Ochsner Health Plan will no longer offer Medicare Advantage plans in 2026. The insurer, part of Jefferson, La.-based Oschner Health, has around 6,000 total MA members, per CMS enrollment data. The majority of members are enrolled in an HMO plan,…
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Louisville, Ky.-based Norton Healthcare and Norton Children’s will stay in network with Cigna Healthcare, according to an Oct. 3 statement on the health system’s website. The partnership was originally scheduled to terminate on Sept. 8, but Norton and Cigna discussed…
Seventy-eight percent of U.S. adults want Congress to extend the enhanced ACA tax credits, according to a KFF poll published Oct. 3. While the vast majority of Democrats and independents support an extension, most Republicans and “Make America Great Again”…
CMS has already approved diagnostic and interventional cardiology, including PCI, in ASCs. By 2026, additional procedures such as ablations, electrophysiology studies, atherectomy, chronic total occlusion treatment, and PCI in bypass grafts are expected to be added. This shift is accelerating…
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Only 1 in 4 agency nurses feel included where they work. That lack of belonging doesn’t just affect morale, it compromises care quality, safety and retention. With staffing shortages expected to persist through 2031, failing to integrate contingent staff isn’t…
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Provider network performance is now a competitive differentiator for health plans. Members expect choice and access, regulators expect adequacy and parity, and executives expect measurable ROI. The catch: artificial intelligence and machine learning only create value when the underlying network…
Oct 30, 2025 12:00 PM - 1:00 PM America/Chicago
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Presenters
James Lamb
Vice President of National Payers, Quest Analytics
Stephen Gold
Senior Advisor at Vestar Capital, Board of Directors Member, Quest Analytics
UnitedHealth Group has named Michael Pencina, PhD, as its chief AI scientist, following his departure from Durham, N.C.-based Duke University and Duke Health. Dr. Pencina stepped down Sept. 30 as vice dean for data science at Duke University School of…
As of Oct. 1, Cigna is back in network for Sarasota (Fla.) Memorial Health Care System, according to a statement on the health system’s website. The agreement allows Cigna commercial plan members to access two acute-care hospitals, outpatient and urgent…
A federal judge in Massachusetts denied a bid by a coalition of 21 Democratic-led states to halt new ACA rules they argue will impose significant barriers to receiving health coverage. The lawsuit was filed in July challenging a final rule…
New Mexico lawmakers are advancing legislation that would use state funds to offset the impending expiration of ACA enhanced premium tax credits. The bill, passed Oct. 1 in the state’s House of Representatives, would take effect immediately if signed by…