UnitedHealthcare, Centene, Elevance Health and other insurers have picked up Medicaid managed care contracts in 2025. Here are three states awarding new contracts Becker’s has reported so far in 2025:
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Hospital and health system leaders are grappling with increasing medication costs and complexity in pharmacy benefit management. Traditional approaches often leave HR and pharmacy departments siloed, missing out on critical cost-saving opportunities. A new, collaborative approach to the issue aligns…
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The business case for embracing electronic prior authorization, or ePA, nationwide seems overwhelming. Current prior authorization processes are a chief driver of provider and patient frustration. Needed investment in FHIR APIs is now mandated by CMS Rule 0057, and ePA…
Managing thousands of cardiac device patients used to mean endless remote transmissions, redundant reviews and billing headaches. Deborah Heart and Lung Center proved there’s a better way. By adopting a modern patient management solution, the specialty hospital reduced unnecessary remote…
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Infusion centers are under pressure. Rising volumes, bottlenecked schedules and uneven chair utilization strain operations and frustrate patients. At Northwestern Medicine, leaders reengineered infusion throughput across multiple sites using data science, stakeholder alignment and workflow recalibration. The result? A systemwide…
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Bizhan Shahpar
Program Manager of Performance Improvement at Northwestern Medicine
AI is driving a transformative shift in healthcare, and 2025 may be its “ChatGPT moment.” As the healthcare system faces rising costs, workforce strain and pressure to deliver better outcomes, AI is moving from hype to practical impact. The success…
CareFirst BlueCross BlueShield is the top-performing insurer for customer experience in 2025, according to a report from Forrester. The research firm analyzed 16 insurers on their customer experience performance. The customer experience index, scored on a 100-point scale, is derived…
A real-time data initiative helped Healthfirst improve follow-up rates for patients visiting emergency rooms for mental health and substance use conditions. A national challenge for the industry is that relying on claims data alone is not fast enough to ensure…
Several major health systems and insurers went out of network on July 1. Contract disputes between insurers and health systems are down in 2025 compared to the second half of 2024. In the first quarter of 2025, 26 total disputes…
Patient expectations are rising and legacy contact centers aren’t keeping up. The result? Frustrated patients, exhausted staff and missed opportunities to build loyalty. But some health systems are flipping the script with help from AI agents purpose-built for healthcare. Join…
Jul 21, 2025 11:00 AM - 12:00 PM America/Chicago
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Presenters
Sriram Chakravarthy
Co-Founder and CTO, Avaamo
Robert Smith
Chief AI Evangelist at Avaamo