payers
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Finance
How Will Scripps Health Manage the California Wage Increase?
"For an organization of Scripps' size, the cost of the minimum wage bill is measured in the tens of millions...
Strategy
Cigna-Humana Blockbuster Merger: Impacts and Likelihood of Deal Passing
The move is a strong strategic fit, but whether it will pass antitrust scrutiny is unclear.
Payer
The Exec: For Aetna's Terri Swanson, Better Outcomes Don't Have to be Complicated, Part 2
The Medicare President talks health equity, CVS Health growth, and results optimization in part two of this HealthLeaders exclusive.
Strategy
3 Tips for Negotiating Value-Based Contracts
Advocate Health's chief medical officer shares what mindset to have in negotiations with payers.
Finance
Why One CFO Is Betting on Rev Cycle in 2024
To beat payers at their own game, one CFO is looking to his revenue cycle to even the playing field.
Payer
The Exec: Terri Swanson Details Aetna's Largest-Ever MA Portfolio, Part 1
The Medicare President shares how Aetna expands and simplifies in part one of this HealthLeaders exclusive.
Payer
The Exec: Oscar Health CIO Alessa Quane Scopes the ACA Marketplace
The executive identifies pivotal strategies and trends for 2024 and beyond.
Technology
Providence Unveils FHIR Tool for Seamless Data Transfer
The health system has created its own data exchange technology and tested it with a regional payer to ensure it...
Payer
The Exec: Virk Details Clinical Product Iteration at Blue Shield of California
Dr. Pushwaz Virk describes how development, innovation, and integration intersect to support members and providers.
Payer
The Exec: How Don Antonucci Scales Multi-State Health Plan Operations
"For us, the approach is change management through growth as we continue to expand into new markets," says the Providence...
Technology
HHS Proposes Information Blocking Penalties for Health Systems
The proposed penalties, if made final, could be levied on healthcare organizations that knowingly and unreasonably interfere with the access,...