Leadership

Most of a regional plan’s commercial book now sits in arrangements that pay a fee rather than a premium, and some employers are leaving group coverage altogether. For growth leaders at regional and mid-market plans, what happens between the account…

Karen Ignagni has returned to her CEO seat at EmblemHealth — and things are different this time around. Ms. Ignagni never left the organization: Following a stint as EmblemHealth’s executive board chair, she stepped back into the CEO role as…

Growing up, I attended pain-management conferences with my father. It was, improbably, how our family vacationed. He was a physician and an early leader in pain medicine. His purpose was straightforward: teach other doctors better ways to treat cancer pain.…

The cost of healthcare remains one of the greatest challenges facing families, employers, and public programs. While discussions are focused on hospital prices, prescription drugs, and insurance premiums, one of the greatest opportunities to lower healthcare costs is expanding access…

When Providence announced it was shutting down its health plan earlier this year after a $102 million loss in 2025, it joined a growing list of health systems stepping back from the insurance business. Carle Health’s Health Alliance, Michigan Medicine’s…

Healthcare CFOs’ tenures last an average of 3.7 years, according to a September report from Crist|Kolder Associates. Here’s how CFO tenure stacks up at the country’s largest health insurers:

There has been one word health insurers have not been shying away from in 2026: discipline. Elevated utilization for specialty drugs, behavioral health and emergency services has been driving medical costs in recent years. As insurers face pressures across lines…

Payer executives often zero-in on the same idea regarding innovation: It is less a department than a discipline, and less about the technology itself than what an organization does around it.  Flat org structures that let engineers experiment, governance committees…

As insurers nationwide prepare to take their latest Medicare products to market this fall, SCAN Group is doubling down on an unconventional growth strategy meant to grab the attention of seniors and healthcare leaders alike. “You can’t solve a problem…

HL7® FHIR®, the modern data exchange framework powering US healthcare’s move to electronic prior authorization (ePA), offers two digital approaches for specifying documentation needed for prior authorization: standard and adaptive questionnaires. Other technical considerations that must be addressed by this…