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From 2012 to 2021, savings across Medicare are estimated to have been $111 billion compared to if Medicare Advantage penetration…
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Women keep your hospital moving. An MSK plan designed around women’s health can keep them physically, mentally and emotionally engaged while keeping your hospital healthy. Download this e-book to uncover insights about the women at your health system. You’ll learn…
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Clinical Documentation Integrity (CDI) teams play a critical role in ensuring diagnoses are accurate, supported, and reflective of the care delivered. But as charts grow more complex and payer scrutiny of retrospective documentation review increases, changes to documentation that happen…
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Dr. David Kirk, MD
Chief Medical Officer, Regard
Fran Jurcak MSN, RN, CCDS, CCDS-O
Independent Consultant – CDI and Revenue Cycle
Pharmacy procurement becomes increasingly difficult to manage as health systems expand. Many organizations have centralized strategies in place, yet purchasing decisions remain reactive. The result: inconsistency, missed savings and increased compliance risk across the enterprise. This session explores where traditional…
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Presenters
Jessica Daley
Consultant, Pharma Logistics
Calvin Hunsicker
Founder and Chief Product Officer, SureCost
Chad O’Connor
VP/GM Acute, SureCost
Houston-based Memorial Hermann Health System’s contract with BCBS Texas expired April 1, rendering the health system out of network. Commercial and ACA exchange (both individual and family) plan members lost access at the end of March. Memorial Hermann has been…
Interoperability has long been healthcare’s unfinished project. Despite decades of investment, the industry still operates within fragmented data environments that struggle to keep pace with care delivered across hospitals, physician groups, labs, post-acute providers and community settings. As care delivery…
Presenters
Amy Roberts
Director of Health Information Systems and Information Technology, Raleigh Neurology Associates
Sam Lambson
Vice President of Product Management, Platform, athenahealth
Lauren M. Smith MD, MBA
Chief Medical Officer Cook County Health
Nilesh Desai, MBA, BS, RPh, CPPS, CPEL
Chief Pharmacy Officer University of Miami Health System
Forward-thinking rural health systems are not approaching the $50B Rural Health Transformation Program as a one-time funding opportunity; they’re treating it as a catalyst to rethink how care is delivered, how clinicians work, and how long-term sustainability is achieved. Across…
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Presenters
Meghan Sims
Director of Partner Success, Abridge
Dr. Veronica Hooper
Chief Health Officer, Yakima Valley Farm Workers Clinic
Payers have faced state penalties in 2026 for slow reimbursements, mishandled member complaints, and mental health parity violations. Fines in 2025 are here. Payers fined by states in 2026:
CMS issued a request for applications March 31 for its long-term enhanced ACO design model. The model’s performance period will span one decade — the longest CMS has tested — and run from Jan. 1, 2027, until Dec. 31, 2036.…
From launching a generative AI companion to facing a lawsuit over alleged Medigap denials, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since March 5: 1. The Louisiana Department of Health’s Medicaid contract with…
Federal regulators are ramping up scrutiny of health system contracting practices, escalating the debate over healthcare costs, competition and market power. The Justice Department recently filed antitrust lawsuits against major health systems, including OhioHealth and NewYork-Presbyterian, alleging they used payer…
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