In 2025, health plans put emerging tech to use, but also had to discover and utilize workarounds for government regulations from the current administration. For many payers, navigating the past year has helped them plan ahead for 2026. Becker’s connected with…
Leadership
The data is clear: complexity in our healthcare system leads to poorer outcomes. A report by the Milken Institute found that only 12% of adults in the U.S. are considered to have high health literacy. This directly impacts people’s ability…
Jenny Smith is the Hawaii Medical Service Association’s new COO and first female president. Her priorities as the organization’s operational lead are not overly fancy, but she does not think that makes them any less important. “If we do not…
At the Fall 2025 Becker’s Payer Issues Roundtable, CareSource Senior Vice President Todd Carlson participated in a fireside chat on how the nonprofit payer is modernizing its technology infrastructure to deliver more personalized, efficient and scalable healthcare. In partnership with…
Dual eligible special needs plans, or D-SNP, are the fastest growing segment of Medicare Advantage, as insurers increasingly focus on complex populations amid broader margin pressures within the program. At Becker’s 4th annual Fall Payer Issues Roundtable, Michael Carson, president…
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At Becker’s Fall Payer Issues Roundtable in early November, payer and provider executives discussed the shifting realities facing health plans, from regulatory pressure and AI adoption to member experience and cultural inclusion. Leaders described an environment where operational complexity, new…
CEO Pooja Ika launched eternalHealth at just 24 years old in 2020, focusing on Medicare Advantage. But, a few years in, she says some health plans and their leaders are distracted — and she was, too. “When you ask me…
Emerging technologies like generative AI and predictive analytics will be a difference maker in terms of health plans operating more efficiently in the very near future. Becker’s connected with ten health plan leaders to learn what innovation they think will most…
When a critical patient’s prognosis is unclear, often because they are unable to wean from the ventilator, care teams begin to discuss palliative care, advance care planning, and even hospice. Making decisions about long-term care goals can be challenging for…
Leaders in healthcare are problem solvers. Our goal is to continually revolutionize healthcare by designing innovative products to address complex challenges and deliver better healthcare outcomes for our members and customers. Today’s healthcare solutions landscape is flooded with new products,…