Becker's Healthcare November 10, 2025
At Becker’s Fall Payer Issues Roundtable in early November, payer and provider executives discussed the shifting realities facing health plans — from regulatory pressure and AI adoption to member experience and cultural inclusion. Leaders described an environment where operational complexity, new compliance expectations, and rapid digital change are converging.
Across sessions, executives shared how plans are adapting: building stronger partnerships with providers, investing in automation, and embedding equity and consumer focus into their business models. The conversations highlighted a shared goal — to simplify healthcare delivery while maintaining financial stability and member trust.
Here are 10 takeaways from the roundtable:
1. Regulatory friction heightens around the ACA and Medicaid. Insurers expect significant membership declines due to the extended ACA subsidy expiration...
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