Podcasts about Cigna

This Monday News Drop covers three developments that should be squarely on every healthcare HR leader's radar.

In this episode, Scott Becker breaks down 9 key healthcare stories, including Cigna's 2,000 job cuts, a sharp profit decline at CVS Health, hospital bankruptcies, and more.

What if the key to saving lives in maternal health wasn't more hospital visits—but smarter, connected care at home? In this episode of Med Tech Gurus, we sit down with Anish Sebastian, Co-Founder and CEO of BabyScripts, the leading virtual care platform transforming how mothers and providers navigate pregnancy. Built from both analytics and empathy, BabyScripts bridges one of healthcare's most critical gaps—access to consistent, quality prenatal and postpartum care Under Anish's leadership, BabyScripts has raised over $30 million in funding from partners like Philips and Cigna, now managing over 300,000 pregnancies across more than 70 health systems. From detecting preeclampsia early to supporting mental health and postpartum recovery, the platform delivers measurable results—proving that technology and teamwork can make pregnancy safer for every mother. Anish shares his insights on scaling digital health, building strategic partnerships, and leveraging AI to expand maternal care equity. Whether you're an entrepreneur, innovator, or clinician, this episode reveals how connected technology can deliver life-changing outcomes at scale.

Kapil Gupta, former Enterprise AI Product & Platform Leader at Cigna, shares insights from more than two decades of turning cutting-edge technology into enterprise-ready products. He unpacks the difference between generative AI and agentic AI, and why governance, user choice, and thoughtful design matter just as much as innovation. Learn how enterprises can scale responsibly and why the best technology often feels invisible to the people using it. Key Takeaways:  The tangible difference between generative AI and agent-based workflows Why adoption depends on fitting into existing workflows, rather than forcing behavior change The challenge of legacy systems and disconnected data How companies can innovate quickly without introducing unnecessary risk How pushing back, probing, and questioning AI can unlock more value Why listening to users matters more than building flashy features Guest Bio: Kapil Gupta is an executive product leader specializing in leveraging emerging technologies to solve complex business problems at scale. As a leader of AI product and platform teams at Cigna and previously at industry leaders like Capital One, Deloitte, and IBM, he has turned breakthrough innovations like Generative AI into practical enterprise solutions.  Kapil is driven by a focus on crafting AI-driven product experiences that solve real problems and ensure high adoption, bridging the gap between sophisticated technology and business value. He balances high-level strategic vision with a passion for staying hands-on, often vibe coding prototypes to prove out new concepts. Kapil holds an MS in Computer Science and an MBA from NYU Stern. He shares his work at kapilgupta.me and lives in New York. ---------------------------------------------------------------------------------------- About this Show: The Brave Technologist is here to shed light on the opportunities and challenges of emerging tech. To make it digestible, less scary, and more approachable for all! Join us as we embark on a mission to demystify artificial intelligence, challenge the status quo, and empower everyday people to embrace the digital revolution. Whether you're a tech enthusiast, a curious mind, or an industry professional, this podcast invites you to join the conversation and explore the future of AI together. The Brave Technologist Podcast is hosted by Luke Mulks, VP Business Operations at Brave Software—makers of the privacy-respecting Brave browser and Search engine, and now powering AI everywhere with the Brave Search API. Music by: Ari Dvorin Produced by: Sam Laliberte

It's In the News.. a look at the top headlines and stories in the diabetes community. This week's top stories: T1D in the Olympics & Superbowl, Trump RX goes live, Ozempic pill available soon, tech updates from Medtronic, Beta Bionics, Eversense 365 and more! Announcing Community Commericals! Learn how to get your message on the show here. Learn more about studies and research at Thrivable here Please visit our Sponsors & Partners - they help make the show possible! Omnipod - Simplify Life All about Dexcom  T1D Screening info All about VIVI Cap to protect your insulin from extreme temperatures The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com  Episode transcription with links: Welcome! I'm your host Stacey Simms and this is an In The News episode.. where we bringing you the top diabetes stories and headlines happening now. A reminder that you can find the sources and links and a transcript and more info for every story mentioned here in the show notes. Quick reminder: We are just over one week from our first Moms' Night Out event of the year. While the plans are all set – the speakers, the vendors, the raffles and the fun is ready to go, it's always amazing how many people hear of these event last minute. That's fine, they're welcome! But if you're thinking of attending a future event – registration is open for We're going to Nashville next March 6-7 and Detroit in September – no need to wait. And we've got Club 1921 events for health care professionals and patient leaders in 6 cities this year! All the info is over at diabetes-connetionss.com events/   Okay.. our top story this week: XX Gotta be a quick shout out to some incredible T1D athletes – we had TWO in the super bowl this past weekend – Chad Muma of the New England Patriots and Logan Brown of the Seattle Seahawks AND there are at least two athletes with type 1 competing at the Winter Olympics. Hannah Schmidt competes in ski cross for Canada – she was diagnosed with Type 1 diabetes at age 12 years old.  Anna FarnSchadt Fernstäd a Czech skeleton racer diagnosed in 2022 after she'd already been to several Olympics. We wish them all the best!   https://english.radio.cz/skeleton-racer-anna-fernstadtova-overcoming-adversity-headfirst-down-ice-8876699 XX The government website TrumpRx.gov is live..  the website does not sell prescription drugs. Instead, it allows people to look up their drugs and then navigate to buy them elsewhere, either from a major drug company or a pharmacy. The 43 drugs listed on the site have prices ranging from $3 to over $5,500. TrumpRx does include warnings that the site may not be the best option to save money on prescriptions. Each product page advises: "If you have insurance, check your co-pay first — it may be even lower." For now, the website says its prices are for people paying with their own money, rather than going through insurance. The only insulin listed right now is Lilly's insulin lispro – and it's the same price as you'd find through Illy's insulin value program. I looked up diabetes meds.. For example, if you have an insurance co-pay of $25 a month for Farxiga, a drug often used for diabetes, you would be paying $182 on TrumpRx. As you can imagine, though ,this is complicated and as with most of our healthcare system, it may be good in some cases and not much help in other.  I'd suggest calling your local pharmacist or checking with your human resource dept. https://www.nytimes.com/2026/02/06/health/trumprx-prescription-drug-prices-consumers.html XX Novo Nordisk will launch some doses of its oral semaglutide for diabetes under the brand name Ozempic pill in the second quarter of this year. The company said the U.S. Food and Drug Administration has approved Ozempic tablets in three different doses. Novo says The new Ozempic name is intended to help patients and health care professionals more easily recognize the available treatment options for type 2 diabetes Semaglutide tablets have been available under the brand name Rybelsus Ruh BELL sis for diabetes since 2019 but with different dosing. The pill is also approved to reduce the risk of certain cardiovascular conditions in adults with type 2 diabetes who are at high risk for these events. The FDA had approved the new doses based on a bioequivalence study and the clinical trial data for Rybelsus, Novo said. https://www.reuters.com/business/healthcare-pharmaceuticals/novo-launch-ozempic-pill-diabetes-second-quarter-this-year-2026-02-04/ XX https://www.contemporarypediatrics.com/view/early-screening-for-type-1-diabetes-found-effective-in-children XX Possible new way to identify and track the progress of type 1 diabetes before clinical onset. A recent study published in Science Advances described the application of subcutaneous microporous scaffolds. These are inserted and have been shown to  identify changes in cancer, multiple sclerosis, and T1D by capturing changes of immune cells over the course of a disease. This is a proof of concept study in mice.. so very early days. https://www.news-medical.net/news/20260204/Implantable-immune-scaffold-predicts-type-1-diabetes-weeks-before-symptoms.aspx XX A large global genetics study shows that many key drivers of Type 2 diabetes operate outside the bloodstream. In a major international project led in part by the University of Massachusetts Amherst and Helmholtz Munich in Germany, researchers linked hundreds of genes and proteins to the disease. The work, published in Nature Metabolism, points to a key challenge in diabetes research: the biology behind rising blood sugar does not play out the same way in every part of the body. It also shows why including people from many backgrounds matters, since genetic clues that stand out in one population may be faint or invisible in another. Huge study, 2.5 million people worldwide comparing patterns across seven tissues tied to diabetes and four global ancestry groups, then asked a simple question: what do you miss if you only measure blood? Across the seven tissues, the researchers found causal evidence pointing to 676 genes. Yet overlap with blood was limited: only 18% of genes with a causal effect in a primary diabetes tissue, such as the pancreas, showed a matching signal in blood. At the same time, 85% of genetic effects observed in diabetes-relevant tissues were completely absent from blood-based analyses. The findings lay out a roadmap for future research aimed at understanding the biological pathways underlying Type 2 diabetes and developing more effective treatments. https://scitechdaily.com/massive-global-study-rewrites-the-biology-of-type-2-diabetes/ XX Express Scripts settled the U.S. Federal Trade Commission's claims its insulin pricing practices violated antitrust and consumer protection laws, and agreed to changes aimed at lowering costs for patients, insurers and small pharmacies The settlement, first reported by Reuters, fits with that goal, and allows the FTC to pare down a case brought by the former Biden administration against Cigna's Express Scripts, UnitedHealth Group Inc's (UNH.N), Optum unit and CVS Health Corp's (CVS.N), CVS Caremark. The case against Optum and Caremark is ongoing. Pharmacy benefit managers, which set how drugs are covered by health insurance, have faced a decade of scrutiny from regulators and lawmakers over pricing practices. While the industry has already made reforms, the settlement gives the FTC power to enforce broader changes at Express Scripts. The 10-year agreement restricts Express Scripts' ability to engage in practices critics say contribute to high costs, like pocketing rebate payments from drugmakers based on the list price of drugs. The FTC estimates the agreement could save patients as much as $7 billion over a decade. https://www.reuters.com/world/cigna-settles-ftc-insulin-case-commits-overhauling-drug-pricing-2026-02-04/ XX Audio? Congress has passed bipartisan legislation to extend and strengthen the Special Diabetes Program (SDP), a cornerstone of Federal investment in type 1 diabetes (T1D) research. The President signed the legislation and it is now law. Extends the SDP through December 31, 2026, and increases funding from $160 million to $200 million annually. Strengthens overall funding for the National Institutes of Health (NIH) by $415 million. Increases diabetes research funding at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) by $10 million. Created by Congress and administered by the NIH, the SDP has contributed nearly $3.6 billion to T1D research and has played a role in nearly every major breakthrough in the field. A recent study conducted by Avalere Health shows that of the nearly 3.6 billion invested into the SDP by Congress since the establishment of the program, the Federal Government has realized $50 billion in healthcare savings through improved health outcomes from the use of SDP driven therapies and devices https://www.breakthrought1d.org/news-and-updates/congress-passes-bipartisan-extension-of-the-special-diabetes-program-securing-critical-t1d-research-funding/ XX Dexcom is rolling out what they're calling AI-enabled enhancements to Stelo, further transforming how users track and understand their glucose health. Expanded Smart Food Logging including a comprehensive nutrition database of more than 1M meals that provides a breakdown of calories, carbohydrates, protein, fat, dietary fibers, and more. More ways to meal track including text search, barcode scanning or taking a photo of the meal, creating a seamless and intuitive meal tracking solution. A redesigned Daily Insights feature which will introduce a new interface with more personalized recommendations. The newest features will launch nationwide in the coming weeks.  XX Beta Bionics has received a warning letter from the Food and Drug Administration following an inspection last year, the company disclosed on Friday. The diabetes technology company said in a securities filing that the warning letter concerns non-conformities with the company's quality management system, medical device reporting, and correction and removals. The warning letter has not yet been posted by the FDA.   The company said in the filing that it has already taken actions to improve the processes described in the warning letter, and it is working on a written response to the FDA.   The firm does not expect the warning letter to affect the planned launch of a new insulin patch pump by the end of 2027. Beta Bionics unveiled a prototype of the device, called Mint, last year at the American Diabetes Association's Scientific Sessions. The company also does not expect the warning letter to affect its financial results. https://www.medtechdive.com/news/beta-bionics-receives-fda-warning-letter/811140/?utm_source=Sailthru&utm_medium=email&utm_campaign=Issue%3A+2026-02-04+MedTech+Dive+%5Bissue%3A81423%5D&utm_term=MedTech+Dive&fbclid=IwY2xjawPwhDZleHRuA2FlbQIxMABicmlkETFaUUcyYmNQWldjZ2xudElic3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHouF8M3IstTyslPRgeHWUWVVdOAGOtzPWt_yNFcj9eYruqSPz3e86Iwcbpt8_aem_7q4D97vJVjHKfEwvoyUpgw XX Sequel Med Tech is reviewing co-founder Dean Kamen's ties to Jeffrey Epstein after recently released documents revealed new details about the longstanding relationship between the two men. The documents show that Kamen visited Epstein's island, and remained in contact with him for years after Epstein was convicted of sex crimes involving minors. Kamen has not been accused of any wrongdoing. In a statement, Sequel Med Tech said the Manchester-based company is aware of the documents pertaining to Kamen and – quote - "Sequel's Board of Directors has unanimously decided to engage an external law firm to review these disclosures and provide recommendations aligned with our mission to serve people living with diabetes," Kamen has not issued a statement regarding his reported connection to Epstein.   https://www.bostonglobe.com/2026/02/04/metro/nh-dean-kamen-jeffrey-epstein-review/ https://www.bostonglobe.com/2026/02/04/metro/nh-dean-kamen-jeffrey-epstein-review/ https://www.nbcboston.com/news/local/nh-inventor-placed-on-leave-after-epstein-messages-surface-report-says/3888569/ XX Abbot reports 860 serious injuries linked to the recall of some of its glucose monitoring sensors. We told you about this recall late last year, these numbers are an FDA update.     Abbott said the sensors can provide incorrect glucose readings over extended periods, which could lead to users making dangerous treatment decisions, including eating excessive carbohydrates along with skipping or delaying insulin doses, potentially leading to serious health risks. The company said it has identified and resolved the cause of the issue, which relates to one production line among several that make Libre 3 and Libre 3 Plus sensors.   https://www.reuters.com/business/healthcare-pharmaceuticals/abbott-recalls-glucose-sensors-after-seven-deaths-linked-faulty-readings-2026-02-04/ XX Updates from Medtronic & Senseonics – and a first from Nick Jonas.. right after this..   I'm excited to share that the FDA has cleared the MiniMed 780G system with the Instinct sensor, made by Abbott, for people with type 2 diabetes.  Medicare has also now approved coverage for the Instinct sensor for use with the MiniMed 780G system. This clearance and expanded coverage mean more people will have access to pairing our most advanced automated insulin delivery technology with the Instinct sensor, that offers a smaller, 15-day sensor experience.  They're also launching the MiniMed 780G system Pump Evaluation Program.  This program gives individuals living with diabetes the ability to try the full MiniMed 780G system at no cost for 30 days.† This includes the pump, the sensor of their choice, one month of infusion sets and reservoirs, everything but the insulin. They'll contact your doctor for you to get a prescription and get the process rolling. https://www.medtronicdiabetes.com/pump-evaluation-program XX Senseonics announced today that its Eversense 365 continuous glucose monitor (CGM) system received CE mark approval – that's European clearance.  This comes on the heels of the launch of Eversense 365 with Sequel Med Tech's twiist pump, marking the first pump integration for the CGM. Senseonics plans to launch Eversense 365 in Germany, Italy, Spain and Sweden in the coming months. Meanwhile, Senseonics continues to work toward an FDA investigational device exemption (IDE) submission for its next-generation Gemini transmitter-less CGM by the end of this year. https://www.drugdeliverybusiness.com/senseonics-ce-mark-eversense-365-cgm/ XX A huge shout out to Dr. Emily Blum, who just accomplished riding 100 miles in Antarctica for Breakthrough T1D! Despite having no direct connection to Type 1 Diabetes, Emily has been riding and fundraising for BreakthroughT1D for 10 years now. She is an integral part of the Georgia Ride team, training and riding many miles, and most importantly has raised tens of thousands of dollars to support the cause of ridding the world of T1D. She is surgeon and deeply involved with medical innovation, with an incredibly busy schedule, but jumped at the chance to take on the challenge of riding a century on every continent. Having already completed North America, Europe, Australia, Asia, and now Antarctica, only Africa and South America remain. Emily rides on and continues to be an inspiration to everyone who meets her. XX   https://diabetes-connections.com/t1d-connection-and-people-magazine-elise-zach-share-their-story/ XX Nick Jonas's becomes the first artist ever to wear a CGM on an album cover - new upcoming solo album Sunday Best, releasing Feb. 6.  The release says: This marks a powerful step forward in normalizing diabetes and raising awareness for the condition on a global scale. This moment adds to the growing visibility of diabetes in pop culture, alongside milestones like a Type 1 diabetes Barbie and Pixar characters wearing diabetes technology.

Generative AI has changed how conversations are built and experienced. Georgios Tserdanelis, VP of Conversation Design at JPMorganChase, draws on 15 years of designing voice and chat systems to explain what still holds up, what breaks and why conversation design matters more than ever.Georgios brings years of hands-on experience designing voice and chat experiences across startups and global enterprises, including JPMorganChase, Cigna and Walgreens. With a background in linguistics, he offers a grounded perspective on how human conversation actually works and why those fundamentals still matter in a world of generative AI.We explore how conversational AI has evolved from scripted IVR and NLU systems to large language models and agentic experiences. Georgios explains why many current generative AI deployments struggle with basic conversational principles such as turn-taking, acknowledgement, and context management. Georgios shares practical insights on designing effective voice and chat experiences at a massive scale in highly regulated industries, where small error rates translate into real-world risk.One of the key themes that emerges during our discussion is the changing role of the conversation designer, the balance between deterministic flows and generative systems, voice versus chat design constraints, and why silence, timing and modality choice matter as much as language itself.We also cover fraud, voice cloning, brand identity in AI assistants and how customer expectations are shifting as people get used to talking to increasingly capable machines.Show notesFollow Georgios on LinkedIn: https://www.linkedin.com/in/tserdanelis/Follow Kane Simms on LinkedIn: https://www.linkedin.com/in/kanesimmsDownload our exclusive report on how AI agents keep CX stable when volume explodes: https://vux.world/how-ai-agents-keep-cx-stable-when-volume-explodes/?utm_source=podcast&utm_campaign=SurgeHappensTake our updated AI Maturity Assessment: https://vuxworld.typeform.com/to/a26bf9Rr?utm_source=podcast&utm_medium=audio&utm_campaign=vuxconsulting25Subscribe to VUX World: https://vuxworld.typeform.com/to/Qlo5aaeWSubscribe to The AI Ultimatum Substack: https://open.substack.com/pub/kanesimms Hosted on Acast. See acast.com/privacy for more information.

European bourses are broadly on the backfoot; US equity futures mixed, but the NQ outperforms, as chip names benefit from Alphabet boosting AI spending.DXY is mildly firmer, with G10s lower to varying degrees; Aussie hampered by pressure in metals, GBP lags into BoE.Fixed income benchmarks are mixed; USTs incrementally firmer, whilst Gilts underperform on political woes.Crude benchmarks slip with US-Iran meeting confirmed, Spot gold moves lower, silver -10.5%.Looking ahead, highlights include US Challenger (Jan), Weekly/Continuing Jobless Claims, Revelio PLS, ECB Announcement, BoE Announcement & MPR, Banxico Announcement, CNB Announcement. Speakers include BoE's Bailey, ECB's Lagarde, Fed's Bostic, BoC's Macklem & RBA's Bullock.Earnings from Amazon, Strategy, Roblox, Reddit, Bloom Energy, ConocoPhillips, Bristol Myers Squibb, Barrick Mining, Cigna.Read the full report covering Equities, Forex, Fixed Income, Commodites and more on Newsquawk

APAC stocks were mostly lower following the continued tech selling stateside and flip-flopping regarding US-Iran talks, while commodities were pressured overnight with silver prices dropping by a double-digit percentage.Earnings saw Alphabet shares fall 2.0%, ARM Holdings slip 8.6%, and Qualcomm slump 10.3% after market.US President Trump said not much doubt that interest rates will be lowered and thinks that Warsh wants to cut rates anyway.US BLS rescheduled the January employment report for Feb. 11th, while it rescheduled December job openings and labour turnover report for February 5th, and rescheduled January CPI to February 13th.Looking ahead, highlights include German Factory Orders (Dec), EZ Retail Sales (Dec), US Challenger (Jan), Weekly/Continuing Jobless Claims, Revelio PLS, ECB Announcement, BoE Announcement & MPR, Banxico Announcement, CNB Announcement. Speakers include BoE's Bailey, ECB's Lagarde, Fed's Bostic, BoC's Macklem & RBA's Bullock. Supply from Spain & France.Earnings from Amazon, Strategy, Roblox, Reddit, Bloom Energy, ConocoPhillips, Bristol Myers Squibb, Barrick Mining, Cigna, Linde, Shell, Unilever & UniCredit.Read the full report covering Equities, Forex, Fixed Income, Commodites and more on Newsquawk

We're excited to welcome Mark Dunahoo, President & COO of TruHu, into the studio for a thoughtful conversation on employee engagement and feedback.In this episode, we dive into TruHu's mission, how organizations can better listen to their people, and what HR leaders should be thinking about as they look to strengthen culture, communication, and trust across their teams.We cover:Practical approaches to employee engagementWhy feedback systems often fail—and how to improve themWhat HR leaders should prioritize right nowTools and strategies that actually work in the real worldThis episode is a great watch for HR professionals who care about culture, connection, and building workplaces where people feel heard.Special thanks to our sponsors:TruHu, Excel Health, Cigna, KLB, and Rula#HR #HumanResources #HRPodcast #EmployeeEngagement #HRTechnology #EmployeeFeedback #WorkplaceCulture #EmployeeBenefits

Cigna is reshaping the healthcare system by tackling affordability through innovation, transparency, and patient-first solutions. President and COO Brian Evanko goes Inside the ICE House to discuss the forces driving higher healthcare costs, from demographic shifts to drug pricing, and how Cigna is working to realign incentives across the system. He also explains how data, AI, and pharmacy benefit reform are positioning the company to deliver better outcomes as healthcare enters its next phase of change.

In a major blow to American healthcare, Congress has let the ACA subsidies expire. This means higher premiums and, as a result, fewer Americans enrolling. We are joined by Wendell Potter, former VP of Corporate Communications for Cigna turned whistleblower and healthcare reform advocate. Since 2009, Wendell has pulled back the curtain on how insurance giants game the system to prioritize profits over patients.Wendell shares the two stories demonstrating the inhumanity of the American healthcare system that pushed him to speak out. He also talks about the impact of the expiring subsidies and why it could be what he calls a "death spiral." But don't worry! Donald Trump has a plan... or at least concepts of a plan.Al and Wendell talk about the accomplishments of the ACA, while also acknowledging that Democrats should have done more to strengthen it during the Biden administration. Now with Trump and the Republicans in charge, any chance at meaningful reform is out the window.Plus, we revisit the December 2024 murder of UnitedHealthcare CEO Brian Thompson and why that struck a nerve with so many Americans.READ Wendell's substack, HEALTH CARE un-covered: https://healthcareuncovered.substack.com/SUPPORT THE SHOW BY VISITING OUR SPONSORA smarter way to handle your shipping needs! Try ShipStation free for 60 days at https://www.shipstation.com and enter the code FRANKEN.

Five health insurance CEOs faced a historic grilling on Capitol Hill this week, and the fallout affects every healthcare provider in America.In this episode, Conrad Meyer and Rory Bellina break down the January 2026 congressional hearings where lawmakers from both parties hammered executives from UnitedHealth, CVS, Cigna, Elevance, and Ascendiun over skyrocketing premiums, claim denials, and the use of AI to reject patient care.We cover:→ Why premiums are doubling after the ACA subsidy expiration→ The new Medicare AI pilot program (WISeR) and what it means for your practice→ How AI-driven prior authorization is linked to denial rates 16x higher than human review→ New state laws in Texas and California requiring AI disclosure→ What Louisiana providers need to know right now→ Six practical steps to protect your patients and your practiceWhether you're a physician, hospital administrator, compliance officer, or healthcare attorney, this episode gives you the legal context and actionable takeaways you need.This podcast is for educational purposes only and does not constitute legal advice.Contact: 504-833-5600 | chehardy.com#HealthLaw #PriorAuthorization #HealthcareAI #PhysicianAdvocacy #HealthcareCompliance #Louisiana

On this episode of Managed Care Cast, The American Journal of Managed Care® spoke with David Muhlstein, PhD, JD, founder and CEO of Simple Healthcare, about his recent articles highlighting Transparency in Coverage (TIC) files and ghost rates from 119 insurers, including 3 national commercial payers. Aetna, Cigna, and United Healthcare TIC files were more than 90% ghost rates—billing codes for procedures that would never be performed by a specific physician. For example, there were billing codes for heart surgery performed by a psychiatrist, Muhlstein said. These ghost rates increase the size of TIC files, making them difficult to evaluate for consumers, researchers, and analysts. Data files of this size muddle the true aim of the TIC files to provide actual transparency that would allow consumers to compare the prices of health care services and choose more affordable options.

Health insurers are facing urgent challenges related to affordability, access, and how to safely and effectively leverage AI and emerging technologies. In this episode, McKinsey senior partner Celia Huber is joined by Brian Evanko, president and chief operating officer of The Cigna Group. In this role, Brian oversees all of the company's business units, including its two growth platforms: Cigna Healthcare, a health benefits business, and Evernorth, a health services business. Together, these business units serve customers in more than 30 countries. From here, Brian has a unique view of the challenges facing the industry and the people it serves—including the fact that the vast amount of US healthcare spending goes toward chronic care. In their conversation, Brian shares his perspective on the innovation needed, such as through the adoption of AI, to improve affordability and support prevention. Related Insights Future of US healthcare: Gathering storm 2.0 or a golden age? Tackling healthcare’s biggest burdens with generative AI The race to create a vaccine: A conversation with Frank D’AmelioSupport the show: https://www.linkedin.com/showcase/mckinsey-strategy-&-corporate-finance/See www.mckinsey.com/privacy-policy for privacy information

In der heutigen Folge sprechen die Finanzjournalisten Anja Ettel und Holger Zschäpitz über einen Ritterschlag für Intel, Rebound bei Rüstung und einen Branchen-Deal der Superlative. Außerdem geht es um Apple, Garmin, Thermo Fisher, Boston Scientific, Johnson Health Tech, Planet Fitness, Life Time, Gym Group, Basic Fit, Xponential Fitness, Technogym, Nike, Adidas, Puma, Lululemon, Lockheed Martin, L3Harris, Kratos Defense, Nvidia, Oracle, Apple, Palantir, Bayer, Puma, Tilray Brands, General Motors, Elevance Health, Centene, Cigna, UnitedHealth und Molina Healthcare, Rio Tinto, Glencore, BHP Group, Siemens, Meta und Keller Group. Wir freuen uns an Feedback über aaa@welt.de. Noch mehr "Alles auf Aktien" findet Ihr bei WELTplus und Apple Podcasts – inklusive aller Artikel der Hosts und AAA-Newsletter. Hier bei WELT: https://www.welt.de/podcasts/alles-auf-aktien/plus247399208/Boersen-Podcast-AAA-Bonus-Folgen-Jede-Woche-noch-mehr-Antworten-auf-Eure-Boersen-Fragen.html. Der Börsen-Podcast Disclaimer: Die im Podcast besprochenen Aktien und Fonds stellen keine spezifischen Kauf- oder Anlage-Empfehlungen dar. Die Moderatoren und der Verlag haften nicht für etwaige Verluste, die aufgrund der Umsetzung der Gedanken oder Ideen entstehen. Hörtipps: Für alle, die noch mehr wissen wollen: Holger Zschäpitz können Sie jede Woche im Finanz- und Wirtschaftspodcast "Deffner&Zschäpitz" hören. +++ Werbung +++ Du möchtest mehr über unsere Werbepartner erfahren? Hier findest du alle Infos & Rabatte! https://linktr.ee/alles_auf_aktien Impressum: https://www.welt.de/services/article7893735/Impressum.html Datenschutz: https://www.welt.de/services/article157550705/Datenschutzerklaerung-WELT-DIGITAL.html

Joey got his kids Amazon Echos for their rooms, and they are excited about the new alarm clock possibilities on it. Johnston is waking up to a song from The Goofy Movie and Marvin is waking up to a Michael Jackson song. 130 sober drivers were arrested for DUIs in Tennessee last year. This is down from 400+ in 2024. We are confused about how that happens. Nancy has finally taken off her mega lashes (her eyelash extensions). She told her husband, and he said that the mega lashes had looked like Venus flytraps on her eyeballs. The kicker for the Baltimore Ravens is getting threats on social media because he missed a field goal. Hot Tea: Zach Brian got married and people are tired of hearing his ex talk about it. Kim K is being hated on by PETA for getting her kids puppies for Christmas. Mr. Bubble, the bath brand, is releasing a limited-edition bubble bath flavored soda. Thousands of people across East Tennessee may lose insured access to East TN Children’s Hospital. The insurance company Cigna is threatening to end coverage due to hospital costs being “too high.” Joey got his brother Jesse a Christmas gift, and Jesse basically told Joey it wasn’t a good gift. Lucky 7 for Dollywood tickets The Netflix show Stranger Things released the final episode on New Year’s Eve, but some fans have a conspiracy theory that there will actually be one more episode. They think it will come out tomorrow, based on clues they found on social media and on the show. Nancy went to a police officer pinning ceremony yesterday for her daughter’s boyfriend. It is supposed to be a serious event, but she kept laughing during it because of his funny uniform and shoes. What Makes You Special? I am Zeb Ross, the viral clog dancer! Karly’s brother has to say the pledge of allegiance at the beginning of meetings at his new job. Nancy is going to try leading the pledge in our staff meeting today. See omnystudio.com/listener for privacy information.

Joey got his kids Amazon Echos for their rooms, and they are excited about the new alarm clock possibilities on it. Johnston is waking up to a song from The Goofy Movie and Marvin is waking up to a Michael Jackson song. 130 sober drivers were arrested for DUIs in Tennessee last year. This is down from 400+ in 2024. We are confused about how that happens. Nancy has finally taken off her mega lashes (her eyelash extensions). She told her husband, and he said that the mega lashes had looked like Venus flytraps on her eyeballs. The kicker for the Baltimore Ravens is getting threats on social media because he missed a field goal. Hot Tea: Zach Brian got married and people are tired of hearing his ex talk about it. Kim K is being hated on by PETA for getting her kids puppies for Christmas. Mr. Bubble, the bath brand, is releasing a limited-edition bubble bath flavored soda. Thousands of people across East Tennessee may lose insured access to East TN Children’s Hospital. The insurance company Cigna is threatening to end coverage due to hospital costs being “too high.” Joey got his brother Jesse a Christmas gift, and Jesse basically told Joey it wasn’t a good gift. Lucky 7 for Dollywood tickets The Netflix show Stranger Things released the final episode on New Year’s Eve, but some fans have a conspiracy theory that there will actually be one more episode. They think it will come out tomorrow, based on clues they found on social media and on the show. Nancy went to a police officer pinning ceremony yesterday for her daughter’s boyfriend. It is supposed to be a serious event, but she kept laughing during it because of his funny uniform and shoes. What Makes You Special? I am Zeb Ross, the viral clog dancer! Karly’s brother has to say the pledge of allegiance at the beginning of meetings at his new job. Nancy is going to try leading the pledge in our staff meeting today. See omnystudio.com/listener for privacy information.

Is your sales page bleeding money? When you look at your website analytics, do you wonder why you have thousands of visitors and very few conversions? Join Brad Friedman and Trevor Levine as they chat about the mistakes you are making that are killing your conversions. Trevor Levine is a certified Conversion Optimization Specialist, advertising copy wizard, and a protégé of living legends like Ryan Deiss, Jon Benson, and Jeff Walker.  Over the years, he beat dozens of control letters, some of which were penned by famous copywriters. He improved email marketing campaigns and backend revenues for companies like Aweber and MyPoints. He tripled sales of Cigna insurance policies. His magalog for a Re/Max agent generated $250,000 per weekend. And one of his video sales letters generated over $1.2 Million. Today, Trevor boosts conversion rates at every step of a marketing funnel. He develops persuasive offers, collaborates with customers on "WOW" testimonials, and describes in detail the negative ripple effects of not taking action… or worse, choosing the wrong solution. By making the unique advantages of a client's solution more compelling, he multiplies their return on ad spend.   The Digital Slice Podcast is brought to you by Magai. Up your AI game at https://friedmansocialmedia.com/magai And if it's your first purchase, use BRAD30 at checkout to get 30% off your first 3 months. Visit thedigitalslicepodcast.com for complete show notes of every podcast episode.

In our modern world of online “social” networking, we are in some ways more connected to one another today than ever before in human history. Yet the reported rates of loneliness are at an all time high: 60% amongst Gen X, 65% for Millennials, and as many as 67% of Gen Z report feeling lonely “often” (Cigna, 2025). Where can we turn for real connection? First, we go to God (Ps 73:23). But second, we turn to - and fold into - God's people, the Church, His prescription for our loneliness. We invite you to do just that during this sermon, and join us as we discover how “God's Community is the Cure for the World's Disconnection”.

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https://sp.yna.co.kr/view/ASP20251219001400883 La Tia de las Inyecciones https://sp.yna.co.kr/view/ASP20251218000200883 Operacion Lilin https://reporteasia.com/destacado/2025/12/15/indonesia-mas-145-000-efectivos-desplegados-segurida-fiestas-fin-ano/ Pornhub a la baja https://www.dailystar.co.uk/news/latest-news/pornhub-traffic-drops-77-mp-36423480 Conducta Deshonrosa https://www.dailystar.co.uk/news/latest-news/merseyside-police-officer-admits-paying-36419923 Bambinos de Periferia https://napoli.corriere.it/notizie/cronaca/25_dicembre_13/giovani-e-periferie-va-peggio-napoli-al-pendino-il-30-dei-ragazzi-abbandona-la-scuola-solo-il-10-degli-alunni-di-scampia-ha-il-017d1e01-4f33-4232-a49d-6d07ca3dcxlk.shtml Modernizacion Ferroviaria https://elpais.com/economia/2025-12-18/berlin-aprueba-una-ley-de-infraestructuras-para-modernizar-ferrocarriles-y-puentes-y-corregir-errores-del-pasado.html Profesor Acosador 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Vende muertos https://www.justice.gov/usao-mdpa/pr/former-harvard-morgue-manager-and-wife-sentenced-trafficking-stolen-human-remains Niñera goy https://www.aurora-israel.co.il/ninera-argelina-juicio-paris-envenenamiento-familia-judia/ Rasiltas de cuna https://www.helsinkitimes.fi/finland/finland-news/politics/28322-orpo-apologises-in-chinese-japanese-and-korean-over-mps-racist-images.html Pinche anglo de mierda https://actualidad.esrt.press/actualidad/577351-panadero-britanico-frente-guerra-pan-mexicano Folla Talibos https://dailycaller.com/2025/12/16/exclusive-biden-state-department-ryan-routh-ukraine-emails/ Leche Marroquina https://www.larazon.es/economia/marruecos-ofrece-como-alternativa-baja-produccion-lechera-espana_20251218694441c722f0db7daff6bfc8.html Taller Clandestino https://www.20minutos.es/nacional/ocho-detenidos-una-operacion-contra-uno-los-mayores-fraudes-iva-hidrocarburos-cerca-300-millones_6912143_0.html?autoplay Exibicionismo Carcelario https://elcaso.elnacional.cat/es/noticias/influencers-carcel-internos-movil-haciendo-exhibicionismo-carcelario-descontrol-peligro_1523647102.html Cuadros Feos https://elcaso.elnacional.cat/es/noticias/detienen-aeropuerto-tres-cuadros-feos-descubren-interior-cocaina_1527877102.html DrogaBuddys https://www.levante-emv.com/sucesos/2025/12/19/final-banda-seducia-drogaba-gays-chueca-124949339.html ViolaHIjas https://www.ultimahora.es/sucesos/ultimas/2025/12/16/2532747/reconoce-violo-dos-hijas-desde-tenian-anos-acepta-prision.html Cirujano Mano Larga (inspiracion francesa) https://www.levante-emv.com/sucesos/2025/12/18/tres-nuevas-denuncias-cirujano-detenido-124933978.html Campamento Califa Juvenil https://borneobulletin.com.bn/youth-camp-nurtures-future-leaders/ BichoNova https://www.vozpopuli.com/dolcevita/eduardo-casanova-revela-que-tiene-vih-en-un-documental-de-jordi-evole.html Vampiro tiktokero https://www.gazeta.ru/social/news/2025/12/17/27431593.shtml PinoChilote CogeKarinas https://elpais.com/argentina/2025-12-16/kast-se-reune-con-milei-en-su-primer-viaje-como-presidente-electo-de-chile.html ReNegri alarmado https://www.laprovence.com/article/politique/8772198403556914/fausse-information-sur-facebook-citee-par-emmanuel-macron-le-createur-de-la-video-sexcuse La Barbi https://www.perfil.com/noticias/nea/recapturaron-a-la-barbi-en-corrientes-tras-una-nueva-fuga-de-una-alcaidia-donde-estan-los-sena.phtml Regimiento inventado https://www.ukrinform.es/rubric-ato/4070524-partisanos-los-soldados-rusos-en-el-sector-de-pokrovsk-se-mutilan-deliberadamente-para-evitar-asaltos.html Préstamo de reparaciones https://www.eldiario.es/internacional/ue-fracasa-activos-rusos-conforma-prestamo-conjunto-financiar-ucrania_1_12856712.html?_gl=1*187r88z*_ga*amdSRE56TjBfcUY0WXhCVXRBMXYxbmp4eUI2SFExbE1HcVlEdlRaOWU2M3RSb2FXcU1PX0xsbWZZZ0ttbEhDbA.. 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UNC Health and Cigna have yet to come to an agreement on a contract renewal. While they continue negotiating, real people are finding ways to navigate potentially life-saving procedures without spending an exorbitant amount of money. WRAL's Shaun Gallagher spoke with one woman ahead of her scheduled hysterectomy on Tuesday. Plus, what we know about insurance company contracts with healthcare providers across the state.

Teenagers today are more "connected" than ever—and also more alone than ever. In this episode, I break down what researchers are calling a teenage loneliness epidemic and how it's quietly shaping our kids' emotional, social, and spiritual health. Large global studies show that about 1 in 9 adolescents worldwide report feeling lonely "most of the time" or "always." Long-term data also shows that by 2018, high loneliness levels in adolescents had nearly doubled compared to 2012. In the U.S., young people hold some of the highest loneliness rates of any age group, with one national report showing 61% of young adults experiencing "serious loneliness." We'll also get into the conversation around a "male loneliness epidemic." Some recent findings show men ages 15–34 report higher day-to-day loneliness than women the same age, even though overall, large-scale research suggests gender differences in loneliness are actually quite small. So what does that mean for your son—or your daughter? In this episode, I talk about: What's really driving the rise in teen loneliness (and why it's not as simple as "social media = bad"). How our parental habits—pace, expectations, emotional modeling—can unintentionally deepen the problem or help solve it. Practical, realistic ways to create connection with teens who seem withdrawn, prickly, or hard to reach. How boys and girls experience loneliness differently, and what each needs from the adults in their lives. How to offer yourself compassion as you learn new ways of showing up for your teen. This isn't about guilt. It's about naming what's real, supporting families with compassion, and giving you tools that bring connection back into the relationship. I'd love to chat with you about how this is playing out in your home. Book a free call HERE References 1. World Health Organization (WHO). (2021). Adolescent mental health: Global prevalence of loneliness in 13–17 year olds. https://www.who.int/publications 2. López Steinmetz, L. C., et al. (2021). Loneliness among adolescents across 37 countries: Trends from 2000–2018. Journal of Adolescent Health, 69(6), 993–1002. https://doi.org/10.1016/j.jadohealth.2021.08.009 3. Harvard Graduate School of Education: Making Caring Common Project. (2021). Loneliness in America: How the pandemic has deepened an epidemic of loneliness and what we can do about it. https://mcc.gse.harvard.edu 4. Cigna. (2020). U.S. Loneliness Index: Gen Z and young adults experience the highest loneliness levels. https://www.cigna.com 5. Gallup. (2023). Men report higher rates of daily loneliness than women in many age groups. https://news.gallup.com 6. Maes, M., Van den Noortgate, W., & Goossens, L. (2016). Gender differences in loneliness across the lifespan: A meta-analysis. European Journal of Personality, 30(1), 70–85. https://doi.org/10.1002/per.2034

Mike Hoxter, CTO of Lightbeam Health Solutions, is focused on applying AI to population health management by using predictive models to enhance risk stratification for organizations with value-based care contracts. He emphasizes the importance of integrating social determinants of health along with clinical data to create more accurate predictive scores for patient outcomes, such as reducing hospital readmissions. AI enables a model to incorporate diverse data to derive more fine-tuned, actionable predictions. Mike explains, "We're really all for optimization in value-based care plans and care management. That's really our bread and butter, which is a pretty wide net. So we have a lot of large provider organizations in either CMS MSSP, ACO REACH, or a wide range of value-based care contracts with a lot of the commercial players. The Blues, Humana, Cigna, and Aetna all have value-based care plans that they have contracts with providers. So, optimizing for performance in those contracts. Anybody who works within those is our main clientele. We also have payers that are administering value-based care plans and some hospital systems as well." "If you're good at preventative healthcare, you prevent a lot of unnecessary healthcare. And so risk stratification is something that we do a lot of, and we use a lot of the standard models out there. We have Johns Hopkins embedded into our application. We have all of the different HCC models for Medicare Advantage, CDPs for Medicaid, but then also we have a suite of internal machine-learning-based models, which, I think, is funny - we've gotten to a point where there's such a thing as traditional AI, which is what it's called." #LightbeamHealthSolutions #PopulationHealth #ValueBasedCare #VBC #VBCEnablement #AI #SDOH #RemotePatientMonitoring #Providers #Payers #ACO lightbeamhealth.com Download the transcript here

Mike Hoxter, CTO of Lightbeam Health Solutions, is focused on applying AI to population health management by using predictive models to enhance risk stratification for organizations with value-based care contracts. He emphasizes the importance of integrating social determinants of health along with clinical data to create more accurate predictive scores for patient outcomes, such as reducing hospital readmissions. AI enables a model to incorporate diverse data to derive more fine-tuned, actionable predictions. Mike explains, "We're really all for optimization in value-based care plans and care management. That's really our bread and butter, which is a pretty wide net. So we have a lot of large provider organizations in either CMS MSSP, ACO REACH, or a wide range of value-based care contracts with a lot of the commercial players. The Blues, Humana, Cigna, and Aetna all have value-based care plans that they have contracts with providers. So, optimizing for performance in those contracts. Anybody who works within those is our main clientele. We also have payers that are administering value-based care plans and some hospital systems as well." "If you're good at preventative healthcare, you prevent a lot of unnecessary healthcare. And so risk stratification is something that we do a lot of, and we use a lot of the standard models out there. We have Johns Hopkins embedded into our application. We have all of the different HCC models for Medicare Advantage, CDPs for Medicaid, but then also we have a suite of internal machine-learning-based models, which, I think, is funny - we've gotten to a point where there's such a thing as traditional AI, which is what it's called." #LightbeamHealthSolutions #PopulationHealth #ValueBasedCare #VBC #VBCEnablement #AI #SDOH #RemotePatientMonitoring #Providers #Payers #ACO lightbeamhealth.com Listen to the podcast here

Sponsored by Berries: Use code TherapyShow50 for $50 off your first month - CLICK HERE.   If you are a therapist or counselor looking for continuing education, check out my NBCC Approved $5 Podcourses and other continuing education offerings. Plus, get your first Podcourse half off. I'm thrilled to welcome back my good friend and brilliant multi-passionate entrepreneur, Kym Tolson. If you've ever wondered how therapists can use AI to streamline their work, generate new income streams, or simply stop drowning in admin tasks, you're going to love this conversation. Kym and I dive deep into her newest creation, The Thera AI Hub, a growing collection of over 35 done-for-you AI tools built specifically for therapists. From custom GPTs, to newsletter-building agents, to niche-finding and scalable-offer creators, Kym shows how therapists can reclaim their time, reduce burnout, and finally move toward the ideas they've been sitting on for years. We also explore the evolving role of AI in mental health care including the big news about Cigna using AI as a first-line support tool, and talk candidly about what this means for the future of our field. Kym shares how therapists can stay relevant, adapt intentionally, and develop specialties AI can't replace. Plus, she gives us an exciting look at upcoming features inside Berries, the AI-powered therapy note scribe where she serves as Clinical Director. Think smart treatment plans, automatic session summaries, homework suggestions, and even telehealth and EMR capabilities on the horizon. If you're curious about leveraging AI to enhance your clinical work, build new offers, or simplify your business systems, this episode is packed with inspiration, practical tips, and plenty of "oh wow" moments. I can't wait for you to listen. Kym always brings so much clarity, creativity, and encouragement. I know you'll walk away with at least one idea you're excited to try. Links mentioned in the episode:  Get my CE Course Builder for Mental Health Clinicians for FREE Thera AI Hub + Clinical AI Club: https://kymtolson.kartra.com/page/AI-Tools-for-Therapists AI Newsletter Opt In/Mastering AI Prompts for Therapists: https://kymtolson.kartra.com/page/Join-AI-Newsletter AI Powered Private Practice Giveaway: https://kingsumo.com/g/m88558m/ai-powered-practice-giveaway Check out all my Counselor Resources. 

On this 3d long-form edition of #TheShot of #DigitalHealth Therapy, Jim Joyce and I had the privilege of sitting down for an unforgettable deep dive with Tim Wentworth, the candid, thoughtful, fiercely grounded and recently retired CEO of Walgreens (previously CEO of Evernorth Health Services). Tim's story reads like a masterclass in leadership and life itself - from sweeping parking lots in Rochester to leading global healthcare giants like Cigna's Evernorth and Walgreens. Across nearly two hours (and honestly, we could've gone four), Tim brought raw honesty, wisdom, and humor to every story - from his early scholarship thanks to a teacher who believed in him, to leading multi-billion dollar companies but always defining what it means to lead with heart. This is not just a leadership interview - it's a living case study in resilience, humility, and purpose.

Join us for a deeply human and candid conversation with someone who has mental health experiences from every angle. Melissa Fors Shackelford is a healthcare executive and the author of the Amazon #1 Best Seller, Harnessing Purpose.While Melissa is known for building compelling brands and advising Fortune 100 leaders, her path to purpose was forged through personal adversity. In this episode, we normalize the conversation on family mental health and substance abuse as Melissa shares:The Impact of Family Adversity: How growing up with family members affected by substance abuse profoundly shaped her life choices, empathy, and career path.The Power of Experience: Her invaluable perspective gained from working at institutions like Hazelden Betty Ford and how it taught her about the complexity of mental health and recovery.The Vital Tool: The role of journaling as a non-negotiable practice for processing difficult emotions and finding clarity in the face of chaos.Making the Leap: What inspired her to leave behind a high-level corporate career (at Optum, Cigna, etc.) to bet on herself and build her own purpose-driven consulting practice, Shackelford Strategies.Breaking the Barrier: Why making yourself available to ask for help is the most crucial step in activating your support circle and fostering true mental resilience.Melissa brings a rare blend of corporate expertise and personal vulnerability, proving that leading with integrity requires you to first understand and embrace your own story. This episode offers essential encouragement for anyone seeking to blend their personal challenges into a foundation for meaningful impact.Support the showHave a question for the host or guest? Want their freebee? Are you looking to become a guest or show partner? Email Danica at PodcastsByLanci@gmail.com.This show is brought to you by Coming Alive Podcast Production.CRISIS LINE: DIAL 988

About Lori Logan:Lori Logan is the president and CEO of NASCO, where she leads with a vision to merge innovation with a strong foundation in healthcare. Based in Englewood, Colorado, she brings over two decades of leadership across healthcare's payer, provider, and technology sectors. Known for her curiosity, analytical mindset, and collaborative leadership, Lori has consistently driven growth, transformation, and measurable impact. Her career includes leading multimillion-dollar projects, overseeing teams of hundreds, and managing large-scale integrations and mergers, and acquisitions (M&A) initiatives. Previously, she held senior roles at athenahealth, Geneia, Paladina Health, TriZetto, UnitedHealthcare, Cigna, and McKesson—where she launched groundbreaking products and strategies that improved care coordination and operational efficiency. Recognized for her strategic acumen and results-driven approach, Lori has earned industry accolades, including the TriZetto CEO Pinnacle Award and the Thomson Reuters Healthcare Advantage Award. Her mission remains clear: to reimagine healthcare and create healthier outcomes and lives.Things You'll Learn:Legacy infrastructure hinders scalability; health plans require a modern administrative “chassis” to package benefits, administer payments, and operationalize innovation. This goes well beyond traditional claims systems.Analytics must merge claims, clinical, and engagement data with medical economics precision. Insights then have to reach providers and advocates so care is both effective and reimbursable.A significant amount of value now resides outside of claims in disease management, digital tools, and condition management programs. Members need clear navigation and transparency on what they have, where to go, and what it costs.Provider enablement is essential for value-based care. Success depends on aligned incentives, shared operations, coaching, and trust between plans and providers.Strategic investments should prioritize scalable administration, robust operations, and data pipelines. These foundations let plans attribute value, manage risk, and drive affordability at scale.Resources:Connect with and follow Lori Logan on LinkedIn.Follow NASCO on LinkedIn and explore their website.

This week on That Entrepreneur Show, host Vincent A. Lanci sits down with Melissa Fors Shackleford, award-winning marketer, bestselling author of Harnessing Purpose, and founder of Shackleford Strategies. With over 20 years of experience leading marketing for powerhouse organizations like Optum, Cigna, and Hazelden Betty Ford, Melissa brings unmatched insight into what it means to build a brand with soul — one grounded in authenticity, purpose, and impact.In this inspiring episode, Melissa reveals how to: ✨ Build a mission-driven brand that goes beyond logos and taglines.

Zack Kanter is the founder and CEO of Stedi, an API-first healthcare clearinghouse. After bootstrapping a wildly profitable auto-parts business, he sold it to tackle "the most complicated problem" he'd ever encountered: business-to-business transaction exchange. He spent years building EDI infrastructure, threw away the entire codebase eight times, and found extraordinary traction in healthcare. Stedi recently raised a $70M Series B co-led by Stripe and Addition. In this conversation, Brett and Zack discuss why venture capital means "going pro," why execution is never actually a moat, and how "eating glass" became Stedi's competitive advantage. In today's episode, we discuss: How 16-year-old Zack turned $2,500 into a wholesale empire Why bootstrapping means being "constrained by capital" and how VC removes that ceiling Why Zack rebuilt their EDI product eight times before launch The snake swallowing a deer: what extreme product-market fit really looks like What software companies can learn from discount retail and Toyota Why Stedi's new hires are told "everything's your fault now" And much more Where to find Zack: LinkedIn: https://www.linkedin.com/in/zkanter Twitter/X: https://x.com/zackkanter Where to find Brett: LinkedIn: https://www.linkedin.com/in/brett-berson-9986094/ Twitter/X: https://twitter.com/brettberson Where to find First Round Capital: Website: https://firstround.com/ First Round Review: https://review.firstround.com/ Twitter/X: https://twitter.com/firstround YouTube: https://www.youtube.com/@FirstRoundCapital This podcast on all platforms: https://review.firstround.com/podcast References: Aetna: https://www.aetna.com/ Amazon: https://www.amazon.com/ AWS: https://aws.amazon.com/ Blue Cross Blue Shield: https://www.bcbs.com/ Change Healthcare: https://www.changehealthcare.com/ Cigna: https://www.cigna.com/ Clay: https://www.clay.com/ Costco: https://www.costco.com/ Ford Motor Company: https://www.ford.com/ GM: https://www.gm.com/ HIPAA overview (HHS): https://www.hhs.gov/hipaa/index.html Jeff Bezos: https://x.com/JeffBezos Kanban / TPS (Toyota): https://global.toyota/en/company/vision-and-philosophy/production-system Microsoft Teams: https://www.microsoft.com/microsoft-teams NetSuite: https://www.netsuite.com/ O'Reilly Auto Parts: https://www.oreillyauto.com/ Peter Thiel: https://x.com/peterthiel Porter's five forces: https://www.isc.hbs.edu/strategy/pages/the-five-forces.aspx "Reality has a surprising amount of detail": https://johnsalvatier.org/blog/2017/reality-has-a-surprising-amount-of-detail Slack: https://slack.com/ Stedi: https://www.stedi.com/ Summit Racing: https://www.summitracing.com/ Target: https://www.target.com/ Walmart: https://www.walmart.com/ Zapier: https://zapier.com/ Timestamps: (01:24) Zack's first business (08:54) Why the first customer is tricky (10:12) The downside of bootstrapping (11:42) Why venture capital is like “going pro” (14:20) The confusion between ownership vs. control (16:08) Building a company you don't want to leave (20:46) Do things better than other people (24:49) Stedi's early years (31:43) Physical vs. digital product-market fit (34:41) How Stedi scaled decision-making (40:08) Stedi's journey to product-market fit (45:22) Finding founder-approach fit (50:42) “All software is a cascade of miracles” (52:52) The surprising lessons from discount retail (57:50) How the Toyota production system influences software (1:01:31) What it means to be a high-agency person (1:03:09) The core trait Zack looks for when hiring (1:02:57) Maintaining conviction in unconventional practice (1:14:19) When should you start to hire managers? (1:17:42) “Reality has a surprising amount of detail”

In this episode, Scott Becker discusses strong rebounds from CVS Health and Cigna, Michael Burry's shorts on Palantir and Nvidia, and his own lighthearted rule of thumb for spotting market highs.

In this episode, Scott Becker discusses strong rebounds from CVS Health and Cigna, Michael Burry's shorts on Palantir and Nvidia, and his own lighthearted rule of thumb for spotting market highs.

This week, Traci welcomed Wendy Sherry, Chief Executive Officer for Global Health Benefits within International Health at Cigna Healthcare, overseeing healthcare delivery to more than 3,700 clients in over 250 countries.With 30 years at Cigna spanning multiple leadership roles, Wendy is a strong advocate for inclusion and the advancement of women in leadership. She also serves as an advisor to Hello Heart and supports healthcare equity angels.Spoiler alert: 50% of millennial women are experiencing perimenopause symptoms right now, and by 2030, three-quarters of the global workforce will be millennials or Gen Z—meaning this isn't a women's issue, it's a business imperative.What We CoverThe inclusive leadership philosophyWhat perimenopause actually does to your body50% of millennial women have perimenopause symptomsWhich states mandate menopause workplace protectionsWhy this is a business imperative, not a nice-to-haveThe hidden cost of perimenopause stigmaHow Cigna connects employees to menopause specialistsThe talent war you're losing without these benefitsWhat to ask your benefits provider tomorrowKey Quote"If all the good ideas come from me, we are in trouble. You need to have a team that in many ways is smarter than you in certain areas, because it's all about perspective." – Wendy SherryConnect with Wendy Sherry: https://www.linkedin.com/in/wendy-sherry/ Website: https://www.cignaglobal.com/employers/na Connect with Traci here: https://linktr.ee/HRTraciDisclaimer: Thoughts, opinions, and statements made on this podcast are not a reflection of the thoughts, opinions, and statements of the Company by whom Traci Chernoff is actively employed.Please note that this episode may contain paid endorsements and advertisements for products or services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.

In this episode, Scott Becker discusses Cigna’s 15% stock decline despite strong quarterly revenues and profitability.

In this episode, Scott Becker discusses Cigna’s 15% stock decline despite strong quarterly revenues and profitability.

Healthcare is the #1 concern from wannabe escapees DM Brett about. Today, benefits veteran and fellow escapee Tom Morrissey breaks down a solo-friendly health plan designed for one-person companies: Solo Health Collective. We cover who qualifies, how underwriting your business (not you as an individual) changes the game, pricing logic, networks, what's covered, what's not, and where this is all headed (biomarkers, portable benefits, and association plans). If you've ever said “I'd leave corporate, but… benefits,” this is your episode.Links: Solo Health Collective: https://hbgsolo.com/ Tom Morrissey LinkedIn: https://www.linkedin.com/in/tommorrisseyhbg/ What You'll LearnWho qualifies & how it works: EIN required, brief medical history, plan in your business's name (self-insured structure for solos).How it's different: Not ACA and not a sharing ministry; three high-deductible options ($2.5K / $5K / $10K) with 100% coverage after the deductible and no annual/lifetime max.Network & Rx: Open network with MultiPlan/PHCS PPO; pharmacy via Pharos Rx; prior auth for big procedures.Costs & fit: Age-rated pricing—often competitive vs. ACA when you compare total cost + design—but not for everyone (medical questionnaire matters).Service that doesn't stink: Human, concierge-style support (aka you can talk to a person).The road ahead: Optional “Solo-Plus” wellness track (full lab panels 2x/year) to drive better health and better underwriting; watch items like portable benefits and association health plans that could expand options for independents.Timestamps00:00 Welcome & why healthcare keeps people stuck02:00 What Solo Health Collective is (and isn't)04:00 Tom's background (Cigna → self-insured solutions for small employers → solos)07:30 Why underwrite the business of one (EIN)10:30 The cost problem (everywhere) & what drives premiums15:00 Getting a quote in minutes; three plan designs; preventive care at 100%18:45 Networks (MultiPlan/PHCS), open access, prior auth for big bills21:00 White-glove support & Trustpilot traction22:45 Who it's not for (questionnaire fails; ACA may be better)24:30 Simplicity: deductible = out-of-pocket; families cap at 2x deductible25:40 Future: biomarkers program, better health → better rates30:30 Policy watch: portable benefits & association health plans34:30 Final advice: know all your options; compare total cost & designAbout Our GuestTom Morrissey is a benefits industry veteran (40+ years) and co-builder of Solo Health Collective, a national health plan purpose-built for self-employed business owners with no W-2 employees. Previously with Cigna serving mid-market and national accounts, Tom now focuses on accessible, concierge-level benefits for one-person companies.DisclaimerThis episode is for educational purposes only and is not insurance, legal, or financial advice. Compare options (ACA, off-exchange, group, and Solo Health Collective) and choose what fits your situation.

Good morning from Pharma Daily: the podcast that brings you the most important developments in the pharmaceutical and biotech world. Today, we delve into a dynamic landscape of scientific breakthroughs, regulatory shifts, and strategic maneuvers reshaping the industry.BioMarin's recent decision to divest from its hemophilia A gene therapy, Roctavian, has garnered significant attention. Despite being the sole approved gene therapy for hemophilia A, Roctavian has struggled with sales since its launch two years ago. This move underscores the complex challenges in commercializing gene therapies, highlighting that even groundbreaking treatments can face hurdles in market penetration. It reflects broader implications for the commercialization strategies of innovative therapies and emphasizes that market acceptance is as crucial as clinical efficacy.In manufacturing and regulatory affairs, Regeneron is navigating hurdles with its Eylea HD due to persistent manufacturing issues. The FDA's complete response letter points to ongoing problems at a Novo Nordisk plant. This situation illustrates the critical role of manufacturing standards in securing regulatory approvals and ensuring consistent product availability. Regeneron's efforts to seek alternative manufacturing solutions emphasize the importance of compliance and quality assurance in the pharmaceutical landscape.Roche is advancing its kidney disease portfolio with a Phase 3 trial success for Gazyva against idiopathic nephrotic syndrome. Building on previous approvals for lupus nephritis, this achievement underscores Roche's strategic focus on expanding indications for existing biologics. It highlights the value of lifecycle management strategies in maximizing therapeutic potentials and extending the reach of established drugs.A significant shift in pharmacy benefit management is underway as Cigna's Evernorth division moves away from PBM rebates through Express Scripts. This transition towards a rebate-free model may influence industry-wide practices, addressing growing scrutiny over rebate structures criticized for their lack of transparency and their impact on drug pricing.CSL's decision to delay the spinoff of its flu vaccine unit amid declining U.S. immunization rates illustrates market challenges in vaccine uptake. The anticipated drop, particularly among older populations, raises public health concerns and underscores the necessity for enhanced outreach and education to improve immunization coverage.On the investment front, AbbVie, Regeneron, and Sanofi have collectively invested $80 million in ZAG Bio's Series A funding round. This company is developing thymus-targeted medicines for autoimmune diseases, reflecting continued interest in novel therapeutic approaches addressing unmet medical needs within the biotech space.Catalent's rebranding initiative signifies a strategic effort to align corporate identity with mission-driven objectives, emphasizing "missions that matter" as it approaches an anniversary milestone with Novo Nordisk's acquisition. Such rebranding efforts are critical for differentiating service offerings and reinforcing corporate values within competitive markets.The competitive landscape within diabetes and obesity treatment markets is experiencing a potential paradigm shift following the results from Innovent and Eli Lilly's Phase 3 trial of mazdutide. This dual GLP-1/glucagon receptor agonist outperformed Novo Nordisk's semaglutide, offering improved outcomes in weight reduction and glycemic control. Mazdutide's dual mechanism could redefine treatment protocols, offering patients enhanced therapeutic benefits.MapLight Therapeutics has successfully raised $250 million through an IPO to advance its schizophrenia treatment candidate, Cobenfy. This funding supports further clinical development and potential commercialization efforts, reflecting investor confidence in innovative neurologSupport the show

Former ELC COO and strategist Lori Holt joins Galen to unpack a career built on curiosity, reinvention, and depth. From Cardinal Health to Cigna to launching The Thought Authority, Lori shares how vision boarding, catalytic questions, and “taking up space” turn strategy into action—no sheet music required. 

This episode features Dave Raccagni, Vice President of Innovation, Market Insights, and Communications at Cigna Healthcare. He discusses Cigna's partnership with Paytient to expand flexible, no-interest dental payment options for 13 million members, how the program improves preventive and critical care access, and its potential to drive long-term health and cost savings across broader areas of care.

This episode features Dave Raccagni, Vice President of Innovation, Market Insights, and Communications at Cigna Healthcare. He discusses Cigna's partnership with Paytient to expand flexible, no-interest dental payment options for 13 million members, how the program improves preventive and critical care access, and its potential to drive long-term health and cost savings across broader areas of care.

Career disruption can feel like a dead end, but sometimes it's a doorway to a more profound sense of alignment.In this episode of the Circumstance Podcast, Gina Cafasso connects with nationally recognized career coach Maggie Mistal for a conversation that blends soulful insight with strategic clarity. From a chance encounter sparked by a misspelled name to a deep dive into purpose-driven work, Gina uncovers what makes Maggie's approach so magnetic.Maggie Mistal is the author of Are You Ready to Love Your Job?, a number one Amazon bestseller, and has coached executives at companies such as PepsiCo, Diageo, and CIGNA. Her voice has reached millions through SIRIUSXM, viral videos, and features in The New York Times, Forbes, and USA Today.Whether you're navigating a layoff, rethinking your path, or simply craving more meaning in your work, this episode offers clarity, encouragement, and a reminder that loving what you do is absolutely possible.Spoiler, it is.Learn more about all the great tools and resources Maggie has to offer. Click here to visit her website.Her book "Are You Ready to Love Your Job" can be found here or on Amazon.Links to contact Maggie Mistal:LinkedIn: https://www.linkedin.com/in/maggiemistalFacebook Page: https://www.facebook.com/MakingALivingWithMaggieMistalInstagram: https://www.instagram.com/maggie_mistal_/YouTube: https://www.youtube.com/user/MaggieMistalListen to the whole series here.Support this show http://supporter.acast.com/circumstance.Support this show http://supporter.acast.com/circumstance. Hosted on Acast. See acast.com/privacy for more information.

Whittemore v. Cigna Health and Life Insurance Company

**Free Guide for Listeners:** Boost your practice's cash flow and reduce denials with our step-by-step **Eligibility & Billing Verification Training Guide.**  Download it here → https://natrevmd.com/eligibility-billing-verification/Starting October 1st, Cigna is rolling out a controversial “R49” policy that automatically down-codes higher-level E/M visits—cutting physician reimbursement even when documentation fully supports the billed level. In this episode of the NatRevMD Podcast, Dr. Heather Signorelli, DO, breaks down what this means for your practice, how ICD-10 codes and E/M guidelines intersect, and why the California Medical Association is fighting back. You'll learn:

How can HR drive profit instead of just managing processes? In this milestone episode (#300!) of Behind The Numbers With Dave Bookbinder, we explore how HR can become a strategic profit center rather than a cost center. Guest: Scott Rosen, CEO of the Rosen Group and author of Transforming Your HR Department into a Profit Center What you'll learn in this episode: Why CEOs must lead people and set the tone for culture Scott's six-step framework for transforming HR into a profit center How to approach strategic talent acquisition and employee engagement Ways to reduce turnover and its hidden costs The KPIs every organization should use to measure HR's impact Actionable next steps you can apply right now: Conduct an HR audit to uncover gaps and opportunities Train and reinforce expected behaviors across the organization Invest in HR capabilities that directly support business outcomes Scott also shares where you can find his book and resources to begin transforming HR in your organization. Subscribe to Behind The Numbers With Dave Bookbinder on your favorite podcast platform so you never miss an episode. If you enjoyed this conversation, please share it with your network and leave a review—it helps more business owners and advisors discover the show!   About Our Guest: Scott Rosen is the Founder & President, managing the Rosen Group since 1995. The Rosen Group has grown over the years into a leading staffing firm which specializes in HR. Scott's responsibilities include management, and oversight of sales, marketing, recruiting, finance and operations. Prior to starting his own company, Scott spent 20 years in corporate America. The first half of that time was in operations management with Prudential and Cigna and the second half of that time was in HR Management as a generalist with Reliance Insurance Company, Travelers Mortgage and GE Capital. Scott earned his Bachelor of Science in Business from Rider University.  www.rosengroup.com About the Host: Dave Bookbinder is known as an expert in business valuation and he is the person that business owners and entrepreneurs reach out to when they need to know what their most important assets are worth. Known as a collaborative adviser, Dave has served thousands of client companies of all sizes and industries.    Dave is the author of two #1 best-selling books about the impact of human capital (PEOPLE!) on the valuation of a business enterprise called The NEW ROI: Return On Individuals & The NEW ROI: Going Behind The Numbers.    He's on a mission to change the conversation about how the accounting world recognizes the value of people's contributions to a business enterprise, and to quantify what every CEO on the planet claims: “Our people are this company's most valuable asset.”   Dave's book, A Valuation Toolbox for Business Owners and Their Advisors: Things Every Business Owner Should Know, was recognized as a top new release in Business and Valuation and is designed to provide practical insights and tools to help understand what really drives business value, how to prepare for an exit, and just make better decisions. He's also the host of the highly rated Behind The Numbers With Dave Bookbinder business podcast which is enjoyed in more than 100 countries.  

Send us a textWhat if your most complex visits were being paid as basic ones—and no one on your team even noticed?That's not a hypothetical. It's happening right now.Today we're talking about something that could be quietly draining your revenue, hurting your bottom line, and going completely unnoticed by your billing team: automatic downcoding of high-level E/M visits. This is a new policy from Cigna, and they're not alone. Other major payers—including UHC—are doing the same thing. And they're doing it in a way that makes it difficult to detect, hard to fight, and shockingly easy to miss.If you're a physician, a practice administrator, a billing leader—anyone responsible for the financial health of your practice—this episode is critical listening. Please Follow or Subscribe to get new episodes delivered to you as soon as they drop! Visit Jill's company, Health e Practices' website: https://healtheps.com/ Subscribe to our newsletter, Health e Connections: http://21978609.hs-sites.com/newletter-subscriber Want more formal learning? Check out Jill's newly released course: Physician's Edge: Mastering Business & Finance in Your Medical Practice. 32.5 hours of online, on-demand CME-accredited training tailored just for busy physicians. Find it here: https://healtheps.com/physicians-edge-mastering-business-finance-in-your-medical-practice/ Purchase your copy of Jill's book here: Physician Heal Thy Financial Self Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/ Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig's website to book your Once in a Lifetime music experience Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/

In this episode, Manish Naik, President of Dental and Vision at Cigna Healthcare, discusses workforce challenges, affordability barriers, and how innovations like teledentistry, AI, and integrated care models are improving access, equity, and whole person health.

Send us a textAccess to healthcare in the U.S. is broken, with millions forced to choose between essential needs and seeing a doctor. Traditional clinics are too costly to scale, and telemedicine has hit adoption limits. In this episode of CareTalk, John Driscoll sits down with Karthik Ganesh, CEO of OnMed, to discuss how OnMed's “clinic in a box” is expanding access to care. Ganesh shares his journey across healthcare, why access has always been his passion, and how OnMed's innovative care stations blend the trust of in-person visits with the scalability of telemedicine to address one of the nation's most pressing healthcare challenges.

John discusses a collection of Trump-related stories. First, Trump says he had no knowledge of an Israeli attack on Hamas headquarters in Doha, Qatar where at least 5 lower level Hamas fighters were killed. Second, Trump and Kristi Noem's Hyundai ICE raid has cause major economic backlash. Third, Bill Gates, Tim Cook, and Mark Zuckerberg kissing up to Trump at his big Remodeled Rose Garden party. And fourth, Trump telling West Point to cancel Tom Hanks' military award event. Then, he interviews Ryan Clarkson, founder and managing partner of Clarkson Law Firm who is overseeing the firm's innovative AI litigation practice. Experts at Clarkson Law Firm have been representing numerous patients and their families in legal fights against insurers like UnitedHealthcare, Cigna, and Humana, exposing how, due to AI's denial of claims, elderly patients have been unable to access and afford the very same care their doctors have ordered, leading to some even passing away due to being denied medical care. Then, John jokes with comedian Keith Price AKA Comedy Daddy and they take calls from listeners on RFK Jr, the Supreme Court, and much more.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, Bill interviews successful Levinson Agent, Kent. After 20+ years in the industry, Kent was able to re-invent himself and grow his business 10X in the past 1-2 years! Listen & learn from this valuable interview so you can capture these same strategies for your practice! Kent's Biography:  Kent has 20+ years of experience with individual, group, & business Insurance sales. His strong professional background in banking and insurance offers an advisory approach to his business which results in strong and lifelong client relationships. Kent grew up in Durant, OK and worked for FUB while getting his bachelor's degree. He currently resides in Austin, TX with his wife Rena, where they spend time with three adult children and grandson playing golf, boating, and anything that offers family time. Kent brings relationships with over 60 life insurance carriers, over 12 long-term care/hybrid carriers, 7 disability carriers, and quality healthcare options like Blue Cross, Cigna, Aetna, and United Health Care. Group Benefits include and are not limited to Health Insurance, Accidental Death & Dismemberment, Disability, Long-Term Care, Guaranteed Issue Life, Accidental Death, and Critical Illness. His career focus has been on Succession Planning with business owners, encompassing all the mentioned products. -Check us out online: Agent Back Office Site: LevinsonAndAssociates.com Facebook: @levinsonandassociates X: @levinsonassoc Instagram: @levinsonandassociates Threads: @levinsonandassociates LinkedIn: @bilevinson  Podcast: levinson.libsyn.com YouTube Library: @thelevinson1

Former healthcare executive Wendell Potter reveals how insurance giants sacrifice patient care for profits and deploy deceptive tactics to fight reform.Full show notes and resources can be found here: jordanharbinger.com/1151What We Discuss with Wendell Potter:Wendell Potter was a healthcare insurance executive at Cigna and Humana, and became a whistleblower after witnessing Americans seeking healthcare at a fairground in animal stalls, revealing how profit motives override patient care.Insurance companies prioritize shareholder value over patient needs, with executives compensated primarily in stock, directly incentivizing them to deny claims and care to maximize profits.Companies create "front groups" with misleading names like "Healthcare America" to manipulate public opinion against healthcare reform, using fear tactics to protect industry profits.When denied coverage, patients should appeal decisions, enlist their doctors' help, and consider becoming a "squeaky wheel" through media attention, as companies often reverse denials when facing public scrutiny.There is growing bipartisan support for healthcare reform and breaking up massive healthcare conglomerates. By understanding your rights, documenting communications, and persistently appealing denials, you can better navigate the system while supporting meaningful change.And much more...And if you're still game to support us, please leave a review here — even one sentence helps! Sign up for Six-Minute Networking — our free networking and relationship development mini course — at jordanharbinger.com/course!Subscribe to our once-a-week Wee Bit Wiser newsletter today and start filling your Wednesdays with wisdom!Do you even Reddit, bro? Join us at r/JordanHarbinger!This Episode Is Brought To You By Our Fine Sponsors:The Cybersecurity Tapes: thecybersecuritytapes.comDesign.com: Free trial: design.com/jordanBetterHelp: 10% off first month: betterhelp.com/jordanShopify: 3 months @ $1/month (select plans): shopify.com/jordanHomes.com: Find your home: homes.comWant to hear a conversation with an ex-royal/ex-SEAL who fights to end human trafficking and illegal organ harvesting? Check out episode 868 with Remi Adeleke!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.