At Becker’s Fall Payer Issues Roundtable in early November, payer and provider executives discussed the shifting realities facing health plans, from regulatory pressure and AI adoption to member experience and cultural inclusion. Leaders described an environment where operational complexity, new…
Leadership
CEO Pooja Ika launched eternalHealth at just 24 years old in 2020, focusing on Medicare Advantage. But, a few years in, she says some health plans and their leaders are distracted — and she was, too. “When you ask me…
Emerging technologies like generative AI and predictive analytics will be a difference maker in terms of health plans operating more efficiently in the very near future. Becker’s connected with ten health plan leaders to learn what innovation they think will most…
When a critical patient’s prognosis is unclear, often because they are unable to wean from the ventilator, care teams begin to discuss palliative care, advance care planning, and even hospice. Making decisions about long-term care goals can be challenging for…
Leaders in healthcare are problem solvers. Our goal is to continually revolutionize healthcare by designing innovative products to address complex challenges and deliver better healthcare outcomes for our members and customers. Today’s healthcare solutions landscape is flooded with new products,…
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Emerging technology has recently helped health plans share data more efficiently in a variety of ways. Becker’s connected with ten health plan leaders to learn how their organizations have utilized tech for improved data sharing. Like what you see here? Join…
Dan Kueter is the CEO of UnitedHealthcare’s employer and individual insurance business, an $80 billion division and the nation’s largest company that offers health coverage to employers nationwide. Mr. Kueter has been with the company since 2001 and has served…
Pricing operations in healthcare today are grappling with issues reminiscent of the early days of electronic medical records (EMRs). In the 1990s and early 2000s, EMR systems were fragmented across departments—emergency rooms, radiology, labs—each functioning in isolation. That same siloed…
Blue Shield of California’s new CEO, Mike Stuart, brings a finance background to the chief executive role, not only as a payer, but as the former CFO of a safety-net health system. “Working in multiple parts of the health industry…
Discharge decisions may contribute to the significant healthcare challenges associated with sepsis. Though sepsis patients are often discharged to skilled nursing facilities (SNFs), data demonstrates that transitioning patients to long-term acute care hospitals (LTACHs), which provide continued acute care for…