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CMS on May 20 proposed a rule that would cap certain state Medicaid payments and align them more closely with…
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Healthcare organizations are under intensifying pressure to control operational costs without compromising patient experience or clinical outcomes. Language services sit directly inside that tension — often treated as a back-office expense, yet tied to patient access, throughput and care quality.…
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Neil Wallis
COO, MetroWest Medical Center
Emmanuel Chepkwony
Director of Language Services, Advocate Health
Corey Bolt
Strategic Business Development Executive, AMN Healthcare
Hospitals are facing the same equation from every direction: expenses are rising faster than reimbursement, patient demand keeps climbing and the workforce to meet it is shrinking. The traditional response — add beds, hire more staff, build new towers —…
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MCG Indicia Suite: Powering Utilization Management with AI, Automation, and Evidence-Based Precision
Discover how healthcare organizations are transforming utilization management (UM) with the MCG Indicia suite, which combines evidence-based guidelines with advanced artificial intelligence (AI). In this session, MCG will demonstrate how MCG Indicia, Indicia Focus, and Indicia Synapse work together within and…
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Stacy Jiles, RN, CCM
Sales Solution Architect, MCG Health
Personal Care Services attendants account for roughly three times more fraud convictions than any other provider category — and most home health organizations don’t realize how exposed they are. The reason is structural. State exclusions take an average of 420…
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Hiring in healthcare is mission-critical. Persistent labor shortages, clinician burnout, and growing demand for care are forcing healthcare organizations to hire faster than ever – while also facing a sharp rise in candidate fraud and credential misrepresentation. The stakes are…
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Adam Stafford
CEO, Recruitics
Seventeen Democratic senators are proposing to add home care coverage to Medicare for the first time, along with an expansion of Medicaid home- and community-based services. The proposed framework, published May 20, centers on creating a Medicare “home care guarantee,”…
As AI use cases expand, healthcare players have been working to ensure AI readiness among staff. Health insurers are no exception. While payer AI use has faced scrutiny, particularly over possible AI-driven denials, functionalities are much broader than what is…
Between 2014 and 2022, payments to Medicare Advantage brokers grew from $3.9 billion to $10.1 billion per year, according to a research letter published May 18 in JAMA Internal Medicine. Scholars with the Brown University School of Public Health in…
Payments from the $2.67 billion Blue Cross Blue Shield antitrust settlement began rolling out May 11, more than a decade after the original lawsuit was filed. Six things to know: 1. The lawsuits alleged BCBS plans conspired to divide up…
Staffing challenges in healthcare are not evenly distributed, and the systems that recognize that are gaining ground. In many organizations, a small number of units, departments or facilities drive a disproportionate share of vacancies, turnover and premium labor spend. Systemwide…
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