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…
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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…
For a 197-bed community hospital in the remote Four Corners region — the sole health system 180 miles from the nearest major city — surgical access is a community lifeline. But manual, Excel-based OR tracking created bottlenecks, operational blind spots…
Oct 13, 2026 1:00 PM - 2:00 PM CDT
Presented by:
Presenters:
- Carlo Hallak, MD, Physician Informatics Executive, San Juan Regional Medical Center
- John Gaede, CPHIMS, MLS (ASCP), Chief Information Officer, San Juan Regional Medical Center
Payers are applying artificial intelligence to examine more claims and apply adjudication logic at a scale most organizations cannot match. Industry research shows 84% of health insurers report using AI or machine learning in some capacity. Providers are unlikely to…
Presented by:
Growth is on the table for a lot of organizations right now: new locations, a multi-specialty acquisition, possibly a private equity partner. The revenue cycle has to scale with it.A hybrid model creates that room. Keep the functions your team…
Sep 23, 2026 11:00 AM - 12:00 PM CDT
Presented by:
Presenters:
- Jerrilyn Ivey, CCS-P, CPCD, CPMA, MHA, MBA, Vice President, Revenue Cycle Management, NextGen Healthcare
- John Long, Chief Operating Officer, Fort Bend Rheumatology Associates
Nearly 90% of health IT leaders say their operations have to change to keep pace with rising clinical, regulatory and financial complexity, according to a 2026 survey from CHIME. Eighty percent of them called interoperability a baseline expectation rather than…
Oct 23, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenter:
- Zach Grieshop, VP, Technical Services, CereCore
There was no single metric that told Dr. Mary Affee her practice had outgrown its operations, and that was the frustrating part. She had built Horizon Integrated Wellness in Cary, N.C., from the ground up as a clinician. The systems…
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Presented by:
Presenters:
- Dr. Mary Affee, Founder and CEO, Horizon Integrated Wellness
- Shikhar Khanna, Founding Member, Nanonets Health
CMS said its enforcement efforts have resulted in blocking more than $1.6 billion in possibly improper Medicare lab payments throughout President Trump’s administration. An Aug. 28 CMS news release said these enforcement actions included savings of $732 million from 157 providers with…