Beginning Oct. 1, Mass General Brigham Health Plan will remove Dana-Farber Cancer Institute from its Medicare Advantage network. MGB Health Plan operates and makes network decisions “separately, independently and without influence from” the Somerville, Mass.-based Mass General Brigham, according to…
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UnitedHealth Group’s Optum has sold interest in some of Optum’s Florida WellMed clinics to private equity company TPG, Bloomberg originally reported Sept. 9. UnitedHealth Chief Financial Officer Wayne DeVeydt told Bloomberg that the healthcare company was looking for a partner…
Monday morning is when the cost of inconsistent patient access surfaces — unmet demand, backed-up calls, stretched staff and provider capacity that patients cannot reach. For specialty practices, access is no longer just an operational headache; it’s a growth lever.…
Oct 15, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Marie D’Aiuto, VP of Patient Access Innovation, Assort Health
- Michael T. Rohmiller, M.D., Orthopedic Spine Surgeon, Beacon Orthopaedics & Sports Medicine, Strategic Advisor, Assort Health
- Mandy McClellan, Director of Support Services, OrthoIndy
Anthem is now covering three surgical meshes for breast reconstruction, according to a clinical guideline published Aug. 27. DuraSorb Monofilament Mesh, GalaFLEX and TIGR Matrix Surgical Mesh “are considered medically necessary when used for breast reconstruction surgery,” the guidance said.…
Air ambulance operator PHI Health is suing Anthem Blue Cross and Blue Shield for allegedly refusing to pay tens of millions of dollars in binding arbitration awards issued under the No Surprises Act. The complaint, filed Aug. 31 in the…
Growth in healthcare spending, not insurer profit margins, drove the vast majority of commercial premium increases over more than a decade, according to a study published Sept. 4 in JAMA Health Forum. Researchers at Yale University and the University of…
CMS has been cracking down on possible fraud with medical equipment suppliers for months, sharing two major updates in recent weeks. CMS announced that it is barring 11 medical supply companies focused on durable medical equipment, prosthetics, orthotics and supplies…
For most of the 2000s, workplace wellness was sold as a way to bend the claims cost curve. A 2010 Harvard Business Review article made the bullish case, using Johnson & Johnson’s program as its example, and wellness moved from…
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A 3.5-Star Medicare Advantage rating can be far more expensive than it looks. As an example, in 2026, approximately 40% of Medicare Advantage prescription drug contracts earned four Stars or higher, meaning roughly six in 10 fell below that threshold.…
Humana lodged a federal complaint Sept. 3 against Bayer AG and its acquired company, Monsanto, the business behind the weedkiller Roundup, seeking recoveries to address payments for Medicare Advantage members’ non-Hodgkin lymphoma-related care. Roundup’s active ingredient, glyphosate, has previously been…