Strategic Planning
CFO John Rex is being replaced by former Anthem CFO Wayne DeVeydt.
Aetna saw its medical benefits ratio increase months after CVS announced it would exit the ACA individual market due to struggling performance.
Because transitions can lead to workflow challenges, the optimal clinical adoption relies on training, says Epic Emeritus CIO Kelli Garrison, who is also founder and CEO of Verdant Consulting.
Cigna says it’s also “leaning in” to an arrangement with the government to reduce prior authorization.
The company updated full-year revenue expectations to at least $128 billion, a $2 billion increase over its prior projection.
Company's current view for 2025 reflects $6.5B more in medical costs than anticipated in its initial outlook.
While revenue is up, profit was just $3.4 billion in the quarter, while Optum was $6.6 billion below earnings expectations.
Tom Lawry, managing director of Second Century Tech, said achieving ROI at scale with artificial intelligence requires viewing it not as a technology strategy, but as an empowerment strategy.
Shares of the company lost about 10% in early premarket trading on Friday, with Centene citing higher marketplace costs.
A stronger in-house data structure may be a factor into Pharma's prioritization of AI.