CMS is “voluntarily recalculating” 2027 Medicare Advantage quality bonus payment ratings, based on 2026 star ratings, following Clover Health’s successful challenge of the agency’s measures. CMS sent a letter informing health plans June 17. In its reevaluation, CMS will only…
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Nationally, roughly 1% of U.S. physicians have opted out of Medicare entirely, according to 2025 data from KFF. While 1% appears to be a marginal number upon first glance, a closer look at where those exits are happening, and what is accelerating the…
A rural Texas hospital organization has notified UnitedHealthcare of its intent to end all participation agreements over alleged unsustainable reimbursement rates. Six things to know: 1. Texas Organization of Rural & Community Hospitals Clinically Integrated Network, representing primary care clinics…
Forty-seven percent of registered voters say corporate health insurance companies are most responsible for rising healthcare costs, according to a new Morning Consult survey. The poll was commissioned by the Coalition to Strengthen America’s Healthcare, a hospital-industry advocacy coalition founded…
Payers often work with employers, but they have to keep their own staff happy, too. Amid a climate of payers across the country cutting jobs, Centene recently confirmed it is offering buyouts to most employees as its ACA business contracts.…
The HIV+Hepatitis Policy Institute had accused Blue Cross & Blue Shield of Mississippi of violating federal preventive health coverage requirements with its HIV offerings. The insurer has since updated its formulary to include two of the drugs in question. Mississippi…
More than 2 million fewer children have been enrolled in Medicaid or the Children’s Health Insurance Program since January 2025, according to a June 10 analysis from the Georgetown University McCourt School of Public Policy Center for Children and Families…
Budgets are tight, clinical standards are higher than ever and sustainability scrutiny is intensifying. Yet many hospitals still run fragmented environmental services programs: multiple disinfectant chemistries, inconsistent ordering and heavy reliance on reusable textiles that drive laundry, logistics and rework.…
Presented by:
- Brooke Hossfeld, MPH, CIC, MLS (ASCP)CM, Infection Prevention Specialist, Sodexo Healthcare
Workforce technology investments haven’t solved the underlying capacity problem. Across departments and care settings, fragmented platforms, siloed workflows and disconnected data continue to limit workforce visibility, strain clinician experience, and slow digital transformation. The problem runs deeper than technology. Without…
Presented by:
- Dr. Pat Hunt, Chief Medical Officer, QGenda
- Dr. Owen Hendricks, Chief Information Officer, Central North AL Health Services, Inc.
- Elizabeth Lindsay-Wood, MBA, CHCIO, CDH-E, Chief Informatics and Technology Officer, Moffitt Cancer Center
- John Tejeda, D.H.A., MLS, MPAS, DFAAPA, LSSBB, FACHE, Chief Operating Officer and Practice Administrator, Vascular and Neuroscience Institute
Health system pharmacies are operating in one of the toughest supply environments in years. Shortages regularly reach all-time highs, drug pricing dynamics keep shifting and supply chain gaps drain margins a pharmacy can’t afford to lose. Most purchasing and procurement…
Presented by:
- Calvin Hunsicker, Founder and CSO, SureCost
- Chad O’Connor, VP/GM Acute, SureCost
