As people’s health needs become more complicated, they’re looking for more support from those who help them stay healthy. What they want most is a trusted partner to guide them through the often-confusing healthcare system and make it easier to…
Leadership
The Complex Wound Challenge Complex wounds represent a growing challenge to the healthcare community. As patients age and develop an increasing number of comorbidities, including diabetes and obesity, they are more prone to developing wounds and to experiencing longer, more complex…
Payer leaders need a flexible mindset, data know-how and big-picture thinking to succeed in 2025, according to more than a dozen executives. Becker’s reached out to 17 executives to learn what underrated skills set the best leaders apart. Like what…
Last week, a coalition of more than 50 major health insurers signed a pledge at a Washington, D.C. summit to “simplify” prior authorization. Led by Secretary Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services (CMS) Administrator Dr.…
What 100 Health Plan Executives Say About Network Design, Data Gaps and Regulatory Pressure
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During a featured session at Becker’s 3rd Annual Payer Issues Roundtable, Bob Tavernier, Sales Solutions Executive with Quest Analytics®, and Karen Tachian, Senior Director of Network Regulatory Operations with Health Care Service Corporation, unpacked recent survey data from 100 health…
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Preparing for regulatory changes, investing in AI and technology and improving member experiences are among the top priorities for payer executives in the second half of 2025. Becker’s checked in with 15 payer leaders to learn what tops their to-do…
Philadelphia-based Independence Blue Cross has launched a new GenAI customer service tool to support customer service representatives in improving accuracy and speed of customer interactions, according to a news release shared with Becker’s. The pilot, initiated in February 2025, tasked…
Medicare Advantage executives, regardless of age, should have to enroll in their own health plans to better understand their members’ experience, according to SCAN Group CEO Sachin Jain, MD. “No carve-outs. No executive-only exemptions. No platinum side-door coverage,” he wrote…
Seven payers have been included in Points of Light’s 13th annual “Civic 50 honorees,” a national standard for corporate citizenship and how companies use their time, skills and resources to drive social impact in their communities and company. The Civic…
May is Women’s Health Month, a time dedicated to raising awareness about the unique health challenges faced by women. As we end the month, this is a good time to look at the accumulating evidence that shows significant disparities in…