Affordability has become one of the most discussed topics in modern health care. Medical spend is shifting and health plans are looking for realistic strategies to control costs and maintain financial viability. To better move the needle on affordability, health…
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New insights from the 2026 Trends in Specialty Drug Benefits Report, co-sponsored by Pharmaceutical Strategies Group (PSG) and Genentech, are now available. This year’s report covers the changing priorities, challenges and strategies payers are considering to ensure access to specialty…
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For insurers that remain committed to their Medicare Advantage businesses, special needs plans have been a major growth driver. KFF estimated that almost half of MA enrollment growth from 2024 to 2025 stemmed from these tailored plans. In 2025, SNPs…
A patient is identified in primary care as needing behavioral health support, but the referral does not turn into treatment. That scenario is still common across healthcare, even when referral processes improve. For health systems focused on access, engagement and…
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AI is advancing rapidly across healthcare, but scale without trust can weaken clinical judgment rather than strengthen it. Health systems are being flooded with AI tools promising efficiency, margin improvement and relief from clinician burnout. Early adopters are already reporting…
May 13, 2026 12:00 PM - 1:00 PM CDT
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Presenters:
- Romil Chadha, MD, MBA, MPH, SFHM, FACP, CMIO, UK Healthcare; Professor of Medicine, Division of Hospital Medicine, University of Kentucky
- Lisa Stephenson, MSN, RN, NI-BC, Chief Nursing Informatics Officer, Cedars-Sinai Health System
- Rick Newell, MD, Chief Transformation Officer, Vituity
- Justin Mardjuki,, CEO, Sayvant
- David Vawdrey, Chief Data & Informatics Officer, Geisinger
If you are not actively auditing your anesthesia revenue cycle, you may be missing revenue risks and opportunities. This webinar will help leaders understand what a comprehensive anesthesia revenue cycle management audit can reveal before those issues turn into larger…
Apr 23, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Jody Casey, Chief Growth Officer NAPA
- Lynn Van Houten, SVP, Revenue Cycle Management, NAPA
- Angela Conlon, Senior Director, Revenue Integrity & Optimization, NAPA
- Clavio Ascari - Jason Grady Clavio Ascari, MD, Chief Clinical Officer, NAPA
- Christina Midcap, VP, Managed Care Contracting, NAPA
Colorado Access, a health plan known for its Medicaid offerings, is joining the state’s individual ACA market in 2027, according to a March 18 news release from the Colorado Division of Insurance. Through its subsidiary, Access Connected Care Partners, the…
Across health systems, revenue can be lost at multiple points in the medication journey, from prescriptions that are abandoned to therapies that never begin to claims that end in write-offs. Those losses are often addressed separately. Pharmacy leaders focus on…
Apr 21, 2026 12:00 PM - 1:00 PM CDT
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Specialty therapies hold enormous clinical potential, but access barriers often prevent patients from starting treatment. Over half of prescriptions for newly launched specialty medications never reach patients, and 100 million prescriptions are abandoned each year across branded therapies. At the…
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The Maryland Insurance Administration issued Cigna an $80,000 fine and is requiring the insurer to stop automatic downcoding under a recent policy, according to a March 13 letter. Cigna’s evaluation and management policy allows the insurer to adjust some higher-level…