Three Medicare Advantage plans scored a full five stars in this year’s health plan rankings from the National Committee for Quality Assurance. An additional 17 plans, including six more Kaiser Foundation Health Plans from around the country, scored 4.5 stars…
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Of the 998 health plans rated by the NCQA in 2025, 18 received a rating of 2 stars or lower. The ratings, published Sept. 16, evaluate plans on nearly 50 assessments of patient experience and clinical performance. Just 11 plans…
ACA co-op Common Ground Healthcare Cooperative, part of CareSource, is pulling back from offering individual and family health plans in 11 Wisconsin counties in 2026. The change includes all CGHC CareSource plans offered on the exchange and directly from the…
Siloed patient-reported outcome (PRO) initiatives leave data unused and front-line teams unsupported. Norton Healthcare, Endeavor Health, and Northwestern Medicine are taking a different path — embedding PROs across their organizations to shape care delivery, guide innovation, and meet regulatory demands. In…
Oct 16, 2025 11:00 AM - 12:00 PM America/Chicago
Presented by:
Presenters
Matt Gitelis
Founder and CEO, PatientIQ
Steven Glassman, MD
Medical Director and Chair, American Spine Registry at Norton Healthcare
Justin Brueck
System Vice President, Innovation and Research, Endeavor Health
Deneen Ochab
Director, Quality and Patient Safety, Northwestern Medicine
The National Committee for Quality Assurance has named the highest-quality and most-effective health plans of 2025 based on nearly 50 factors that include patient experience and clinical performance. The ratings were released Sept. 16 and draw on 2024 data from…
The National Committee for Quality Assurance has named the highest quality and most effective health plans of 2025 based on nearly 50 factors that include patient experience and clinical performance. The ratings were released Sept. 16 and are based on…
From under-coded exams to misconfigured billing systems, radiology groups are losing revenue daily. One West Coast practice uncovered major losses tied to automation errors and poor queue oversight. Others miss reimbursement altogether due to basic demographic and authorization missteps. Uncover…
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Aetna’s new “level of severity inpatient payment” policy will take effect in less than two months, and the American Hospital Association said it is “deeply concerned.” Aetna’s policy, set to go into effect Nov. 15, will approve inpatient stays without…
Complex wounds don’t heal on a schedule — and traditional hospital-based care models often fall short once patients go home. In this session, Erich Lemker, MD, a board-certified plastic surgeon at Community Regional Medical Center in Fresno, Calif., shares how…
Oct 21, 2025 11:00 AM - 12:00 PM America/Chicago
Presented by:
Presenters
Erich Lemker, MD
Board-Certified Plastic Surgeon, Community Regional Medical Center
Ambulatory Surgery Centers face unique revenue cycle challenges — from implant-heavy procedures to payer-specific contract rules and front-end requirements that, if missed, quickly turn into denials and revenue leakage. With leaner margins than hospitals, effective accounts receivable (AR) management isn’t…
Oct 2, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Dylan DeScheda
Vice President, Accounts Receivable, nimble solutions
Tonya Bailey, VP
Payment Posting, Credits and Charge Posting, nimble solutions