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Leadership

Crissy Turino became a member of CountyCare — a Medicaid plan under Chicago-based Cook County Health, a public health system — about two years after it launched. She is now one of the plan’s top leaders, serving as COO. Ms.…

Four healthcare leaders discuss why communication alone isn’t enough—and what it takes to influence behavior at scale. Over the past decade, health plans have invested heavily in digital engagement, personalization and omnichannel communication. Members are more connected than ever before.…

In 2026, some health system-owned insurance plans have continued to face headwinds. Renton, Wash.-based Providence is slated to close most of its insurance business, Providence Health Plan, starting in 2027. Plans operated by Urbana, Ill.-based Carle Health and Ann Arbor-based…

The Blue Cross Blue Shield system is made up of more than 30 independent and locally operated companies. While they share branding and licensing through the Blue Cross Blue Shield Association, some plans function as their own entity with separate…

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John Prince, who spent nearly two decades in executive roles at Optum before moving into healthcare private equity, died June 28. He was 59. Mr. Prince died in Vero Beach, Fla., after a battle with cancer, according to his obituary.…

Brian Evanko took the helm as The Cigna Group’s CEO July 1 as longtime chief David Cordani passed the baton. Mr. Evanko brings a wealth of experience across the company, including a history of executive-level leadership. He also brings his…

Most patients never see utilization management (UM) in action. It is how health plans and providers work together to confirm that care is safe, necessary, covered, and based on clinical evidence. It also helps patients receive the right care at…

Mark Cuban disrupted pharmaceutical pricing in 2022 with Cost Plus Drugs, a public benefit corporation that charges a flat 15% markup on generics and posts its full price list publicly, bypassing pharmacy benefit managers and intermediaries entirely.  Four years later,…

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