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'Any one of us can get hit by a bus tomorrow': Why a 20-year CEO banks on a succession strategy
UPMC Health Plan CEO Diane Holder has grown the insurer to 4-million plus members and built a strong team capable of a "seamless transition." -
Hospitals' Medicare Advantage market share is decreasing. Here's how Geisinger is bucking the trend
Health system-owned Medicare Advantage enrollment continues to grow overall, but providers' share of the national MA market currently sits at 13%, compared to 17% in 2019. -
How Elevance Health is improving health outcomes through an integrated spectrum of care
The healthcare industry is rapidly evolving, transforming both patient experiences and healthcare delivery. It's essential to embrace an integrated spectrum of care, which encompasses in-person, digital, and virtual services to adapt to this changing landscape. This approach enables timely medical interventions, minimizes travel issues, ensures ongoing support, and ultimately results in better health outcomes. -
The best changes 33 healthcare leaders made this year
Leaders in the payer space are making changes to simplify members' experiences, improve equity and level-up the way their teams work together. -
5 payer leaders among world’s most influential CEOs in 2024
Five insurance leaders have been named among the world's 200 most influential CEOs in 2024 by CEO World's annual ranking published in January. -
What's behind Aetna's industry-leading Medicare Advantage growth?
It's no secret that big insurers are facing challenges in the Medicare Advantage space, leaving enrollment growth flat or even on the decline for much of the industry in 2024. -
'One of the challenges is ubiquity': How CareFirst's CEO is driving local healthcare on the national stage
Brian Pieninck has led CareFirst BlueCross BlueShield as president and CEO for nearly six years, and he was recently elected as chair of the Blue Cross and Blue Shield Association's board of directors. -
Former CMS administrator: 'I would like to see Medicare Advantage slowed or stopped'
Medicare Advantage is now the dominant form of Medicare in the U.S., with a projected 54% share by the end of 2024, or more than 33 million enrollees. -
6 payers among Fortune's most admired healthcare companies
Six payers are among Fortune's annual list of the World's Most Admired Companies. -
Meet the UnitedHealthcare CEO for every state
UnitedHealthcare's regional CEOs are responsible for employer and individual plan operations across large geographies and usually have extensive experience with the company. -
Inside 1 payer's strategy as hospitals become 'more discerning' about Medicare Advantage
Some hospitals and health systems are paring the number of Medicare Advantage plans with which they contract, seeking payer partners that align on clinical and financial outcomes. -
5 things to know about Cigna Healthcare's new CEO
The Cigna Group recently named Brain Evanko president and CEO of Cigna Healthcare. -
21 payers' growth strategies for 2024
Payers are planning to grow their value-based models, improve health equity, implement new technology and more in the coming years. -
Proactive CMS RADV compliance: Identify potentially over-coded conditions early on
Dr. Eshelman is a board-certified physician in internal medicine and clinical informatics. Her work at Inovalon involves providing actionable, relevant health data analytics to health plans and providers to improve their ability to care for patients with speed and accuracy, while being patient-centric. -
Navigating data challenges to engage patients + personalize care — 3 roundtable takeaways
During an interactive session at Becker's Payer Issues Roundtable, two leaders from Medecision — Sam Abraham, senior vice president of corporate development and channel partnerships, and Terri Steinberg, MD, chief strategy officer and chief medical officer — led a discussion with healthcare leaders on data acquisition and use in healthcare. -
Guiding Medicaid enrollees in an unprecedented time
In my 25 years in healthcare, I have been privileged to develop strategies designed to increase access and improve the health of individuals and families across the U.S. I have seen some of the industry's most impactful transformations as well as some of its most challenging undertakings. And now, in my role leading the Medicaid plans of Elevance Health, I am involved in the effort to help millions of people navigate what may be the most complex Medicaid renewal process in the history of the program. -
How Elevance Health plans to integrate 'food as medicine' across its lines of business
In June, Elevance Health named Kofi Essel, MD, as its first food as medicine program director, signaling a paradigm shift within one of the country's largest healthcare organizations. -
What 8 BCBS CEOs told Becker's in 2023
In 2023, these eight Blue Cross Blue Shield leaders shared with Becker's about the latest initiatives at their companies and their thoughts on some of the most pressing issues in healthcare today. -
What 10 Elevance Health leaders told Becker's in 2023
From several clinical executives to those at the helm of subsidiaries, 10 Elevance Health leaders sat down with Becker's in 2023 to share about the company's latest initiatives and its response to wider healthcare trends. -
BCBS Michigan CEO reflects on his 17-year legacy
One of Blue Cross Blue Shield's longest-serving CEOs is looking toward retirement after 17 years.
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