CMS will not approve any new waivers for states to allow continuous enrollment for Medicaid or CHIP beneficiaries longer than 12 months. CMS has “concerns about the appropriateness of providing continuous eligibility,” said Drew Snyder, deputy CMS administrator and director…
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CMS says it has identified 2.8 million Americans that have possibly either enrolled in Medicaid or CHIP in multiple states or have simultaneously enrolled in both Medicaid/CHIP and a subsidized ACA plan. The agency examined 2024 program enrollment data and…
The Certified Professional by the American Heart Association (CPAHA) Telehealth designation is more than a credential — it’s a career catalyst. But many telehealth professionals lack a clear roadmap to prepare and succeed. Join Carly Brown, PharmD, a clinical pharmacist…
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Carly Brown, PharmD, CPAHA
Clinical Pharmacist, University of Mississippi School of Pharmacy, University of Mississippi Medical Center - Center for Telehealth
Patient access is under pressure as care costs climb, appointment wait times grow and staffing shortages persist. Nearly one-third of Americans live more than an hour from hospitals offering high-quality surgical services, with many facing out-of-pocket expenses they can’t afford.…
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Clover Health has named Joseph Oldakowski vice president and controller. Mr. Oldakowski most recently served as vice president and corporate controller of Point32Health, according to a July 17 Clover Health news release. In that role, he led the integration of…
Incomplete risk capture undermines revenue and care quality, especially as value-based models accelerate. Industry averages fall short: 80% recapture rates, 70% annual wellness visit coverage. That leaves dollars — and patient outcomes — at risk. This toolkit shows how leading…
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With over 100 rural hospitals closed in the past decade — and hundreds more at risk — hospital closures are no longer rare events. When one hospital shuts down, nearby systems absorb the fallout: patient volume spikes, provider onboarding slows…
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Presenters
Scott Turkow
Vice President Strategic Partnerships, Medallion
Scott Everline
Principal Solutions Consultant, Medallion
The demand for labor is unrelenting in healthcare, with employment opportunities rising faster than any other industry. To keep pace, leaders need scalable strategies to manage open positions, stay aligned with staffing budgets, and manage the unique needs across departments…
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Presenters
Logan Jones
Director of Product Management, Strata Decision Technology
Bobby Singh
Managing Director of Performance Improvement Practice, Huron Consulting
For many community hospitals, revenue cycle management is becoming unsustainable — with outdated billing workflows, rising denial rates and staffing gaps straining both margins and mission. Outsourcing it isn’t a new concept, but few hospitals have used it as a…
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Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. ChristianaCare, based in Newark, Del., seeks a senior director of managed care contracting…
