Philadelphia-based Jefferson Health Plans is rebranding its Medicaid and Children’s Health Insurance Program products. Originally called Health Partners Plans, the Medicaid plans are now Jefferson Health Plans EverWell, and the CHIP plans are Jefferson Health Plans CHIP, according to a…
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The Council for Affordable Quality Healthcare, owned by major health insurers, is rebranding to DataSpring, powered by CAQH. The company serves as a healthcare data ecosystem for payers and providers. Despite its transition from nonprofit status earlier in 2026, CEO…
CMS has logged nearly 40,000 complaints alleging potential violations of federal health insurance law since the agency began tracking them in 2022, with the vast majority of closed complaints related to the No Surprises Act, according to an enforcement report…
Disconnected systems don’t just slow operations, they create friction at every point of the patient journey and erode the staff experience over time. Many organizations have invested heavily in new tools. But when scheduling, communication, clinical workflows and follow-up care…
Jul 9, 2026 12:00 PM - 1:00 PM CDT
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Presenters:
- Gregory Hall, Chief Clinical Operations Officer, Central Florida Healthcare
- Jeff Gartland, Chief Executive Officer, Relatient
- Michael Palantoni, Chief Strategy and Corporate Development Officer, athenahealth
Lifepoint Corporate Services — affiliated with Brentwood, Tenn.-based Lifepoint Health — joined multi-district litigation by providers against MultiPlan, now Claritev, and insurers for allegedly driving underpayments. Lifepoint’s complaint, filed June 2 in an Illinois federal court, targets Aetna, Blue Cross…
Prior authorization reforms in Massachusetts went into effect June 5. Democratic Gov. Maura Healey finalized the regulations in May, following through on her earlier plan to tackle prior authorization. Here are six things to know about the reforms: 1. The…
Most hospitals’ vendor credentialing programs were built to protect clinical spaces, especially the operating room. But the operating room isn’t where most third-party personnel actually go. Environmental services, food and nutrition staff, biomedical technicians and facilities contractors move through patient…
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A coalition of cities, physicians and small businesses are challenging recently finalized changes to the ACA marketplace they argue will cause at least 3 million people to lose health coverage, marking the latest in a series of legal challenges to…
Capital Blue Cross and Bethlehem, Pa.-based St. Luke’s University Health Network have collaborated on a health plan option, now available to some employers. Rates for the Valley Advantage EPO are below those for Capital’s standard PPO, according to a June…
Academic medical centers are facing a convergence of pressures: Medicaid cuts under the One Big Beautiful Bill Act, tightening NIH funding and labor costs that now represent 60% of total hospital expenses, up 5.6% in 2025. For many C-suites and…
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