ACA enrollment dropped from 22.1 million in February 2025 to 19.2 million people in February 2026, according to a June 26 HHS report. Immediately following the open enrollment period for 2025 coverage, ACA enrollment reached a record high of 24.2…
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One federal lawsuit has set off a chain reaction in the Medicare Advantage world, reshaping star ratings and quality bonus payments — and which plans come out on top. Typically, on the one-to-five star-rating scale, four stars is the threshold…
Real-time medication price transparency is no longer a someday ambition. As of 2025, 75 percent of hospitals had integrated real-time prescription benefit information for at least some payers, CMS has required Medicare Part D plans to support these tools since…
Presented by:
- Christie Callahan, Chief Product Officer, Interra Health
- Lauren Hackenberg, Senior Director, Provider Capabilities, Optum
Scarcity has always shaped healthcare. “Triage” assumes there isn’t enough to treat everyone at the level they need. “Population health” often means concentrating limited resources on the highest-risk sliver of a panel. But a new generation of clinically safe AI voice…
Presented by:
Most AI implementations don’t fail because of the technology. They fail because organizations focus on deployment instead of behavior change. Clinicians don’t resist innovation — they resist disruption that doesn’t clearly improve patient care or make their day easier. In…
Presented by:
- Matthew Brown, DSO Partnerships, Dandy
- Dr. Layla Lohmann, Co-Founder and Clinical Director, Apex Dental Partners
A California judge entered a final judgment that called on Kaiser Foundation Health Plan, part of Oakland, Calif.-based Kaiser Permanente, to pay more than $82 million to the state’s Pomona Valley Hospital Medical Center over concerns of insufficient emergency care…
Elevance Health paid CMS $342 million following a Medicare Advantage sanction notice alleging the insurer did not properly address overpayments for years. June 22 filings in a New York federal court included an email from an Elevance vice president to…
A patient assumes every physician has their full longitudinal picture. Too often, that picture is scattered across tabs, reports, device systems and outside records, and the insight stays out of reach. It gets worse below the surface. One health system…
Presented by:
Democratic senators introduced legislation June 25 that would cap out-of-pocket costs for traditional Medicare beneficiaries. The Medicare Cost Cap Act would install a $5,000 annual cap for Parts A and B cost-sharing — including deductibles, copays and coinsurance — beginning…
Healthcare organizations are under growing pressure to maintain access, stabilize service lines and compete for scarce clinical talent. In the most competitive specialties, traditional hiring often can’t keep pace with demand. To protect coverage without sacrificing quality or continuity, more…
Presented by:
- Justin Burke, Vice President of Talent Acquisition, North American Partners in Anesthesia
- River Meisinger, HCMBA, Vice President Enterprise Solutions, AMN Healthcare
- Garth Weidmann, Division Vice President, AMN Healthcare
