payers
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CFO
Payers Are Playing Hardball—And Hospital CFOs Are Paying the Price
New data exposes aggressive tactics by payers for Medicare Advantage denials.
Innovation
Three Trends Coming Out of HLTH So Far
The healthcare industry's annual showcase of innovative ideas is off to a good start. Here's what attendees are talking about.
CEO
Cigna Revives Merger Talks with Humana: False Alarm or Real Deal?
The insurer giants are reportedly discussing combining once again after initial talks broke down last year.
Payer
The New CFO Resume: How to Be a Strategic Thought Partner
Blue Shield of California CFO and endurance athlete Mike Stuart shares new requirements for today's financial leaders.
CEO
CVS Replaces CEO Karen Lynch with Caremark Head in Latest Shake-Up
David Joyner will take over as the company heads in a new direction to stabilize its finances.
Payer
Part 2: How Those Hot New Employer Cost Stats Could Upend Employers' Payer-PBM Relationships
For everything from GLP-1 and cancer costs to provider networks, one employer association has strategies ? and they don't involve...
CFO
No Advantage to Medicare Advantage
Many providers have had it with the government plan, and dozens have already left it this year.
CFO
CommonSpirit's Financial Improvement Hindered by Payer Denials, Delays
The Catholic nonprofit managed to slash its operating loss by nearly $400 million for fiscal year 2024.
Payer
What Those Hot New Employer Cost Stats Actually Mean — and the Pivots They Could Signal
You've seen the WTW stats: Employer health costs are rising exponentially. But have you seen the surprising solutions? Including how...
CEO
Why CVS Is Undergoing Strategic Review, Considering Breakup of Businesses
Reports of a separation come at a time when the company is struggling to perform, particularly with its insurance arm...
CEO
Healthcare Organizations Prioritizing Cybersecurity Investment, Warming Up to AI
A new survey reveals technology investment choices and outlooks by providers and payers.
CFO
Five Hospitals Shut Down in a Rising Tide of Closures
While the operating margins of some hospitals have improved this year, others are facing a different reality.