It’s no secret that one of AI’s greatest use cases has been to streamline internal operations and administrative tasks at healthcare organizations. But, for some payers and their parent companies, these technologies are going even further, now serving as a…
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Health systems are facing mounting pressure around primary care economics, physician burnout and patient access — and leaders are finding a way forward that doesn’t require restructuring what’s already working. In this webinar, leaders from Weill Cornell Medicine and Mission…
On Demand
Presented by:
Presenters:
- Timothy P. Seibert, MPH
- Chad Wadell, MD, FACP
- Keith Elgart
- Gianna Angelillo
The Centers for Medicare & Medicaid Services is launching a new initiative aimed at accelerating adoption of electronic prior authorization tools ahead of federal requirements set to take effect in 2027. CMS said May 13 that 29 healthcare organizations, including…
Columbus-based OhioHealth is seeking the dismissal of the Justice Department’s antitrust lawsuit against the system, arguing the lawsuit is too vague to proceed and misreads how competition in healthcare markets actually works. Four things to know: 1. The Justice Department…
For independent practices, denials don’t just delay payments. They drain staff time, strain margins, and create backlogs that take weeks to unwind. The financial impact is visible in A/R reports. The operational impact is felt in every billing cycle. Most…
Jun 11, 2026 11:00 AM - 12:00 PM CDT
Presented by:
Presenter:
- Michelle Scott, AVP RCS Operations Veradigm
Precision genomics is moving from the lab into the operational core of health systems — yet translating that clinical capability into enterprise value remains a challenge for many. Health systems are under increasing pressure to reduce operational burden, standardize care,…
Jun 23, 2026 11:00 AM - 12:00 PM CDT
Presented by:
Presenter:
- James Stover, PhD
Tens of millions of average-risk adults remain overdue for colorectal cancer screening, even as colorectal cancer has become the leading cause of cancer death among Americans under 50. Traditional mailed FIT programs often struggle to sustain engagement, complete follow-up colonoscopy…
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Iowa Republican Gov. Kim Reynolds signed a law May 13 that enacts prior authorization reforms and prohibits insurers from penalizing providers for out-of-network referrals, according to the Iowa Hospital Association. Under the law, while initial prior authorization reviews can be…
Payers nationwide are striving to operate more efficiently, while maintaining high levels of member and provider satisfaction. Success stems from reducing the friction and costs associated with core processes, like utilization management, appeals, medical necessity research and documentation for newly…
Allentown, Pa.-based Lehigh Valley Health Network is no longer in network for UnitedHealthcare employer-sponsored commercial members, as of April 26, according to both organizations. The update does not impact access to broader Philadelphia-based Jefferson Health facilities and physicians, the insurer…