Leadership

Before the pandemic, North Carolina State Health Plan, administered by Blue Cross Blue Shield North Carolina, grabbed headlines when it shifted from a commercial-based payment model to a reference-based government pricing model that reimburses providers based on a percentage above…

These are seven health plans expanding or launching products in new markets that Becker's has reported since Nov. 16:

In 2022, payers expanded their mental health networks and focused on wellness and whole-person care.

Payers are investing in health equity in many ways, including improving data collection, access to virtual care and adding health equity experts to C-suites. 

Anthem Blue Cross and Blue Shield in Missouri CEO Stephanie Vojicic said helping people navigate the eventual end of the COVID-19 public health emergency is her top priority in 2023, Forbes reported Nov. 29. 

Outgoing Blue Cross Blue Shield of Massachusetts President and CEO Andrew Dreyfus said he hopes his legacy is "demonstrating that when people of goodwill come together, extraordinary things can happen."

The magazine WomenInc. named three payer executives among its 118 most influential women in corporate America. 

Anhelo, a Medicare agency serving Hispanic populations, helped over 60,000 customers enroll in plans in 2021, its first year in operation. 

Health Net, a subsidiary of Centene, serves more than 3 million California Medicaid, or Medi-Cal members.

Payers, along with healthcare organizations in general, should refrain from using complicated industry-speak in communications with members because it creates confusion and inequities, according to Independence Blue Cross' communications standards lead, Matthew Jakubowski.