Health Insurance

Sector journalism and trade press.

• Modern Healthcare $
  The healthcare industry's trade pub of record.
• STAT News $
  Health, medicine, and science journalism.
• Fierce Healthcare
  Daily healthcare industry news.
• Healthcare Dive — Payer
  Payer-focused industry news.
• AIS Health (MMIT) $
  Insurance industry intelligence.
• Health Affairs $
  Leading health policy journal.
• Healthcare Finance News
  Healthcare CFO and revenue cycle focus.

Membership bodies, advocacy, standards.

• AHIP — America's Health Insurance Plans
  Largest US health insurance trade group.
• Blue Cross Blue Shield Association
  Federation of 33 independent BCBS plans.
• National Assoc. of Insurance Commissioners (NAIC)
  State regulator coordinating body.
• ACAP — Assoc. for Community Affiliated Plans
  Safety-net Medicaid health plans.
• Self-Insurance Institute of America (SIIA)
  Self-insured employer health benefits.
• National Business Group on Health (Business Group)
  Large employer health benefits.

Where deals get done and announcements happen.

• AHIP Conference
  Largest health insurance industry event.
• HLTH
  Las Vegas; major healthcare ecosystem event.
• ViVE (HLTH + CHIME)
  Healthcare digital health/IT event.
• J.P. Morgan Healthcare Conference
  San Francisco, January; the industry's deal-making event.
• Becker's Payer Issues Roundtable
  Payer industry roundtables.
• HCEG Annual Forum
  Health Care Executive Group strategic forum.

Sector-specialist analysts and data providers.

• Kaiser Family Foundation (KFF)
  Health policy research and survey data.
• CMS Office of the Actuary
  National Health Expenditure projections.
• Milliman
  Healthcare actuarial consulting; MMI for medical costs.
• Mercer Survey of Health Benefits
  Annual employer health benefits survey.
• Commonwealth Fund
  Health system performance research.
• Brookings USC Schaeffer Initiative
  Health policy research center.
• Avalere Health
  Healthcare advisory and policy analysis.

Agencies that govern the sector.

• CMS — Centers for Medicare & Medicaid Services
  Medicare, Medicaid, ACA marketplaces.
• HHS — Health & Human Services
  Parent agency.
• State Insurance Commissioners
  State-level rate review and consumer protection.
• DOL — EBSA (ERISA Plans)
  Employer-sponsored health plans.
• OIG — Office of Inspector General (HHS)
  Healthcare fraud, waste, abuse enforcement.
• OCR — Office for Civil Rights (HIPAA)
  HIPAA privacy and security enforcement.

Bellwethers and notable executives.

• UnitedHealth Group
  Andrew Witty, CEO. Largest US health insurer + Optum.
• Elevance Health (formerly Anthem)
  Gail Boudreaux, CEO. BCBS in 14 states.
• CVS Health (Aetna)
  David Joyner, CEO. Aetna + retail pharmacy + Caremark.
• Cigna Group
  David Cordani, CEO. Health services + Express Scripts.
• Humana
  Jim Rechtin, CEO. Medicare Advantage focus.
• Centene
  Sarah London, CEO. Largest Medicaid managed care.
• Kaiser Permanente
  Greg Adams, CEO. Integrated payer-provider.
• Molina Healthcare
  Joe Zubretsky, CEO. Government-sponsored plans.
• HCSC — Health Care Service Corporation
  Maurice Smith, CEO. Largest mutual health insurer; BCBS in 5 states.
• Bright Health / Oscar / Bind / Devoted
  Notable insurtech health plans.