Leadership

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. 

A diabetes management program has saved Capital Blue Cross employer group customers $20 million since 2021. 

Payer executives shifted their focus to population health and implemented new strategies in 2024. 

Weight loss management is a common component of many corporate wellness programs. Health plans often offer such programs as a way to encourage plan members to lead healthier lives, while simultaneously helping reduce outlays for costly health services.

In recent years, healthcare executives and providers have faced growing expectations to address health inequities that affect diverse populations across the country. But what does health equity truly mean in practice? 

What do you do when there’s an oligopoly controlling an industry, inhibiting price competition and consumer choice? You break it up. The three dominant pharmacy benefit managers (PBMs), CVS Caremark, Cigna’s Express Scripts and United’s OptumRx are drug-pricing middlemen, increasing…