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'A turning point': Inside the federal push to measure social determinants for the first time
CMS is in the process of creating a "universal foundation" of quality measures, setting the stage for the first time the federal government has tracked social determinants of health across all of its healthcare programs. -
Meet Oscar Health's leadership team
Oscar Health has named two more Aetna veterans to its executive leadership, joining former Aetna CEO Mark Bertolini, who joined the company earlier this year. -
How Elevance Health is helping its members navigate the Medicaid redetermination process
It’s been three years since the federal government declared a Public Health Emergency (PHE) in response to COVID-19 that provided critical support and healthcare for families across the country. Part of ensuring healthcare coverage for as many Americans as possible included allowing all Medicaid members to stay enrolled in their plans regardless of changes in eligibility or status. That is about to change as states will begin redetermining Medicaid eligibility for all members. -
Why Medicaid is 'ripe for innovation'
Medicaid startups receive significantly less outside investment compared to Medicare Advantage organizations, but there's still key opportunities to innovate under the program and serve enrollees in new ways. -
6 payer leaders among world’s most influential CEOs in 2023
Six payer leaders have been named among the world's 200 most influential CEOs in 2023 by CEO World's annual ranking published March 17. -
Meet Bright Health's board of directors
Bright Health Group's board of directors includes leaders from venture capital, managed care and health systems. -
UnitedHealth, Morehouse partner on postpartum support for Black mothers
UnitedHealth Group and the Morehouse School of Medicine in Atlanta have partnered on a new mobile app that will offer postpartum support to new Black mothers and their children. -
Meet Elevance Health's board of directors
Elevance Health's 11-member board of directors includes a wide range of former executives from the healthcare industry and beyond, and current leaders of finance and technology companies. -
New AHIP-led coalition looks to support healthcare industry through Medicaid unwinding
An AHIP-led coalition of payers, providers, and other healthcare organizations launched March 9 to support an industrywide transition away from continuous Medicaid eligibility. -
Meet Centene's board of directors
Centene's board of directors is made of a wide range of leaders, including former business executives and government and military leaders. -
Finding members where they're at: How Aetna is approaching Medicaid redeterminations
States can begin disenrolling members from Medicaid April 1, the first time states have redetermined who is eligible for the program since 2020. -
Essence Healthcare's CMO on the secret to building a 5-star Medicare Advantage plan
Debbie Zimmerman, MD, is the corporate chief medical officer at Essence Healthcare, a top-rated Medicare Advantage plan serving 63,000 members across eight states. -
Payers lead latest CEO trend: Younger and more women
There's big demographic shifts occurring among America's new corporate CEOs: They're getting younger and there's more women. -
The 10 best health insurance companies of 2023
Kaiser Permanente is the best U.S. health insurance company in 2023, according to Insure.com's annual ranking. -
Meet the Cigna Group's executive leadership team
Cigna on Feb. 13 rebranded to The Cigna Group and launched two brands under the new corporate umbrella: Cigna Healthcare and Evernorth Health Services. -
Can the 'Netflix' model of insurance work?
A startup launched as a COVID-19 testing company is pivoting to a "Netflix" model of health insurance. -
MA at 30 million members: AHIP's Matt Eyles talks the future of the program
Medicare Advantage recently enrollment topped 30 million, a benchmark that AHIP, the trade group representing the industry, called a milestone. -
UnitedHealth Group puts $10M behind SDOH in Appalachia
UnitedHealth Group is putting $10 million toward community development initiatives in Appalachian counties across six states. -
Meet the executive team at the nation's largest publicly operated health plan
L.A. Care Health Plan is the largest publicly operated health plan in the nation, serving more than 2.7 million low-income members in Los Angeles County. -
Dr. Sachin Jain: It's time to end 'magical thinking' in healthcare
Wishful thinking about the impact of technology in healthcare and unrealistic beliefs that valuations can increase forever have slowed the industry's transformation for the better, according to Sachin Jain, MD.
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