The Justice Department has expanded its criminal investigation into UnitedHealth Group, examining the company’s pharmacy benefit manager, Optum Rx, and how it compensates its employed physicians, Bloomberg reported Aug. 26. The probe now goes beyond the previously reported potential Medicare…
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AI is no longer an emerging idea in healthcare. It’s being tested and scaled across the care continuum. But what’s actually working? This session breaks down three real-world AI use cases in healthcare that have produced measurable results. Advisory Board…
Presented by:
Presenters
Ken Weitzel
Director, Research delivery and expert partner, Advisory Board
Labor costs remain the largest expense for hospitals, yet many teams still make staffing decisions without timely, reliable data. Premium pay, overtime and agency use surge when leaders can’t see demand signals in real time or match the right clinician…
Presented by:
Presenters
Thomas Lanvers
Senior Vice President, Locumsmart
Blue Shield of California has named Mike Stuart as permanent president and CEO. Mr. Stuart has served as the company’s CFO since 2022, according to an Aug. 26 Blue Shield of California news release. He has also served as interim…
Blue Cross and Blue Shield of Kansas has named Raelene Knolla, DO, as senior vice president and chief medical officer, according to a post on her LinkedIn page. Dr. Knolla most recently served as chief medical officer at Medrina, a…
Despite decades of research and digital tools, inpatient diabetes outcomes haven’t improved. Sliding scale insulin, EHR protocols and fragmented workflows persist — yet national data shows little progress in reducing complications, readmissions or length of stay. Hospitals can’t afford another…
Presented by:
Presenters
Bruce Bode, MD, FACE
Atlanta Diabetes Associates
Jordan Messler, MD, SFHM, FACP
Chief Medical Officer, Glytec
The U.S. healthcare system is caught in a paradox: more patients, more spending, more technology — and yet, stagnant productivity and persistent staffing gaps. Even as health sector employment rebounded by 2.6 million jobs post-pandemic, almost half of hospitals report…
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Presbyterian Health Plan, the insurance arm of Albuquerque, N.M.-based Presbyterian Healthcare Services, has named Heather Thiltgen as its next president. Ms. Thiltgen previously served as president and CEO of Boston Medical Center’s WellSense Health Plan. She will replace interim president…
Between mounting scrutiny of Medicare Advantage plans, calls for greater price transparency, and the ever-growing demand for value-based care, payer organizations are entering a period of heightened pressure and scrutiny. To confront these challenges head-on, more than 700 top executives…
Baltimore-based Johns Hopkins Medicine went out of network with UnitedHealthcare on Aug. 25 after the parties were unable to agree on a new contract. The split comes after the two sides negotiated for eight months and extended their current…
