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CVS Health’s Aetna launched the next generation of its claims assist manager, an agentic AI claims adviser. Using claims adjuster…
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Preference-sensitive surgeries — like spine fusions, hip replacements and cataract surgeries — represent a significant and often underestimated source of payer medical spend. Yet most health plans have no clear line of sight into this category. Because these procedures cut…
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Cathy Hartman
Chief Healthcare Solutions Officer, Paradigm
Nicola Merryman
Senior Vice President, Healthcare Solutions, Paradigm
Rural healthcare is under unprecedented strain. Margins are eroding, workforce shortages persist and access continues to contract as service lines close. The $50 billion Rural Health Transformation Program offers something rare — a once-in-a-generation chance to redesign care delivery instead…
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Seth Edwards
Managing Director – Advisory Services, Premier Inc.
The healthcare supply chain has long been treated as a cost center. That framing is breaking down. Labor pressure, reimbursement cuts, supply disruption and margin volatility have made it clear that another round of contract renegotiation will not be enough.…
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Most multispecialty organizations have dashboards. The problem is those dashboards are telling leaders what already went wrong — after claims are denied, AR ages and revenue is delayed. For organizations managing multiple specialties, decentralized workflows and expanding payer requirements, that…
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The Rural Health Transformation Program represents the largest federal investment in rural healthcare in decades — and for many health IT leaders, the question is which digital strategies are worth pursuing now. This whitepaper breaks down how ambient AI documentation…
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University of Iowa Health Care made one of the first enterprise-wide deployments of ambient speech technology and saw measurable results within months. After 70% of physicians cited documentation as a barrier to efficiency and patient care, leaders moved quickly. Within…
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Most health systems have spent the past several years expanding behavioral health access. The result has too often been the same: patients referred without clear pathways and wait lists that are many days long. Meanwhile, the financial and operational pressure…
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Hospital and health system CFOs are making some of the toughest financial calls in a generation, and the margin for error has never been thinner. With reimbursement pressures mounting and policy shifts reshaping payer mix, finance leaders can no longer…
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Presenters
Sham Firdausi, MBA, MSc, PMP, CHFP, ACHE
Deputy Chief Financial Officer, County of Santa Clara Health System
Noel Sousa
Chief Financial Officer, University of Maryland Medical System
Jack O'Hara
Founder and Chief Executive Officer, Translucent AI
Joe Caristi
Chief Financial Officer, Speare Memorial Hospital
Picture a CDI team that no longer spends most of its week reworking denied claims. Encounters are flagged for documentation risk while the patient is still being treated. Coders work cleaner cases. Finance can predict cash, not chase it. That…
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Presenters
Eric Evenson, MBA, MHA, FACHE
Business director, Solventum
Thea Campbell, MBA, RHIA, FAHIMA
Business director, Solventum
The average American covered by an employer health plan is projected to spend $8,460 on healthcare this year, up from $7,838 in 2025, according to Milliman’s 2026 Medical Index released May 20. The index captures both employer and employee cost…
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