Leadership

Just two Medicare Advantage plans received five-star ratings from the National Committee for Quality Assurance for 2024. 

Payer executives are keeping a close eye on a shifting regulatory environment and ongoing provider shortages. 

Resistance to change is the biggest barrier to value-based care, Monica Engel, senior vice president of Government Markets at Blue Cross Blue Shield of Minnesota, told Becker's. 

Medicare Advantage plans "lacking substance" will not stand the test of time, Jordan Reigel, president of Essence Healthcare, told Becker's. 

Healthworx, CareFirst Blue Cross Blue Shield's investment arm, aims to bridge the gap between an established insurer and scrappy startups, Managing Partner Doba Parushev said. 

Primary care clinics focusing mainly on older adults are more likely to serve Black patients and those dually eligible for Medicare and Medicaid, a study from Humana found. 

Cybersecurity threats and rising costs are some of the greatest challenges facing payers and accountable care organizations, according to executives. 

Clover Health does not have direct competitors, CFO Peter Kuipers says. 

The largest payers in Washington state are working together to improve primary care. 

A demonstrated commitment from providers is the dividing line between value-based care initiatives that succeed and fail, according to Priority Health's network leader.