Blue Shield of California is cutting broker commissions for new enrollments into Medicare Advantage PPO plans in Alameda, Orange and San Diego counties, effective July 1. The new policy does not affect commission payments of existing membership, according to a…
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Wisconsin Physicians Service Insurance Corporation is laying off 51 employees in Madison and Monona due to competitive pressures. The layoffs will begin to take place on Sept. 30, according to regulatory documents filed with the state June 27. Madison-based WPS…
The health care landscape is evolving rapidly, creating opportunities for hospital and health system executives to drive meaningful change. By addressing workforce dynamics, managing costs, adapting to shifting reimbursement models, and leveraging groundbreaking technology, leaders are positioned to transition from…
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Presented by:
Presenters
Lisa Fry
Chief Strategy and Innovation Officer, SCP Health Moderator
Jonathan Schiller
President and CEO, Garnet Health
Chris Moore
COO, Ascension Saint Thomas Health System
Chris Glenny
SVP, Group Operations, CHRISTUS Health
In June, around 50 insurers pledged their commitment to a set of voluntary actions aimed at simplifying the prior authorization process. The group of insurers, backed by leaders including CMS Administrator Mehmet Oz, MD, said they will work to implement…
Changes to the HIPAA Security Rule are under review, yet the future of these updates is uncertain. What is clear is that healthcare cybersecurity requires a greater amount of standardization to combat the evolving threats and growing risk profile of…
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From the ED to the OR to the infusion chair, operational blind spots cost hospitals more than just revenue. Underused OR time stalls strategic growth. Rising infusion wait times hurt patient satisfaction. Discharge delays in inpatient units create bottlenecks that…
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A new peer-reviewed study analyzed real-world data from patients of a large, risk-bearing provider, who were also covered by one of New Jersey’s largest health plans. It found that a non-invasive, home-based treatment for knee and back pain reduced musculoskeletal…
Amar Desai, MD, is out as CEO of Optum Health, Bloomberg reported June 26. Patrick Conway, MD, CEO of Optum, will also take over as CEO of Optum’s health division, Bloomberg reported, citing an internal memo. Dr. Desai will remain…
An Ohio state judge has temporarily barred a Texas-based insurer that sold health insurance plans to retired law enforcement and fire personnel from operating in the state due to violations of insurance laws. On June 25, a Franklin County judge…
Learn how to unlock interoperability and CMS readiness with the infrastructure you already have. Slow, outdated infrastructure is putting payer-provider organizations at risk of falling behind on upcoming CMS mandates for interoperability, patient access, and prior authorization. And these regulations,…
Jul 24, 2025 10:00 AM - 11:00 AM America/Chicago
Presented by:
Presenters
Joerg Schwarz
Senior Director for Healthcare Interoperability Solutions and Strategy, Infor
Chris Smith, MS
Enterprise Architect, Mississippi Division of Medicaid