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How 4 leading systems are building an AI roadmap for the future

Every health system was built around a fundamental constraint: limited human expertise. As AI changes that equation, leaders face a new challenge: solving today’s operational pressures while preparing for a future that looks fundamentally different. Join leaders from St. Luke’s…

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Presented by:

Presenters:

Terry Ribbens, MD
Feby Abraham
Rohit Chandra
Biju Samkutty
Mike Ng
Nikhil Buduma
Michael Han, MD, MBA
Mike Valli
Madeline Grade, MD

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Optum Rx names health plan market president

Optum Rx, UnitedHealth Group’s pharmacy benefit manager, named Zack Jacobson as health plan market president, a June 15 LinkedIn post said. According to his LinkedIn profile, Mr. Jacobson was most recently the PBM’s chief pricing and underwriting officer. He has…

MA patients stay in hospital 11% longer than those with traditional Medicare: MedPAC

In fiscal year 2024, Medicare Advantage patients remained in the hospital 11.2% longer on average than those in traditional Medicare, according to a June 15 report from the Medicare Payment Advisory Commission. MedPAC advises Congress on the Medicare program. Its…

Health insurance costs to hit 17-year high in 2027: Survey

Commercial health plans are facing the steepest single-year cost increase in 17 years, with the group market trend projected to reach 9% in 2027, according to PwC’s annual medical cost trend report published June 11. PwC surveyed and interviewed actuaries…

Read. Deleted. Ignored. What It Takes to Drive Behavior Change and Lower the Cost of Care

Healthcare organizations have spent years investing in personalization, digital engagement, omnichannel outreach, and member experience. Yet despite more communications, more channels, and more technology, behavior change remains frustratingly difficult to achieve at scale. Why? Because most organizations still treat behavior…

Aug 4, 2026 11:00 AM - 12:00 PM CDT

Presented by:

Presenters:

Koleen Cavanaugh, SVP & Chief Marketing Officer, Independence Blue Cross
Bukata Hayes, Chief Community Health Officer, HMO Minnesota (Blue Plus)
Nathan Foco, Chief Marketing and Insights Officer, Select Health
Trish Cox, Chief Experience Officer, SCAN Health Plan
Jonas Puente, Associate Principal, ZS Associates

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UnitedHealth, FTC near insulin rebates settlement

UnitedHealth Group subsidiaries and the Federal Trade Commission have reached a tentative agreement as of June 12 that would resolve allegations the companies had “created a broken rebate system that inflated insulin drug prices,” the FTC said in 2024. Pharmacy…

Cigna sues Tennessee over PBM law, claims more than 180,000 affected

Express Scripts, the pharmacy benefit manager under Cigna’s Evernorth Health Services, filed a federal lawsuit June 12 against Tennessee officials regarding the state’s Freedom, Access and Integrity in Registered Pharmacy Act, also known as the FAIR Rx Act. According to…

Feds shed light on Medicare Advantage post-acute care denials

Two June 8 reports from the HHS Office of Inspector General highlighted post-acute care denials and overturned appeals from Medicare Advantage organizations. Both reports focused on June 2024, looking across 19 MA organizations. The first report found the three largest…

Court rules nursing homes have no right to jury trial in Medicare penalty cases

The Fourth Circuit Court of Appeals ruled that skilled nursing facility operators facing civil monetary penalties from CMS have no constitutional right to a jury trial. Here is what to know. 1. The June 5 ruling came in Sligo Creek Center…

CMS creates Office of Health Technology and Products: 7 things to know

The Centers for Medicare & Medicaid Services has established a new Office of Health Technology and Products to oversee healthcare technology modernization, digital products and platform transformation across the agency’s programs. The organizational change was approved by HHS Secretary Robert…