Peter Kuipers, CFO of the technology-centered physician enablement and Medicare Advantage organization Clover Health, stepped down March 30. The move does not stem from a “disagreement” with the company on any matter relating to its operations, policies or practices, Clover…
The Latest
CareSource has finalized its affiliation with Community Care, a Brookfield, Wis.-based managed care organization serving older adults and adults with disabilities. Community Care serves Wisconsin adults 55 and older, as well as adults 18 and older with physical, intellectual or…
CMS has granted Elevance Health’s request for more time to resolve the ongoing dispute over Medicare Advantage risk adjustment data reporting, pushing back a possible start date on enrollment sanctions by two months. In a March 18 statement, Elevance said…
Agentic AI is a board-level priority for most healthcare organizations, but whether you are still identifying where to start or trying to move a stalled pilot forward, the path to measurable results looks the same. This session introduces a practical…
Presented by:
- Dianne Kokotoff, Executive Director, Enterprise Solutions & Automation Wellstar Health System
- Jason Bui, Head of Healthcare UiPath
- Andrea Merrin, VP, Healthcare Naviant
- Mark Miller, SVP, Insurance Naviant
Coding accuracy sits at the center of both financial performance and clinical efficiency but staffing and resources are not keeping pace for many practices. As pressures increase, practices are turning to AI-powered support to keep pace and avoid falling behind.…
On Demand
Presented by:
- Mark Herzog, Principal Solutions Specialist, Veradigm
- Kyle Swarts, President, aiHealth
Patient throughput issues are often treated as isolated capacity problems. In reality, they reflect deeper breakdowns across clinical operations, patient access and revenue cycle, driving avoidable delays, excess length of stay and missed revenue opportunities. Hospitals that improve throughput can…
Presented by:
Health savings accounts have become one of the more active areas of federal health policy over the past year, with GOP lawmakers pushing to expand eligibility and use the tax-advantaged accounts as a vehicle for broader consumer-driven healthcare reform. Four…
Revenue cycle teams are stretched thin. Denials are increasing, hiring is more difficult and administrative workloads continue to grow. Many organizations are dedicating substantial time to denial management and rework, limiting their ability to focus on strategic initiatives. This guide…
Presented by:
Providers are paying closer attention to how — and how quickly — they get paid. Every delay, reconciliation issue or administrative hurdle contributes to a growing burden that affects how providers engage with payer organizations. Forward-looking payers are responding by…
Presented by:
Colorado Department of Health Care Policy and Financing Executive Director Kim Bimestefer is stepping down just as state lawmakers prepared to formally call for her ouster. In a bipartisan draft resolution obtained by Colorado Politics, state lawmakers criticized Ms. Bimestefer…
