High deductible health plans may reduce how much people spend on healthcare in the short term, but they don’t appear to slow the rate at which that spending grows over time, according to a study of more than 324,000 commercially…
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Picture a prospective patient comparing different care options in a conversation with an artificial intelligence tool. She never types your system’s name, never lands on your service line page and never appears in your funnel. Two of your competitors are…
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Presenters:
- Claire Wirtanen, Associate Director, Paid Media, IQVIA Health System Solutions
- Anna Moore, Specialist, AI Solutions, IQVIA Health System Solutions
The colorectal cancer (CRC) guideline-recommended screening age of 45 has intensified a screening gap—a concern in a disease that, as of 2023, has the highest cancer mortality in people younger than 50. Dr. Jordan Karlitz, gastroenterologist and senior medical officer…
Revenue cycle now touches every part of healthcare, from financial sustainability to patient access and experience. As health systems grow more complex, the difference between protecting margins and losing ground often comes down to how well revenue cycle operations hold…
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Presented by:
Presenters:
- Akash Magoon, Co-Founder and CEO, Adonis
- Salonia Brown, SVP Revenue Cycle, Mount Sinai Health System
- Erin Miller, VP, Revenue Cycle Integration, Hackensack Meridian Health
- Maria Romeo, AVP, Revenue Cycle Operations, Northwell Health
The Justice Department’s scrutiny of Medicare Advantage risk adjustment is intensifying, with two recent settlements totaling nearly $1.1 billion highlighting federal concerns about diagnosis coding practices that can increase payments to health plans. The latest came Aug. 27, when The…
UnitedHealthcare Community Plan of Washington has named Scott Williams as CEO. According to an August LinkedIn post, Mr. Williams will work with members, providers, community groups, tribes and state leaders in his role with the Medicaid managed care plan. Prior…
UPMC Health Plan posted an operating income of $447 million (4.7% operating margin) in the first half of 2026, up from $106 million (1.1% margin) during the same period last year, according to the system’s Aug. 27 financial report. The…
Of employed adults who could be enrolled in Medicaid expansion and face upcoming work requirements, 19.8% are at risk of noncompliance due to their hours. Under HR 1, many expansion enrollees will need to work, attend school or volunteer for at least 80 hours…
Centene has named Bradley Bolivar as its new chief information officer, effective Aug. 31. Mr. Bolivar previously served as CIO at Fannie Mae, where he led enterprise technology strategy across application development, infrastructure, cybersecurity, data, artificial intelligence and workplace technology.…
Christopher Lee was named CFO of Gold Coast Health Plan in Camarillo, Calif. on Aug. 24, according to an Aug. 27 news release. GCHP serves about 220,000 Medi-Cal members in Ventura County, Calif., through its network of hospitals, specialists, behavioral…