Leadership

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.…

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…

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…

AI, digital health and value-based care are among the biggest buzzwords in healthcare — and might be overhyped, according to these payer executives.  Becker’s connected with 11 leaders to learn what’s overhyped in healthcare.  Like what you see here? Join…

In my experience as a physician and healthcare leader, I’ve often encountered people whose needs fall outside the scope of our healthcare system. Frankly, for many years, while I understood the magnitude of those needs and the need to fulfill…

In January, Centene named Alan Silver as president of its Ambetter Health Solutions business, colloquially becoming the company’s first ICHRA president. Individual Coverage Health Reimbursement Arrangements allow employees to shop on the ACA marketplace for a health plan using a…