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Blue Shield of California officials attended an April 8 hearing with the San Francisco Board of Supervisors regarding care denials…
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Every health system provides language access, but few can clearly explain how it works across the organization. When leaders attempt to map their approach, gaps quickly emerge. Workarounds develop in silos, knowledge fails to transfer and system weaknesses are often…
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Maureen Huber
CEO, Equiti
Andrew Schwieter
Director, Language Access Services, Cincinnati Children's
Health systems are moving quickly to adopt clinical AI, but scaling it across complex environments remains a challenge. This report explores how leading organizations — including Akron Children’s, Christus Health, Inova Health System, UCHealth and WVU Medicine — are implementing…
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Healthcare organizations are navigating workforce strain while balancing financial constraints and evolving care demands. During this conversation, leaders from Children’s Hospital Los Angeles, Fairview Health and Penn State Health share how finance, HR and clinical teams are working together to…
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Mamoon Syed
SVP and Chief People Officer Children's Hospital Los Angeles (CHLA)
Patrick Adams
VP of Finance & Chief of Staff Fairview Health
Rita Barry
System Director of Workforce Management Penn State Health
Enderson Miranda
Vice-President Strategic Accounts AMN Healthcare
Independence Health Group, the parent company of Independence Blue Cross, posted a $423 million net loss in 2025, according to an April 9 news release. Independence attributed the loss to “increased affordability pressure,” citing higher utilization, care complexity and pharmacy…
Blue Cross Blue Shield plans faced widespread financial pressure in 2025, with several major insurers posting operating losses as medical and pharmacy costs continue to climb. The struggles played out across several leadership moves, an evolving reimbursement policy landscape and…
Medicare supplement enrollment grew 1.3% between 2023 and 2024, according to an April report from AHIP, formerly known as America’s Health Insurance Plans. Medicare supplement, or Medigap, is private insurance for original Medicare beneficiaries to fill in coverage gaps. AHIP,…
Virginia Democratic Gov. Abigail Spanberger signed HB736 into law April 6, furthering prior authorization reform in the state. Effective in 2027, the law establishes a minimum duration requirement. Prior authorizations must be in effect for at least six months for…
Sarasota Memorial Health Care System increased discharges by 70% across sites and reduced length of stay by 13 hours. Texas Oncology grew infusion volume by 16% without adding staff or chairs. The University of Kansas Health System raised OR utilization…
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Priority Health is estimated to have collected at least $4.4 million in Medicare Advantage overpayments throughout 2018 and 2019, according to a March audit from the HHS Office of the Inspector General. The audit focused on 10 high-risk diagnosis groups.…
Nebraska will roll out Medicaid work requirements in May, making it the first expansion state to implement these provisions under HR 1. Here are four notes leading up to Nebraska’s launch: 1. Medicaid expansion states must implement community engagement requirements…
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