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The Minnesota Department of Human Services told Becker’s Oct. 15 that it may need to claw back funds from Medicaid providers if it faces a disallowance from CMS in the coming weeks. CMS has deferred $550 million in Medicaid funds…

A top CMS official wants provider suspensions to quadruple in the next six months as the agency puts new exclusion authority to work and tests AI tools to catch fraud, Nextgov/FCW reported Oct. 15. CMS Deputy Administrator Kimberly Brandt discussed…

Molecular residual disease (MRD) testing is moving into the next phase of precision oncology, extending molecular insight past diagnosis and treatment selection into post-treatment monitoring, surveillance and survivorship. For health systems, the question is not whether to add another test.…

Oct 15, 2026 3:00 PM – 4:00 PM CDT

Presented by:

Presented by
Presenter:
  • Rick Baehner, MD, Chief Medical Officer, Precision Oncology     Abbott Cancer Diagnostics, Clinical Professor of Pathology,, University of California, San Francisco

A year after executives said Optum Health had drifted from its original value-based care model, the smaller business is producing much larger profits, according to UnitedHealth Group’s Oct. 13 earnings release and call. Optum Health’s earnings from operations rose to…

Rocky Novak is joining UnitedHealth Group as chief marketing officer, effective Oct. 29. According to an Oct. 15 statement shared with Becker’s, Mr. Novak will lead enterprise marketing strategy, deepen stakeholder engagement and manage brands across UnitedHealth.  “Rocky will work…

AmeriHealth Caritas is growing its marketplace presence in 2027, bringing plans to two more states — Indiana and Ohio — and expanding its reach in four others. According to an Oct. 15 news release shared with Becker’s, marketplace plans will…

Value-based care promised better outcomes at lower cost. Years of effort and millions in infrastructure later, payer leaders are asking a blunt question: is it delivering? On Oct. 21, join us for a candid discussion built for payer leaders that…

Oct 21, 2026 11:00 AM – 12:00 PM CDT

Presented by:

Presented by
Presenters:
  • Tim Smith, ASA, MAAA, MS, Chief Actuary, Arbital Health
  • Niall Brennan, Chief Data and Analytics Officer, Horizon BCBS
  • Ali Khan, MD, MPP, FACP, Advisor, Andreessen Horowitz, Former CMO of Medicare, Aetna

Kaiser Permanente led the 2027 U.S. News & World Report ratings for the “best overall” Medicare Advantage companies. The ratings, published Oct. 14, are based on a five-point scale, assigning weights to more than 30 CMS quality measures. After calculating…

The IRS and Treasury Department have proposed regulations, published Oct. 15, to implement HR 1 provisions and reform premium tax credits for ACA exchanges. “The proposed rules protect eligible taxpayers while strengthening the integrity of the premium tax credit,” IRS…


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