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HHS and CMS appealed a Maryland federal court’s decision to vacate parts of CMS’ 2025 “Marketplace Integrity and Affordability Rule,” according to July…
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On January 1, 2027, the Centers for Medicare & Medicaid Services (CMS) will launch the Ambulatory Specialty Model (ASM)—a mandatory payment model that fundamentally redefines how cardiology practices manage heart failure (HF). Unlike previous voluntary value-based programs, ASM is not…
Presented by:
- Kenneth Civello, MD, MPH, FACC, Louisiana Cardiology, FMOL Health
- Vicki Miller, DNP, RN, CPHQ, Director, System Advanced Heart Failure, Lee Health
- Sunthosh V. Parvathaneni, MD, FACC, FHRS, Section Lead of Clinical Cardiac Electrophysiology Regional Section Lead of Clinical Cardiac Electrophysiology Mercy Central Communities Assistant Professor in Clinical Medicine, University of Missouri/Mercy Hospital – Springfield
- Roy Davis, Group Director, Operations, Medical Cardiovascular, Mercy Health
For rural health systems, the pressures are relentless: margins erode, workforce shortages persist and access shrinks every time a service line closes. The $50 billion Rural Health Transformation Program is a once-in-a-generation chance to reverse that trajectory, but funding alone…
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Presented by:
- Kevin Post, DO, CPE, Chief Medical Officer, Avera Health
- David Wilson, Chief Operating Officer, North Mississippi Health System
- Caroline Brazeel, Senior Director Advisory Services, Premier, Inc.
Cigna Healthcare estimates $200 million in medical cost reductions over three years by enhancing its care management programs with expanded AI-enabled capabilities. In a July 23 news release, the insurer aims to reach roughly 20% more customers with complex or…
CMS is appealing its court loss that led to boosts in Clover Health’s 2026 Medicare Advantage star ratings. The case will now move to the U.S. Court of Appeals for the Eleventh Circuit, according to a July 21 court filing. …
Molina Healthcare reported $60 million in net income for the second quarter of 2026, a 76% year-over-year drop from $255 million. The insurer attributed the decline mainly to lower premium revenue and a higher medical loss ratio. Total revenue for…
The No Surprises Act’s arbitration process awarded close to $15 billion to providers in 2025, according to a Wall Street Journal analysis of federal data. Payouts through the independent dispute resolution process reached $14.85 billion in 2025, up from just…
Since the beginning of 2026, federal lawmakers have been pitching reforms that touch every corner of the payer space, from government-run programs to how insurance companies conduct business. Here are eight bills from 2026 that payers should keep on their…
Surgical services generate up to 70% of a hospital’s total revenue, yet the data used to run the OR is built on inputs that were never designed for an active surgical case. Implants, supplies and waste are tracked by circulating…
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Many prospective patients no longer rely on a single Google search or a physician referral to decide where to seek care. They compare practices across local search, maps, reviews, websites and AI-generated answers before they ever make contact. For independent…
Presented by:
- Michael Antosy, Senior Practice Growth Director, MyAdvice
- Robbie Antosy, Senior Practice Growth Director, MyAdvice
AI is everywhere in healthcare, but telling real capability from marketing promise keeps getting harder. This webinar trades the pitch for a candid assessment of where AI is making a measurable difference in revenue cycle management today, where its limits…
Presented by:
- Doug Marcey, Chief Technology Officer, Coronis Health
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