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Fifty-six percent of employer clients of “Big Three” pharmacy benefit managers — CVS Caremark, Cigna’s Express Scripts and UnitedHealth Group’s…
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Risk adjustment has traditionally lived downstream of the patient visit, reconstructed after the fact through chart review, queries and coding. This session explores what changes when documentation integrity becomes part of the clinical conversation itself, not a separate process layered…
Presented by:
- Eric Bricker, MD, Internal Medicine Physician and former Co-Founder and Chief Medical Officer, Compass Professional Health Services
- Adam Minder, MD, Chief Health Informatics Officer, Inova Health
- Padmanabhan Premkumar, MD, System Senior Vice President and President, Hartford HealthCare Medical Group and CEO of Integrated Care Partners
Roughly 70 percent of medical decisions depend on lab results but lab spending remains one of the least scrutinized lines in a health plan’s budget. That blind spot is getting more expensive. Routine testing spend is climbing faster than the…
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Eleven insurers have announced they will stop offering individual ACA marketplace plans, either nationally or in specific states, after the 2026 plan year. The withdrawals come amid declining enrollment nationwide, rising premiums and the expiration of enhanced premium tax credits…
Procedural areas run on speed, but point-of-care drug preparation introduces steps where errors, compliance gaps and waste accumulate. For pharmacy leaders, every manual preparation task in the operating room is a safety variable and a documentation burden. Pharmacy leadership from…
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Presented by:
- Matthew Gimbar, PharmD, Sr Associate Director, Pharmacy Operations, University of Illinois Hospital and Health Sciences System
- Zenia George, Perioperative Pharmacy Services Coordinator, University of Illinois Hospital and Health Sciences System
Medicare Advantage insurer Alignment Health is expecting to grow into new markets and carry out acquisitions — and now has the financial backing to do so. The insurer laid out its plan in a July 30 Securities and Exchange Commission…
Not all CMS data is telling the same story when it comes to ACA enrollment in Texas. As of January, nearly 4.2 million Texans had selected ACA plans for 2026, up from nearly 4 million in 2025. That marked the…
UnitedHealth Group paid $3 billion for benefits administration platform Alegeus, according to an Aug. 10 filing with the Securities and Exchange Commission. The company had not previously disclosed a price for the deal. In the filing, which does not directly…
The insurance industry is losing jobs at more than four times last year’s pace, according to new data this month from the Bureau of Labor Statistics. The sector, which includes life, health and property insurers, shed an average of about…
William Crowley, BSN, executive director of clinical operations for Health Care Service Corp.’s Blue Cross and Blue Shield of Illinois, will join the National Kidney Foundation of Illinois as CEO Aug. 24. Over his 25-plus-year career, Mr. Crowley has held…
Health systems are navigating a rapidly changing landscape as innovative, high-cost therapies reshape care delivery and the economics of care. These shifts are creating new opportunities for health systems to move beyond their traditional role at the end of the…
- Tina Chaudhry, Associate Principal, ZS Associates
- Diane Reidy, MD, Joseph O. Moore Professor of Medicine with Tenure, Chief, Division of Medical Oncology, Physician Vice President, Cancer Services, Duke University Health System
- Todd Karpinski, PharmD, MS, FASHP, FACHE, Chief Pharmacy Officer & System Vice President, Assistant Dean – Health System Services, WVU Medicine
- Eric Huckins, PharmD, MBA, Vice President, Business Development, Lumicera Health Services, SSM Health
- Denise Scarpelli, VP and Chief Pharmacy Officer, University of Chicago Medicine
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