Optum executives spoke with Becker’s throughout 2025 about how the company is applying AI and data analytics to address inefficiencies across the healthcare system, from claims processing delays and operating room bottlenecks to pharmacy operations and value-based care delivery. What…
Leadership
The payer-provider relationship is continually evolving. Becker’s connected with 13 health plan leaders to find out which part of that relationship they would change. Like what you see here? Join us at the Spring Payer Issues Roundtable in Chicago. Learn more here. All…
Curative recently landed over $150 million in series B funding. Now, the COVID-19 testing company-turned-insurer is expanding. Curative CEO Fred Turner told Becker’s about the company’s choice to move into the Mid-Atlantic region, starting with Maryland and Washington, D.C. “In…
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…
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…
Advertisement
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…
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…