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…
Leadership
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…
CareFirst BlueCross BlueShield was named the top-performing insurer for customer experience in 2025 by Forrester, a recognition that comes as many insurers face declining scores across the industry. CareFirst’s Chief Marketing Officer, Mack McGee, joined the Becker’s Payer Issues Podcast…
A new kind of Medicare Advantage advertisement is hitting the airwaves, one diverging from the usual scenes of seniors gleefully enjoying an outdoor activity or making a medical appointment against a backdrop of upbeat music. Instead, a more blunt framing…
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Economic uncertainty and policy changes from the current administration have changed the way health plans operate over the past year. Many have found workarounds to continue efficiency and growth. Becker’s connected with five leaders to learn their biggest accomplishments so far…
Between mounting scrutiny of Medicare Advantage plans, calls for greater price transparency, and the ever-growing demand for value-based care, payer organizations are entering a period of heightened pressure and scrutiny. To confront these challenges head-on, more than 700 top executives…
In today’s data-driven healthcare landscape, delivering higher quality outcomes increasingly depends on how seamlessly and securely health information flows — not just from providers to payers, but across every touchpoint in the care journey. When data is shared bidirectionally and…
From 16 years to a few months, here are the CEO tenures at seven of the nation’s largest payers. 1. Cigna: David Cordani. CEO since June 2009. 2. Molina Healthcare: Joseph Zubretsky. CEO since November 2017 3. Elevance: Gail Boudreaux.…
In today’s evolving healthcare environment, connection has never been more vital. Connection – the sense of being understood and supported – is what transforms healthcare from a transaction into a true partnership. It’s also the driving force behind a whole…