The Green Mountain Care Board — the independent agency overseeing Vermont’s healthcare system — reduced BlueCross and BlueShield of Vermont and MVP Health Plan’s requested premiums for individuals and small businesses. The reduced rate increases affected 70,000 Vermont residents, according…
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Summa Health will no longer schedule appointments for people with out-of-network and non-contracted insurance plans, effective Sept. 1. The policy includes services provided by the system’s medical group, walk-in services at its urgent care centers, and laboratory and radiology services.…
Administrative burden, disjointed workflows and payer policy friction continue to weigh down clinical and operational teams. But solving these challenges doesn’t require a disruptive system overhaul. In this OnDemand session, hear how healthcare leaders can use intuitive AI to streamline…
On Demand
Presented by:
Presenters
Alex Sushko
Solutions Engineer, Glean
Fiona Zhu
SVP, AI Integration Lead, Lumexa Imaging
Sath Datla
AI Solutions Architect, Cottage Health
A federal judge has paused portions of a new ACA rule that were set to take effect on Aug. 25, which included stricter eligibility verifications and limitations on premium subsidies. “Eliminating coverage for an estimated 1.8 million people will drive…
Discover how Banner Health and evolvedMD, a leader in integrated healthcare, are redefining patient care through an innovative, fully integrated behavioral health model. With a unique onsite, in-person approach, supported by data and proven results, the collaboration not only enhances…
Sep 26, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
David Valenzuela, MD
Physician Executive, AZ Banner Medical Group (BMG), Primary Care and Pediatrics
Erik Osland
Chief Executive Officer, evolvedMD
Ed Clarke, MD
Vice President, Chief Medical Officer Banner Health Plans and Networks
Linking de-identified datasets can unlock critical value for research and AI — but without the right safeguards, it also raises serious privacy risks. Even with private tokenization, data linkage can increase the chance of re-identification in ways many teams underestimate.…
Oct 14, 2025 11:00 AM - 12:00 PM America/Chicago
Presented by:
Presenters
Brian Rasquinha, PhD
Associate Director of Solution Architecture, Privacy Analytics (an IQVIA company)
Troy Health, a North Carolina-based Medicare Advantage insurer, has entered into a non-prosecution agreement with the Department of Justice after admitting to a scheme involving fraudulent Medicare enrollments and identity theft. The company used automation and artificial intelligence software to…
Hospitals are losing up to millions annually from missed coding opportunities — and most leaders don’t even realize it. Vague documentation, siloed teams and under-resourced coders quietly erode margins, delay reimbursement and trigger denials. Download the 10 strategies hospitals are…
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Pittsburgh-based Highmark Health reported $16.5 billion in revenue, $121 million in operating income and $329 million in net income in the first half of 2025. “Strong first half performances by AHN and United Concordia Dental were offset by continued pressure…
Oscar Health is teaming up with grocery chain Hy-Vee to offer a new employer health benefits plan in Des Moines, Iowa. If approved by regulators, the partnership will use an Individual Coverage Health Reimbursement Arrangement (ICHRA) model, which allows employers…