Medicare Advantage insurer Clover Health is aiming for Counterpart Health — a subsidiary bringing the carrier’s AI-powered clinical decision support tool to external payers and providers — to serve “as a long-term growth engine,” a Clover executive said on a…
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Regulated healthcare environments face constant pressure to keep patient access, registration, documentation, verification, reminders, and exception handling moving without adding administrative burden to frontline teams. In this session, we’ll explore how AI agents can support the “work behind the work”…
Presented by:
- Ken Dengel, Network Architect, Advanced Dermatology and Cosmetic Surgery
- James Johnson, VP, IT Infrastructure & Support, Advanced Dermatology and Cosmetic Surgery
- Elena Branche, VP, Delivery and Innovation Center US, Druid AI
- Joe Nieto, Senior Director, Health & Life Sciences, TQA
Health insurance leaders were paid at least 206 times more than their respective median employee in 2025, according to recently filed proxy statements. UnitedHealth Group CEO Stephen Hemsley was an outlier, getting paid 748 times more than the company’s median…
CarolinaEast Medical Center, a 350-bed hospital in New Bern, N.C., will drop Blue Cross Blue Shield and UnitedHealthcare Medicare Advantage plans, effective July 1, citing burdensome payment policies, claim denials and reimbursement delays. The hospital issued termination notices to both…
UnitedHealthcare has begun paying some commercial claims instantly, bypassing the standard three to five day window associated with traditional ACH transactions, the insurer said May 4. Under the new system, eligible commercial claims payments are deposited immediately into providers’ bank…
A departing senior Elevance Health executive is pushing back against demands from the Justice Department to depose him in a Medicare Advantage fraud lawsuit against the insurer that stretches back several years. On May 6, Elevance asked a New York…
Imagine a hospital where, in the hours after a critical incident, the response is structured and trauma-informed. Where clinicians don’t carry the “second victim” experience back into their next shift in silence. Where managers know what to say in the…
Presented by:
- Wendy Renedo, Manager of Well-being and Resiliency Novant Health
- Kimberly Johnson, PhD LMHC, The Emotional PPE Project
- Jacinta Harman, LCSW and VP of Clinical Services Marvin Behavioral Health
North Carolina Attorney General Jeff Jackson reached an $11 million settlement with Mylan, now part of pharmaceutical company Viatris, regarding alleged overpayments for EpiPens, according to an April 30 news release. Mylan has handled the marketing and distribution of EpiPen…
Blue Shield of California debuted its virtual-first Virtual Blue healthcare plan just over three years ago. Now, the data is rolling in. The program began in 2023 through a collaboration with tech-enabled healthcare platforms Accolade — now owned by Transcarent…
Roughly half of the clients served by CVS Health’s pharmacy benefit manager cover GLP-1s, company leadership said May 6 on a quarterly earnings call. CVS Caremark, CVS’ PBM, serves employers and healthcare payers more broadly. Executive Vice President and Group…
