Several of the nation’s largest health insurers rolled out reimbursement policy changes Sept. 1, ranging from new lab testing coverage limits at UnitedHealthcare to a billing overhaul at Blue Cross Blue Shield of Michigan that has drawn pushback from providers. …
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Daniel Chojnowski will serve as the interim CEO for Johns Hopkins Health Plans. According to a Sept. 1 LinkedIn post from the insurer, Mr. Chojnowski has served as CFO for the past seven years. He previously held financial leadership roles…
Mississippi Insurance Commissioner Mike Chaney confirmed UnitedHealthcare will offer short-term, limited-duration insurance through the Mississippi Comprehensive Health Insurance Risk Pool Association, with a projected start date in 2027. The short-term plans will run for a maximum of 364 days, Mr.…
A national healthcare organization operating more than 100 hospitals spent one day examining how it requests, approves and pays for locum tenens coverage. The exercise required no extra spend and produced five recommendations. Leaders had reason to look. Locum tenens…
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As clinical AI moves from isolated deployments to enterprise infrastructure, health system leaders face a more consequential question: which technologies deliver meaningful value today while continuing to evolve with the needs of the enterprise? Health systems must assess whether the…
Sep 29, 2026 12:00 PM - 1:00 PM CDT
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Presenters:
- Stephon Proctor, Associate Chief Health Informatics Officer, Children’s Hospital of Philadelphia
- Jill Reeves, Vice President of Quality, Baylor Scott & White
- Nadim Ilbawi, MD, Vice President, Clinical Success & Strategy, Abridge
Query volume and documentation accuracy are supposed to move together. At one West Virginia University Health System hospital, they moved in opposite directions: hospitalist queries fell 30% in 2025 compared with 2024, while severity capture improved. That happened because WVU…
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CMS has again suspended enrollment for two Medicare Advantage prescription drug plans offered by Boston-based eternalHealth, the second time in less than two years that the insurer has faced sanctions. The agency said Aug. 27 the enrollment freeze on the…
Louisiana Attorney General Liz Murrill has filed a lawsuit against Express Scripts and its affiliate Ascent Health Services, alleging the companies manipulated Louisiana’s prescription drug market. The state alleges Express Scripts and its partners restricted competition, manipulated pharmacy reimbursement rates,…
UnitedHealthcare has released the specific procedure codes it will exempt from prior authorization as part of the insurer’s previous pledge to reduce requirements by 30% before the end of 2026. The code lists cover 1,700 procedure codes for a range…
Each complex condition further drives Medicare Advantage disenrollment, according to research published Aug. 21 in JAMA Health Forum. Researchers from Baltimore-based Johns Hopkins University reviewed a cohort of more than 1 million MA beneficiaries to determine transitions to traditional Medicare…