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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. -
The trends 26 payer executives are watching
Payer executives are keeping a close eye on artificial intelligence, drug costs, behavioral health and more in 2024. -
4 payers named corporate sustainability leaders in 2023, per S&P Dow Jones
UnitedHealth Group, CVS Health, Elevance Health and Cigna Group have been named world and North America leaders for corporate sustainability on the 2023 Dow Jones Sustainability Indices. -
What 5 regional Aetna leaders told Becker's in 2023
From big achievements in the Medicaid space to snagging a multibillion dollar health benefits contract in North Carolina, these five Aetna division leaders shared their thoughts with Becker's in 2023: -
The payer CEOs joining Taylor Swift, Oprah on Forbes' most powerful women list
Taylor Swift is the fifth-most powerful woman in the world, and CVS Health CEO Karen Lynch is the sixth, according to Forbes' ranking of the world's most powerful women. -
Why health equity won't come from a spreadsheet, per 1 UPMC insurance executive
Pittsburgh-based UPMC will transfer 6 million patient records from nine EHRs to Epic Systems by mid-2026, a move that will enable its clinicians with better data to improve health equity and quality, according to Johanna Vidal-Phelan, MD. -
CEO of Kentucky's best Medicaid plan on how partnerships lead to quality
Aetna Better Health of Kentucky CEO Paige Mankovich is zeroing in on improving specific disease states and building health at the community level. -
How Allina Health | Aetna avoids negotiation 'quibbles'
As a provider-integrated plan, Allina Health | Aetna can focus on quality rather than network negotiations, Chief Medicare Officer Britta Orr says. -
23 payer executives' top priorities for 2024
Payer leaders are turning their attention to health equity, prior authorization, AI and more as 2024 approaches. -
Why SCAN Group is betting on population-specific Medicare Advantage plans
There are nearly 4,000 Medicare Advantage plans for older adults to choose from nationwide for 2024, and payers are launching unique benefits aimed at serving specific and segmented populations. -
How Aetna snagged a multibillion-dollar state contract from BCBS North Carolina
Starting in 2025, Aetna will take over a three-year health benefits contract for more than 740,000 North Carolina state employees, public educators, retirees and their dependents, upending a 45-year relationship between the state and Blue Cross and Blue Shield of North Carolina.
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