Leadership

I. Introduction Payer-led care management serves as an important mechanism through which payers can exert influence on health outcomes, close care gaps, and enhance the performance metrics of health plans. It is progressively becoming more important in the rapidly evolving…

The healthcare industry needs to have more conversations about patient experience, AI and preventive care, according to payer executives.  Becker’s connected with 25 leaders to learn more about what they say is underdiscussed in healthcare.  Like what you see here?…

Few buzzwords are as popular in healthcare as "value-based care." But understanding of the term is often superficial, according to Alex Ding, MD, enterprise deputy chief medical officer at Humana. 

CareFirst Blue Cross Blue Shield is aiming to make generational investments with generational returns, according to CEO Brian Pieninck. 

Intellectual curiosity and a willingness to draw from other industries are key traits for healthcare CEOs, according to Independence Health Group CEO Gregory Deavens. 

Payers are focused on leveling up their use of AI and improving members' health outcomes in 2025. 

Becoming part of CareSource will help Common Ground Healthcare Cooperative expand, the company's CEO told Becker's. 

Insurers do not have to own every part of the healthcare system to improve connection, according to Jim Boyman, vice president of GuideWell Health. 

Payer executives are focused on staying adaptable in 2025. 

In an interactive session at Becker's Fall Payer Issues Roundtable, Sri Palanisamy, Principal at ZS, led a discussion on unique opportunities and challenges of provider partnerships, particularly for Blue Cross Blue Shield (BCBS) plans. The panel included Jason Hover, vice…