Leadership

Payer executives are looking forward to investing in AI, improving equity and new care models in 2025. 

Long Beach, Calif.-based SCAN Health Plan is trying to maintain calm amid a tumultuous Medicare open enrollment.  

Payers have the opportunity to make strides on equity and care outcomes in the next year. 

Blue Shield of California is continuing its efforts to transform its pharmacy benefits. 

Mass General Brigham Health Plan has been growing its womens' health portfolio over the past year, adding programs to support pregnancy, child care and menopause. 

Zing Health is plotting an expansion in the Medicare Advantage market. 

Health plans often prioritize managing high-cost areas like pharmacy, behavioral health, and diabetes while overlooking Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). This oversight results in unmanaged costs, leading to care delays, poor member experiences, and missed opportunities for…

The CEO of the nation's largest public health plan plans to keep advocating for Medicaid funding in retirement. 

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.