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4 days ago | 
healthleadersmedia.com | Laura Beerman
A new report from Lirio and insights from company executives details how AI plus behavioral science bridges payer-member divides and helps capture lost ROI. Health plans have invested heavily in technologies that automate operations, but not member personalization. New research and insights from Lirio find that health plans believe in personalization but are held back by misconceptions about what it is, how it works, and the member’s role.
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2 weeks ago | 
healthleadersmedia.com | Laura Beerman
Socially Determined’s Trenor Williams connects the dots and defines the steps. HealthLeaders’ series on the intersection of DEI and healthcare reform continues with a Q&A with Trenor Williams, co-founder and CEO of Socially Determined.
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3 weeks ago | 
healthleadersmedia.com | Laura Beerman
Discover the three critical signals every healthcare leader and payer needs to watch — before reform efforts possibly unravel. While DEI is rooted in workplace reform, the implications for healthcare are close behind — particularly when viewed through a point of intersection: the social drivers of health. As with DEI, attention to SDOH surged in response to the pandemic and the murder of George Floyd.
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4 weeks ago | 
healthleadersmedia.com | Laura Beerman
What happens when violent events amplify calls for reform? What do healthcare and DEI reforms have in common? Why does it take a crisis — even violence — to activate change that persists, versus fading away? This HealthLeaders analysis series explores these questions and more, including how stakeholders can stay committed to creating an equitable healthcare system in the face of mounting pressure. Let’s take a trip back in time. It’s the pandemic, May 25, 2020.
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1 month ago | 
healthleadersmedia.com | Laura Beerman
Cost shares have as much as doubled as plans get a payment rate hike. For the 2025 coverage year, Medicare Advantage member deductibles have more than doubled, per eHealth. Meanwhile, CMS has increased the average payment rate for health plans from a proposed 4.33% to a final 5.06%Medicare Advantage plans are likely to continue to find a friend in Trump’s second term — whether the president mentions Project 2025 or not.
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1 month ago | 
healthleadersmedia.com | Laura Beerman
Cost shares have as much as doubled as plans get a payment rate hike. For the 2025 coverage year, Medicare Advantage member deductibles have more than doubled, per eHealth. Meanwhile, CMS has increased the average payment rate for health plans from a proposed 4.33% to a final 5.06%Medicare Advantage plans are likely to continue to find a friend in Trump’s second term — whether the president mentions Project 2025 or not.
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1 month ago | 
healthleadersmedia.com | Laura Beerman
NAMI Chief Innovation Officer Darcy Gruttadaro shares insights for employers based on her organization’s latest survey data. Last month, the National Alliance on Mental Illness (NAMI) released its second annual survey measuring workplace mental health sentiment. The new poll reveals a growing demand for stronger mental health support, and a critical gap between what employees need and what they understand and receive.
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1 month ago | 
healthleadersmedia.com | Laura Beerman
NAMI Chief Innovation Officer Darcy Gruttadaro shares insights for employers based on her organization's latest survey data. Last month, the National Alliance on Mental Illness (NAMI) released its second annual survey measuring workplace mental health sentiment. The new poll reveals a growing demand for stronger mental health support, and a critical gap between what employees need and what they understand and receive.
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1 month ago | 
healthleadersmedia.com | Laura Beerman
Eligibility, enrollment, and affordability are at risk for millions of Americans who now rely on the Marketplace for health insurance. HHS under the new Trump Administration has issued its first major healthcare rule. If finalized, the proposed rule will impact Marketplace eligibility, enrollment, and affordability for a wide variety of Americans. These changes range from higher premiums to shorter enrollment periods to more administrative requirements. On Mar.
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1 month ago | 
healthleadersmedia.com | Laura Beerman
A “dizzying array” of actions in the first seven weeks of President Donald Trump’s second term. President Trump’s “concepts of a plan” for U.S. healthcare is starting to take shape and there are few surprises. Trump’s announcements represent big policy shifts in everything from how federal agencies define sex and gender to how they support (or don’t) the ACA Marketplace. At least eight target areas have emerged as well as the Administration’s first major healthcare policy rule.
