Independence Health Group, the parent company of Independence Blue Cross, posted a $423 million net loss in 2025, according to an April 9 news release. Independence attributed the loss to “increased affordability pressure,” citing higher utilization, care complexity and pharmacy…
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Blue Cross Blue Shield plans faced widespread financial pressure in 2025, with several major insurers posting operating losses as medical and pharmacy costs continue to climb. The struggles played out across several leadership moves, an evolving reimbursement policy landscape and…
Medicare supplement enrollment grew 1.3% between 2023 and 2024, according to an April report from AHIP, formerly known as America’s Health Insurance Plans. Medicare supplement, or Medigap, is private insurance for original Medicare beneficiaries to fill in coverage gaps. AHIP,…
Virginia Democratic Gov. Abigail Spanberger signed HB736 into law April 6, furthering prior authorization reform in the state. Effective in 2027, the law establishes a minimum duration requirement. Prior authorizations must be in effect for at least six months for…
Sarasota Memorial Health Care System increased discharges by 70% across sites and reduced length of stay by 13 hours. Texas Oncology grew infusion volume by 16% without adding staff or chairs. The University of Kansas Health System raised OR utilization…
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Priority Health is estimated to have collected at least $4.4 million in Medicare Advantage overpayments throughout 2018 and 2019, according to a March audit from the HHS Office of the Inspector General. The audit focused on 10 high-risk diagnosis groups.…
Nebraska will roll out Medicaid work requirements in May, making it the first expansion state to implement these provisions under HR 1. Here are four notes leading up to Nebraska’s launch: 1. Medicaid expansion states must implement community engagement requirements…
Premera Blue Cross is suing a weight loss clinic, its physician-owner and its revenue cycle management firm, alleging repeated abuse of the No Surprises Act’s independent dispute resolution process to extract inflated payments from the insurer. The lawsuit, filed April…
Revenue cycle teams are under pressure — and adding more labor isn’t the answer. Healthcare organizations are being asked to reduce administrative burden, improve financial performance and modernize operations all at once. But for many leaders, separating meaningful AI innovation…
May 6, 2026 11:00 AM - 12:00 PM CDT
Presented by:
Presenters:
- Brittany Rambino, Vice President of Revenue Cycle Management, Ambry Genetics
- Kyle Fetter, Chief Operating Officer, XiFin, Inc.
- Jeff Carmichael, Senior Vice President of Engineering, Analytics, and AI, XiFin, Inc.
Medicare Payment Advisory Commission insights, Congressional reports and enrollment data have all been released in the early months of 2026. Some methodology has been questioned by insurers and CMS, even directly on the Congressional floor. Despite the challenges, here are…