The Office of the New York City Comptroller approved the NYC Employees PPO plan, according to a Nov. 14 news release. Under the new health plan, EmblemHealth and UnitedHealthcare will take over the contract from GHI Comprehensive Business Plan, under…
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Over 8,700 Bronx residents partook in New York City-based EmblemHealth’s community diabetes wellness program in its first year, according to a Nov. 12 news release from the insurer. The program offers screenings, nutrition workshops and individualized support, hosting 109 events…
This resource outlines the significant burden of schizophrenia on patients and healthcare systems, emphasizing the prevalence of persistent symptoms (positive, negative, and cognitive) despite treatment. It highlights the high rates of treatment discontinuation due to bothersome side effects and the…
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Aetna’s new “level of severity inpatient payment” Medicare policy is now set to kick off next year instead of Nov. 15, according to a Nov. 6 company document. As part of the reimbursement approach, Aetna will approve inpatient stays without…
State insurance regulators are issuing warnings around what they describe as unfair practices by Medicare Advantage insurers to restrict enrollment. Amid rising costs and increased regulatory pressures, insurers have been adjusting their broker commission structures this year as many look…
Members want more from their health plans: clarity, affordability and support before health concerns become crises. But many plans are still stuck in reactive mode. This on-demand conversation, recorded live at Becker’s Fall 2025 Payer Issues Roundtable, explores how leading…
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Presented by:
Presenters
Allison Hofmann
Vice President, Health Systems, Cigna
Christina Rassi
Chief Growth Officer, Evry Health
Jennifer Lamons
Vice President, Paytient Technologies
Faris Ahmad, MD, FACOG, MBA
Senior Medical Director and Associate Chief Medical Officer, Physician Success and Network Optimization, Blue Cross Blue Shield of Michigan
UnitedHealth Group is working to position itself as a frontrunner in the wider healthcare industry’s ongoing technological transformation, with AI at the heart of its strategy to innovate, improve operational efficiency, and enhance the experience of its customers. As the…
Bend, Ore.-based St. Charles Health System will remain in network with PacificSource, according to a Nov. 13 news release. The commercial contract will last for two years, whereas the Medicare Advantage contract will last for one year. St. Charles has…
Healthcare workers operate under intense pressure: long shifts, critical decision-making, emotional labor, and exposure to trauma. These demands take a toll on mental health, and traditional support often falls short of what today’s clinicians and staff truly need. This guide…
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As part of the ongoing enterprise-wide recalibration effort to improve financial performance, UnitedHealth Group leadership shared in late October that it would be moving its finance business at Optum under the umbrella of Optum Insight, the company’s data and analytics…