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BCBS Rhode Island posted a $10 million operating loss in 2025, the insurer shared March 12. The company had a…
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In healthcare, the employee experience does not begin and end with hourly pay. Financial stress between pay periods can distract staff, affect retention and make it harder for organizations to compete for talent. This report offers healthcare executives a closer…
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When pharmacy vacancies remain open, the effects are felt across the department. Workflows slow, overtime rises, clinical capacity is reduced and team burnout becomes harder to contain. This webinar will help pharmacy leaders look beyond hourly rates and better understand…
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Presenters
Marty Hancock
Senior Vice President, Rx relief
Melissa Chase, Pharm.D, BCSCP, CPEL
Director of Pharmacy Services, Valley Children's Healthcare and Hospital
Susan Burke, RACL, RACR
Vice President, Talent Acquisition for a National Veterinary Care Organization
Payment integrity teams are being asked to do more with more complexity, more data and less room for error. The opportunity is not to replace existing workflows. It is to make them smarter. AI can help health plans act earlier,…
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Presenters
Arun Rangamani
Senior Vice President, Payment Services, AI and Analytics Solutions and Services, EXL
William O’Neil
Vice President, Healthcare Solutions, EXL
Healthcare finance teams are navigating volatile reimbursement models, fluctuating census levels and persistent capital constraints. But many finance teams are still working across disconnected systems — where all of it rarely aligns. When workforce forecasts, patient demand and financial planning…
Presenters
David Richardson
Regional Manager and Healthcare Specialist Prophix
Michael Ciprietti
Head of Platform Enablement Unify
Beyond Access: Why Behavioral Health Requires Precision Orchestration, Not Just a Bigger Network
Healthcare has invested heavily in behavioral health over the past decade. Networks have expanded, telehealth access has grown, and spending continues to rise. Yet outcomes remain stubbornly inconsistent. Nearly one-in-four Americans experienced a mental health challenge last year, and one-in-ten…
In high-stakes environments, confidently held misinformation is a measurable risk. An employee can complete required training, pass a quiz and still lack the knowledge needed to perform safely under pressure. Microlearning improves access. Generative AI accelerates content creation. But neither…
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CMS plans to transition to an independent dispute resolution “gateway” during the second half of 2026, according to a March 16 email shared with Becker’s. The federal agency will move away from single-use web forms, instead relying on “a secure,…
New research from the Blue Cross Blue Shield Association is offering what the organization describes as the first publicly available data connecting rising hospital coding intensity to higher healthcare costs, pointing to AI-assisted coding tools as a likely driver. The…
CMS Administrator Mehmet Oz, MD, is not only encouraging AI use across his agency but also with Medicare beneficiaries, he said in a recent interview with HIMSS President and CEO Hal Wolf. “Why wouldn’t we, within a year, be able…
Rising costs, specialty drug pressure and Medicare Advantage headwinds are making sustained medical loss ratio performance harder to achieve. At many health plans, risk, quality, network and value-based initiatives are still managed through disconnected analytics tools or spreadsheets. This fragmentation…
Presenters
Rebecca Anderson, LMSW
Director, Community Health, Blue Cross and Blue Shield of Kansas City
Trenor Williams, MD
CEO and Co-Founder, Socially Determined
Justin Neece
Chief Growth Officer, MedeAnalytics
