West Columbia, S.C.-based Lexington Health and Cigna reached a new agreement, set to go into effect July 1, according to a health system news release shared with Becker’s. Lexington Medical Center and its affiliated physician practices went out of network…
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More than 26,000 members in UnitedHealth Group plans, spanning UnitedHealthcare and subsidiaries, could face steeper rate hikes before the end of the year, according to the Maryland Insurance Administration. Maryland said it received four requests from UnitedHealth for small-group rate…
Paul Markovich — president and CEO of Blue Shield of California’s parent organization, Ascendiun — is joining the CMS and HHS Healthcare Advisory Committee, according to a May 26 LinkedIn post. The committee, whose members were announced in March, includes…
CMS Administrator Mehmet Oz is revamping leadership roles at the agency, a spokesperson told Bloomberg May 23. Rebekah Armstrong has been named CMS’ new chief of staff, according to the report. She most recently led the agency’s Office of Legislation.…
Patient charts are dense, prior authorization workflows are fragmented and documentation demands continue to pull clinician time away from care. For healthcare leaders, these aren’t emerging concerns — they’re operational realities with measurable consequences. This on-demand executive conversation examines how…
On Demand
Presented by:
Presenters:
- Preeti Grewal
- Jesse Cugliotta
- Dr. Paige Kilian, MD
Preference-sensitive surgeries — like spine fusions, hip replacements and cataract surgeries — represent a significant and often underestimated source of payer medical spend. Yet most health plans have no clear line of sight into this category. Because these procedures cut…
Jun 29, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Cathy Hartman
- Nicola Merryman
CVS Health’s Aetna launched the next generation of its claims assist manager, an agentic AI claims adviser. Using claims adjuster AI agents, the tool reduces processing time by more than 20% for complex claims that need manual review, according to…
Rural healthcare is under unprecedented strain. Margins are eroding, workforce shortages persist and access continues to contract as service lines close. The $50 billion Rural Health Transformation Program offers something rare — a once-in-a-generation chance to redesign care delivery instead…
Jun 30, 2026 1:00 PM - 2:00 PM CDT
Presented by:
Presenters:
- Kevin Post, DO, CPE, Chief Medical Officer, Avera Health
- David Wilson, Chief Operating Officer, North Mississippi Health System
- Caroline Brazeel, Senior Director Advisory Services, Premier, Inc.
The healthcare supply chain has long been treated as a cost center. That framing is breaking down. Labor pressure, reimbursement cuts, supply disruption and margin volatility have made it clear that another round of contract renegotiation will not be enough.…
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Dayton, Ohio-based CareSource suspended repayment demands it previously issued to some Ohio behavioral health providers after therapists and social workers organized public opposition to the policy change, Cleveland.com reported May 25. The organization, Ohio’s largest Medicaid managed care plan covering…