Leadership

In an interactive session at Becker's Fall Payer Issues Roundtable, Sri Palanisamy, Principal at ZS, led a discussion on unique opportunities and challenges of provider partnerships, particularly for Blue Cross Blue Shield (BCBS) plans. The panel included Jason Hover, vice…

Sanford Health Plan is expanding its Medicare Advantage offerings to more rural communities. 

Premera Blue Cross recognized the need for strong ethical commitments around AI even before the rise of ChatGPT and other easily accessible generative AI models. 

Payer business operations are often cumbersome due to siloed departmental management. This fragmentation creates friction for navigating customer service and addressing complex inquiries across the enterprise.

Florida's recent ranking of #39 on the State Scorecard on Women's Health and Reproductive Care is a wake-up call. As a Black mother of four in Florida, I find the recent Commonwealth Fund findings disappointing.

Payer executives are focusing their attention on affordability, value-based care and regulatory changes for the coming year. 

Managing provider data is a significant challenge for many payers, due to frequent changes and inaccuracies in directory listings. Recently, generative AI and automation technologies have been identified as promising solutions. Research has shown these tools can meaningfully reduce payers'…

Healthcare leaders from across the country expressed shock and sadness following the death of UnitedHealthcare CEO Brian Thompson. 

It’s time to shift from GenAI experimentation to meaningful implementation in healthcare with a strong focus on data integrity. The last decade has seen its fair share of volatility in the healthcare industry. From the rise of value-based payment models…

Humana CFO Susan Diamond will step down after 18 years with the insurer.