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SCAN Group launching nation's first LGBTQ-focused Medicare Advantage plan
SCAN Health Plan is launching the nation's first Medicare Advantage plan designed specifically for LGBTQ seniors through a partnership with Included Health, an integrated virtual care and navigation platform. -
Q&A with Providence Health Plan's CEO on building the health plan everyone wants
Don Antonucci has been CEO of Providence Health Plan since 2021. He sat down with Becker's to discuss how he's working to get away from the buzzwords heard all too often in healthcare. As he puts it, he's walking the talk by delivering health plans members actually want — not just need, or choose. -
Regence, MultiCare launch nation's first FHIR-based prior authorization system
Regence and MultiCare Connected Care said Oct. 11 they have launched the nation's first HL7 FHIR-based prior authorization system. -
7 payers receive first NCQA accreditation for health equity
The National Committee for Quality Assurance has recognized nine healthcare organizations, including seven payers, for their work to address care inequities. -
'COVID has shattered actuarial science': Incoming Clover Health CEO lays out his priorities, challenges
Clover Health President and Chief Technology Officer Andrew Toy will assume the role of CEO in January when founder Vivek Garipalli moves on from the position. -
Meet the BCBS CEOs in the South
Most of the nation's largest health payers have a single CEO at the helm and operate under one name across many states. In contrast, Blue Cross and Blue Shield payers function as smaller, independent companies, though they are often the largest insurer within their respective state. -
Meet the BCBS CEOs of the Northeast
Most of the nation's largest health payers have a single CEO at the helm and operate under one name across many states. In contrast, Blue Cross and Blue Shield payers function as smaller, independent companies, though they are often the largest insurer within their respective state. -
Former Humana execs launch small business benefits startup
Two former Humana executives have launched a new company, Arrow Health, aimed at allowing more small businesses to offer health benefits, KYInno reported Sept. 20. -
Big payers ranked by CEO tenure
From 13 years to a few months, here is how long the CEOs of 10 of the nation's largest payers have held their roles: -
Q&A with UCare's CEO on building an anti-racist healthcare organization
Hilary Marden-Resnik has been president and CEO of Minneapolis-based UCare since March. Following a decades-long career working with Minnesota providers, she sat down with Becker's to discuss how her work advances the company's journey as an anti-racist organization through the prioritization of health equity initiatives and whole-person care. -
Creating access for hard-to-reach Medicare beneficiaries during the pandemic
The American health system must creatively use limited resources to meet the aging population’s needs. Every day, more than 10,000 seniors age into Medicare, and by 2030, one in five Americans will be 65 years or older. Brick-and-mortar hospitals lack the resources to meet those growing numbers. -
The moment is now: How payers can help lay the groundwork for effective demographic data collection
As payers look to address health disparities post-pandemic and CMS shifts toward measuring health equity compliance, the insurance industry is laying the groundwork to improve demographic data collection from its members. -
California Medicaid is going value-based. Meet the woman leading the charge in Orange County
It's been just under a month since Kelly Bruno-Nelson was named executive director of Medi-Cal and CalAIM at CalOptima, a public health insurance agency in Orange County, Calif. that serves low-income children, adults, seniors and people with disabilities. -
This autoimmune disease affects 700,000 people, but many have never heard of it — Dr. Lotus Mallbris explains why
Lotus Mallbris, MD, PhD, leads the global clinical development and medical affairs teams supporting Eli Lilly and Company’s immunology portfolio. She is a dermatologist with experience treating patients who have alopecia areata, an autoimmune disorder that attacks hair follicles and causes well-defined, coin-shaped patches of nonscarring hair loss. Alopecia areata is commonly dismissed as a cosmetic inconvenience, but is a serious disease that recently found its way into national headlines. -
Are employer-built health plans one of the best kept secrets in insurance?
An employer-built health plan. It may not be a concept you've ever heard of, but those that build and use them will tell you they're the best kept secret in the world of health insurance. Becker's decided to explore more about these custom plans that promise to cut out commercial payers altogether and greatly reduce employers' annual expenses on employee health benefits. -
Payers are all in on the health equity executive
As payers look to improve care outcomes across racial and ethnic lines within the communities they serve, many have recently added a new role to their C-suite lineup: the health equity executive. -
Longtime Centene CEO Michael Neidorff dies
Michael Neidorff, the longtime CEO of Centene, has died at the age of 79. -
UC Health Cincinnati payer lead: Vertical integration pushes, pulls on coordinated care
Payer are setting a double standard for patient care that both pushes for centralized, coordinated care and pulls patients away from receiving care in one place, according to Tim Maloney, vice president of payer relations at UC Health in Cincinnati (Ohio). -
Centene CEO to take medical leave of absence
Centene Chairman and CEO Michael Neidorff will be taking a medical leave of absence, effective Feb. 24. -
Horizon BCBS exec: Focused efforts, bucking 'shared failure' builds value-based partnerships that last
For providers and payers to maintain the momentum in forming value-based agreements, insurers need to have their "feet planted squarely in two areas, according to Lisa White, Director of value-based partner transformation at Horizon Blue Cross Blue Shield of New Jersey.
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