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Artificial intelligence (AI) has dominated conversations among health plans and providers because of its potential to transform the industry. From…
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Artificial intelligence (AI) has dominated conversations among health plans and providers because of its potential to transform the industry. From predictive models for disease onset to chatbots answering member questions, the number of potential AI applications are innumerable. Yet, not…
Blue Cross and Blue Shield of Alabama has named Joe Dunsmore senior vice president and CIO, according to a post on his LinkedIn page. Mr. Dunsmore has been with the company for 16 years and most recently served as deputy…
A group of UnitedHealth Group shareholders is withdrawing a proposal submitted for the 2025 proxy that requested the company’s management analyze how its business practices affect access to care and public health. The group, Interfaith Center on Corporate Responsibility, is…
Blue Cross of Idaho will lay off 135 employees after the Idaho Department of Health and Welfare awarded dual-eligible Medicare/Medicaid contracts to UnitedHealthcare and Molina Healthcare. A Blue Cross spokesperson told Becker’s April 4 that the company partnered with the…
The Justice Department is urging a federal court to allow a decade-old lawsuit against UnitedHealth Group to continue. In documents filed April 2 in the U.S. District Court for the Central District of California, Justice Department attorneys argued that a…
As the healthcare industry works to address rising costs and the challenge of consistent access to care for all, a recent study highlights the growing recognition from primary care doctors that value-based care models are essential for delivering high-quality, cost-effective care.…
Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, has eliminated 110 positions to “reduce administrative costs as medical and pharmaceutical trends continue to climb to unprecedented levels.” The cuts affect employees at all levels of…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Adventist Health, based in Roseville, Calif., seeks a managed care manager in Glendale,…
Complacency is one thing holding back the growth of the individual coverage health reimbursement arrangement, or ICHRA, market, according to Janet Liang, president of insurance at Oscar Health. Oscar Health has laid out plans to double its membership by 2027.…
Startup Medicare Advantage plans accounted for 1.9% of total MA enrollment in 2025, according to a report from Chartis. This rate represents an increase from 1.6% in 2024 and 0.8% in 2020. Gold Kidney Health Plan, a company offering plans…