As major insurers pull back on their Medicare Advantage offerings, health system-owned plans told Becker’s they’re eyeing an opportunity to regain ground ahead of the annual enrollment season. “We’re hopeful that CMS and the current administration are really going to…
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CMS has lifted an enrollment sanction imposed on PACE Partners of Northeast Florida, effective Aug. 6. The enrollment suspension came after more than a year of regulatory action following compliance deficiencies identified during audits conducted in 2021, 2022 and 2023.…
Digital fragmentation is stalling care coordination. Clinicians toggle between systems. Pharmacists use different drug references than physicians. Patients receive inconsistent information. And IT leaders are left stitching solutions together — with limited success. A systemic approach to integrating clinical information…
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UnitedHealth Group and Amedisys have reached a proposed final agreement with the Justice Department and attorneys general in four states to resolve an antitrust lawsuit that had temporarily halted their proposed $3.3 billion merger. On Aug. 7, the U.S. District…
U.S. Senators Elizabeth Warren, D-Mass., and Ron Wyden, D-Ore., are pressing UnitedHealth Group for details of a program that allegedly incentivized nursing homes to avert medically necessary hospital transfers for their residents. The Aug. 6 letter to UnitedHealth Group CEO…
Value-based care has moved from aspiration to action for many health systems. Some organizations are finding success by aligning care delivery models, technology and team culture around shared goals. For health systems like Cone Health, this has resulted in sustainable…
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In 2025, Aetna offers the best desktop digital experience among major insurers, and Anthem BCBS plans offer the best mobile app experience, according to new research from Corporate Insight shared with Becker’s. Corporate Insight’s “2025 Commercial Health Plan Experience Benchmark,”…
Cyber threats are up. Breach investigations are intensifying. And with 2025 already seeing a 20% rise in healthcare data breaches, compliance can’t be an afterthought. In today’s cloud-first environment, protecting personal data and maintaining audit readiness takes more than just…
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Presenters
Julia Furst Morgado
Global Technologist, Product Strategy, Veeam
Chris Carmody
Chief Technology Officer, UPMC
Giovanni Piedimonte, MD, FAAP, FCCP
Vice President, Research, Institutional Official, and Research Integrity Officer, Tulane University
Arkansas Gov. Sarah Huckabee Sanders is calling on the state’s insurance commissioner to reject proposed individual ACA rates filed by Centene and Arkansas Blue Cross Blue Shield. Centene’s QCA Health Plan requested a 54% rate increase, and BCBS’ HMO plan…
Cyber threats are up. Breach investigations are intensifying. And with 2025 already seeing a 20% rise in healthcare data breaches, compliance can’t be an afterthought. In today’s cloud-first environment, protecting personal data and maintaining audit readiness takes more than just…
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Presented by:
Presenters
Julia Furst Morgado
Global Technologist, Product Strategy, Veeam
