Commercial insurance prices were 78% higher in hospital outpatient settings compared with ambulatory surgical centers in 2024, according to a Health Affairs study published in October. The analysis, led by researchers at Brown University, examined 2024 pricing data for UnitedHealthcare,…
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OR inefficiency doesn’t always look like downtime. It often hides in missed opportunities, such as unused blocks, delayed scheduling and reactive processes. At Inova, released OR time meant lost revenue, surgeon frustration and underused resources. Emails and spreadsheets weren’t keeping…
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Presenters
Kelly Connolly, MHSA, PMP
Senior Director of the Surgery Service Line, Inova
Jane Yang, MHA
Director of Operations, Perioperative Services Surgery Service Line Administration, Inova
Caity Butler, MSN, RN, CNOR
Manager of Centralized Scheduling, Inova
Thomas Brehmer
Client Outcomes Manager, LeanTaaS
A federal judge rejected Blue Cross Blue Shield of Rhode Island’s motion to dismiss a lawsuit over coverage of wilderness therapy, according to Oct. 14 court documents. Wilderness therapy is a mental health intervention that involves immersing young people in…
AI is flooding healthcare, but not all of it improves outcomes or deserves trust. For payer leaders overseeing utilization, case management and other clinical operations, the question isn’t whether to adopt AI — it’s how to evaluate the right kind.…
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Presenters
Tony Oliva, DO, MMM, FACPE
Chief Medical Officer, MCG Health
Hospitals are under relentless pressure to do more with less. In response, forward-looking leaders are using artificial intelligence, automation and predictive analytics to transform revenue cycle management now. From faster prior auth to fewer denied claims and improved patient engagement,…
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Presenters
Abhijith Godbole
Associate Vice President, Digital Solutions, Sutherland Global
Abhishek AK
AVP, Healthcare, Everest
Following the kickoff of Medicare open enrollment on Oct. 15, The Washington Post discovered inconsistencies in the Medicare Plan Finder, such as duplicative addresses and contradictory information regarding providers’ network status. After the Post reported the issues to CMS, an…
From a shareholder seeking to separate the company’s CEO and board chair roles, to Optum planning to buy a Massachusetts medical group, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Sept. 19: 1.…
Despite rising spend, the U.S. continues to lead the developed world in maternal mortality. But one health plan is proving it’s possible to reverse this trend — and reduce costs at scale. A leading health plan responded to growing demand…
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Revenue cycle teams have access to more data than ever. But siloed systems, delayed reports and manual processes are leaving leaders stuck — unable to connect insights to action. This guide shows how RCM teams can use healthcare payment analytics…
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For surgery centers, outdated financial clearance processes are draining resources. Denials are up. Coverage goes undetected. Patients face confusing bills, and staff are stuck managing it all manually. This whitepaper outlines a smarter path forward. With step-by-step strategies, you’ll see…
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