeting — built for healthcare. Healthcare marketers know who the ideal targets for their campaigns are: nearby patients, people overdue for care, high-intent website visitors, and countless other valuable segments. In most…
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2025 brought a sharp decline in 4-star contracts and higher cut points across key HEDIS and CAHPS measures, shrinking bonus pools and raising pressure on health plan leaders. Join health plan executives to explore how real-time data from Remote Patient…
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Presenters
Lisa Sipes
Senior Director of Member Experience, Medical Guardian
Tim Haas
Senior Product Manager, Medical Guardian
Steven Spencer, MD, MPH, MBA
Chief Medical Officer, Fidelis Care New Jersey
Vanita Pindolia, PharmD, MBA
Vice President, Stars and Senior Health Services, BCBSM
Richard Pitts, D.O, Ph.D
Chief Medical Officer, Cal Optima Health
Michael Kobernick, MD, MS, MS-PopH, CPE
Senior Medical Director, Health Plan Business, Blue Cross Blue Shield of Michigan
New York Gov. Kathy Hochul signed a bill ensuring one rescue inhaler and one maintenance inhaler would be available to patients on state-regulated health plans, free of charge, according to a Nov. 24 news release. The New York State Department…
Columbus, Ohio-based Mount Carmel Health System, a member of Livonia, Mich.-based Trinity Health, is back in network with Humana, according to both the health system and the insurer. Mount Carmel confirmed the agreement will span multiple years and reinstate access,…
