ACA premiums are set to rise by 15% on average in 2026, The Wall Street Journal reported July 18. The Journal used data analyzed by KFF to report rate increases for the largest insurers in 19 states. BCBS Illinois is…
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Integrating AI into utilization management (UM) holds great promise. However, but without the right foundation, adoption stalls. At Sharp HealthCare, leadership knew that selecting the right AI tool was only part of the puzzle. They built a deliberate change management…
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Presented by:
Presenters
Zachary Lenert, MSN, RN, NEA-BC, AMC
VP of Integrated Care Management Sharp Healthcare
Tonya Soroosh, MSJ, RN, CCM
System Director, Case Management Sharp Healthcare
A new Alaska law takes effect on Jan. 1, 2026 that requires faster responses to prior authorization requests for certain treatments and services, the Alaska Beacon reported July 18. Under the new law, payers are required to notify patients within…
With GLP-1 medication costs being a top concern for employers heading into 2026, UnitedHealthcare is addressing the challenge through its Total Weight Support program, aimed at improving weight loss outcomes for employees while managing the costs of medication adherence. “In…
UnitedHealthcare’s specialty benefits CEO, Tom Wiffler, is departing from his role after more than 25 years with the company. Since 2017, Mr. Wiffler led the insurer’s dental, vision, disability, life insurance, indemnity products, hearing, pet insurance, and stop loss businesses.…
Canton, Ohio-based Aultman Health System will no longer offer individual and family ACA plans, along with small group insured ACA plans, past 2025, the Canton Repository reported July 21. The system’s insurance arm, AultCare, insures about 100,000 people. About 6,000…
Denials are no longer just a back-office problem. They’re draining revenue, overwhelming clinical teams and accelerating burnout — and the old playbook isn’t working. In this timely panel discussion, hospital and health system leaders will unpack how they’re shifting from…
Sep 16, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Jerilyn Morrissey, MD
Chief Medical Officer, CorroHealth
Tipu S. Puri, M.D., Ph.D.
Chief Medical Officer UCMC, UChicago Medicine
Lewis Marshall, MD, JD
Chief Medical Officer NYC Health + Hospitals, Lincoln Hospital
Michelle Tutem Greame, PA-C, MSHS
AVP Revenue Integrity Inova Health System
Bashar Naser
CFO and COO CHRISTUS Southern New Mexico
Traditional automation can only go so far in solving today’s operational and compliance pressures. As costs rise and member expectations grow, payers need a smarter path forward. This e-book introduces agentic automation — a new approach that blends human judgment,…
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Health systems are navigating tighter margins, higher expectations and widespread staffing strain. But traditional automation — limited to simple task execution — won’t carry organizations forward. This short guide introduces the next chapter: agentic automation. By combining AI-powered intelligence, human…
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Attorneys representing Luigi Mangione, the man accused of killing UnitedHealthcare CEO Brian Thompson in late 2024, have accused the Manhattan District Attorney’s Office of improperly obtaining over 120 pages of confidential medical records from Aetna, Mangione’s health insurer. In a…