Payer business operations are often cumbersome due to siloed departmental management. This fragmentation creates friction for navigating customer service and addressing complex inquiries across the enterprise.
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Florida's recent ranking of #39 on the State Scorecard on Women's Health and Reproductive Care is a wake-up call. As a Black mother of four in Florida, I find the recent Commonwealth Fund findings disappointing.
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.
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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.