Elevance Health is expanding its education and professional development benefits with new programs centered on artificial intelligence and career growth. The insurer is partnering with OpenAI to offer employees AI certifications, including training in areas such as prompt engineering and…
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Blue Cross Blue Shield of Massachusetts has hired Sophie Clarke, MD, as chief strategy officer and senior vice president, according to a Sept. 18 news release. Dr. Clarke’s role will focus on corporate strategy, along with identifying companies to fund…
The Department of Justice has filed a False Claims Act lawsuit against Inland Empire Health Plan (IEHP), alleging the Rancho Cucamonga, Calif.-based insurer misused federal Medicaid expansion funds and submitted false statements to the state. The Sept. 17 complaint was…
Hawaii Medical Service Association and Blue Cross and Blue Shield of Kansas joined Blue Shield of California as co-founders of Stellarus, according to a Sept. 18 news release from the technology company. Stellarus said it aims to help health plans…
Senate and House lawmakers have introduced a bill that would bar health insurers from buying independently owned clinics and require existing conglomerates to divest their provider businesses. The Patients Over Profits Act would: The lawmakers cited the example of UnitedHealth…
Fragmented tech stacks are draining hospital margins — but systems like MUSC Health, Montage Health, Care New England and Austin Regional Clinic are proving consolidation doesn’t just reduce waste. It unlocks real ROI. This CFO-focused report shows how leading organizations…
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Patient access can no longer rely on manual scheduling, long hold times or disconnected portals. These outdated workflows frustrate patients and burn out staff — and healthcare leaders know it. In a recent Becker’s survey, 100 healthcare executives shared their…
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Health insurers say they will continue to provide coverage for recommended immunizations without cost-sharing through 2026. “Health plans are committed to maintaining and ensuring affordable access to vaccines,” AHIP said Sept. 16. “Coverage decisions for immunizations are grounded in ongoing,…
Marketplace enrollment soared at over 24 million plan selections for 2025, but the enhanced premium tax credits that enabled this surge are set to expire at the end of the year. Some 4.8 million people total will lose their insurance…
The NCQA published its 2025 ratings of health plans Sept. 16, evaluating plans on nearly 50 assessments of quality outcomes and member experience. Just 11 plans out of the nearly 1,000 rated received 5-stars. In the commercial market, Kaiser Permanente,…