Pharmacy remains one of the largest cost centers for health systems. Yet instead of bringing innovation to this space, many health system pharmacies still rely on disconnected workflows and outdated tools. That status quo drives shortages, shrinkage and noncompliance. The medical/surgical supply…
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CMS has granted a special Medicare enrollment period for individuals affected by the July contract disagreement between UnitedHealthcare Medicare Advantage and Providence, R.I.-based Brown University Health. CMS determined that the removal of the system’s hospitals from UnitedHealth’s MA network was…
Federal healthcare policy is shifting fast. Expiring pandemic-era tax credits, research funding cuts and increasing prior authorization pressures are already reshaping how care is delivered and reimbursed. During this virtual learning session, hear from two Cigna senior leaders on how…
Presented by:
Mitch Relfe
Sr. Principal, Federal Government Affairs, The Cigna Group
Allison Hofmann
Vice President, Health System Division, Cigna Healthcare
Recent CMS changes removed over 2,000 diagnostic codes and introduced 200-plus that don’t map to reimbursement under previous rules. For health systems and ACOs, missing these changes can translate into massive revenue losses and poor risk scoring. Health systems like…
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With second quarter earnings now reported, health insurers are navigating elevated medical cost trends that are hurting their profit margins, driven by increased member utilization of specialty drugs, behavioral health, and emergency services. In their calls with investors, executives specifically…
The nation’s largest payers have filed their second-quarter earnings reports, revealing which companies recorded the largest profits for the three months ended June 30. 1. UnitedHealth Group: $3.4 billion Total net income in the second quarter was $3.4 billion. UnitedHealthcare’s…
Every denied claim means wasted effort, delayed cash flow and rising cost-to-collect. Yet too many hospitals are addressing denials after they happen, not where they begin. Missed authorizations. Registration errors. Faulty insurance verification. These preventable breakdowns account for the majority…
Presented by:
Susan Callaway-Stradley
Vice President, Coding/Auditing Quality Assurance, Coronis Health
As people’s health needs become more complicated, they’re looking for more support from those who help them stay healthy. What they want most is a trusted partner to guide them through the often-confusing healthcare system and make it easier to…
The Cigna Group reported a net income of $1.53 billion in the second quarter of 2025, compared to $1.55 billion during the same quarter last year, according to its July 31 financial report. Total revenue was $67.2 billion for the…
Staffing constraints in rural hospitals are leaving patients vulnerable. Meanwhile, urban units face mounting acuity, and bedside teams are burning out under relentless demand. Without new approaches, care delays, inequities and rising turnover will only worsen. But some health systems…
Presented by:
Karie Ryan DNP, MS, RN, CENP
Chief Nursing Officer
John Bowles, PhD, RN, CENP
Vice President and Chief Nursing Officer, HonorHealth Deer Valley Medical Center
Desi McCue, DNP, MBA, RN, FACHE, CENP
Vice President & Chief Nursing Officer Legacy Meridian Park Medical Center
Heather Schimmers, RN, MBA
President Emplify Health - Gundersen Health System
