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'We can't break things': How CareFirst guides AI startups
Healthworx, CareFirst Blue Cross Blue Shield's investment arm, aims to bridge the gap between an established insurer and scrappy startups, Managing Partner Doba Parushev said. -
Why CenterWell is moving into Walmart
Primary care clinics focusing mainly on older adults are more likely to serve Black patients and those dually eligible for Medicare and Medicaid, a study from Humana found. -
The 8 most dangerous trends facing payers
Cybersecurity threats and rising costs are some of the greatest challenges facing payers and accountable care organizations, according to executives. -
This Medicare Advantage plan says headwinds have 'very little impact'
Clover Health does not have direct competitors, CFO Peter Kuipers says. -
What these payers learned through collaborating with their competitors
The largest payers in Washington state are working together to improve primary care. -
What separates value-based successes from failures?
A demonstrated commitment from providers is the dividing line between value-based care initiatives that succeed and fail, according to Priority Health's network leader. -
Centene appoints former Frito-Lay CEO to board
Centene has named Thomas Greco to its board of directors. -
50 things to know about the CEOs of the largest insurers
Two of the CEOs of the largest health insurance companies were Division 1 athletes. Four held roles at UnitedHealth Group. -
How 8 payers are solving their biggest workforce challenges
Payers are finding creative ways to keep employees engaged and develop the next generation of healthcare workers. -
This payer CEO counts surgeon, basketball coach and Broadway producer on his resume
The CEO of Hawaii's largest insurer also holds the title of the state's winningest high school basketball coach. -
Behind Anthem Blue Cross of California's new primary care strategy
Anthem Blue Cross of California is creating neighborhood centers for care through a partnership with Astrana Health. -
Why these physicians became payer CEOs
When Michael Genord, MD, received a call offering him an executive role at a health plan, his first question was: "Why would I do that?" -
Beyond Standardization: Maximizing Value through Roster End-to-End Automation
Executive Summary: HiLabs' Roster Automation solution has achieved significant success with a national blue plan with touchless processing of 100,000 rosters from providers across the nation. The impact went far beyond simply standardizing rosters, which provides only 25% of the total value across the process. -
AI a boost for BCBS Illinois customer service
To enhance its customer service, Blue Cross Blue Shield of Illinois is looking to artificial intelligence. -
How this BCBS CEO approached his 1st year on the job
Culture, relationships and strategy were Blue Cross Blue Shield of Nebraska CEO Jeff Russell's top three priorities in his first year on the job. -
What do members want? 14 top-ranked plans weigh in
Members want more from their health plans, and the top-performing plans are finding more ways to connect with them on the phone, online and in person. -
1 payer's road map for making physicians' jobs easier
A multi-payer portal is one way Johns Hopkins Health Plan has reduced administrative burdens. -
17 payer executives' top priorities for the 2nd half of 2024
Payer executives are focused on improving member experience and engagement, implementing value-based models and controlling rising costs in the second half of 2024. -
Why Blue Shield of California, Included Health put $464M on the line with state contract
The California Public Employees’ Retirement System awarded its PPO contract to Blue Shield of California, the first time the contract has changed hands in 20 years. -
Former Aetna CEO dies at 93
William Donaldson, who led Aetna for an influential 13 months, died June 12 at age 93.
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