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Of the 956 health plans rated by the NCQA in 2026, 15 received a rating of 2 stars or lower.…
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Medicaid members with behavioral health conditions pass through emergency departments, inpatient units and outpatient follow-up as though each were a separate system. For most plans it is, and the members who need coordination most are the least likely to get…
Presented by:
- Kristi Carney, Director of Behavioral Health, CareSource, Indiana Market
- Nishi Rawat, MD, Chief Clinical Officer and GM Automated Transitions, Bamboo Health
Follow-up colonoscopy rates after a positive stool-based test range from 24-75%, according to NCQA. Same test, same result, very different odds that the whole screening continuum actually gets completed. That spread has been invisible in quality reporting. HEDIS scored health…
Presented by:
- Jordan Karlitz, MD, Senior Medical Officer, Screening, Abbott
- Brenna Lin, Applied Research Scientist, Population Health, National Committee for Quality Assurance
Nearly every pediatric clinician surveyed this year expects zirconia crown use to rise, but far fewer are placing them today. A 2026 benchmark report drawn from 161 in-person responses from pediatric dentists, residents and dental team members at the American…
Ambient AI has made outpatient documentation easier. But no solution has addressed the far more complex documentation of an inpatient stay in a way that serves both clinicians and downstream revenue cycle teams. One multi-hospital health system found a different…
Presented by:
- Faisal Chawla, MD, Medical Director for Clinical Documentation Integrity, Cedars-Sinai Health System, Physician Advisor for Utilization Management, Cedars-Sinai Medical Center
Two hospitals set out to reduce maternal harm. Both have good clinicians, an analytics team and a quality committee. One joins a collaborative that hands it early benchmarking data, weekly working sessions with peers and a shared set of measures.…
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Marisa Rogers, MD, has left her role as chief medical officer for Oak Street Health, CVS Health’s primary care company for older adults. “We built our clinical teams, invested in our leaders, advanced our care model, improved quality, and navigated…
Most cancers still surface only after symptoms appear, often too late. Multi-cancer early detection promises to change that, and with a Medicare coverage pathway now established and employer and consumer demand rising, the executive conversation has shifted from whether MCED…
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Elevance Health’s out-of-network penalty policy has been met with significant resistance — and another lawsuit filed Sept. 17 is adding fuel to the fire. The Neurological Surgery Practice of Long Island filed the complaint in a New York federal court,…
Several HCA Healthcare-affiliated hospitals in Texas filed a lawsuit Sept. 11 against Pennsylvania insurer Independence Blue Cross over alleged claim denials. The plaintiffs include Methodist Healthcare System of San Antonio, St. David’s HealthCare, HCA Houston Healthcare North Cypress, The Woman’s…
Student placements touch far more of a health system than education does. Human resources, infection control, clinical leadership, supervisors and unit teams each carry a piece of them, and when responsibility is split that many ways, no one holds the…
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Presented by:
- Ken Grubbs, DNP, MBA, RN, Chief Nursing Executive and Executive Vice President Accreditation and Certification Operations, The Joint Commission
- Robert Campbell, PharmD, BCSCP, Vice President Accreditation and Certification Program Development and Accreditation Management, The Joint Commission
- Brooke McIntosh Ball, PT, DPT, OCS, Senior Director of Business Development and Operations, Exxat
Popular in Executive Moves
How hospitals are turning EMS data into clinical, operational and strategic intelligence
Presenter: Michael Patock, ImageTrend
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