Leadership

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…

Erica Schwartz, MD, was confirmed by the Senate as the next CDC director Aug. 5 in a 51-43 vote, which split almost entirely across party lines. The move makes her the agency’s first permanent director in nearly a year.  Every…

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…

Payer organizations are under pressure to turn talent management from a collection of individual HR programs into a single, coherent strategy, particularly as AI reshapes what skills and leadership look like on the ground. Becker’s asked talent leaders among payers…

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.…