By Dr. Laura Dannels, CHRO at UCSF Health, and Take2 AI Healthcare recruiting still runs on a decades-old playbook. At most health systems, recruiters handle nearly every step of the hiring process by hand, limiting them to a phone conversation…
Presented by:
A federal judge in Pennsylvania denied Aetna’s request for arbitration Nov. 4 in a lawsuit from Philadelphia-based Jefferson Health and Lehigh Valley Physician Hospital Organization regarding the insurer’s “level of severity inpatient payment policy” for Medicare Advantage beneficiaries. The lawsuit…
Workforce, supply chain and finance leaders each answer to their own targets. When those targets compete, the trade-off doesn’t disappear; it lands somewhere else in the health system. A staffing fix can strain the supply budget. A cost cut can…
Presented by:
Elevance Health filed a lawsuit Nov. 4 against autism therapy group Perfect Child, alleging the in-network applied behavior analysis provider leveraged out-of-network shell entities to secure higher reimbursement. The complaint, filed in New York state court, said Perfect Child’s owner,…
Humana reported a net income of $162 million for the third quarter, down from $195 million in the same period last year, the company said Nov. 6. The insurer raised its full-year 2026 adjusted EPS guidance to at least $9.50,…
Mark Cuban has a blunt message for hospital CFOs: Stop letting insurers and benefits administrators dictate the terms of the deal and start using AI to uncover where hospitals may be overpaying. The billionaire entrepreneur and co-founder of Cost Plus…
At least six health insurers have now sued CMS over their 2027 Medicare Advantage star ratings, claiming the agency used quality measures that were never formally adopted through the rulemaking process. Combined, the plans say the ratings will cost them…
CMS finalized its Home Health Prospective Payment System final rule Nov. 4, including a 2.4% home health payment boost for 2027. The rule also includes stricter Medicare provider enrollment provisions as the federal government continues to target alleged fraud, waste…
The Cigna Group plans to cut more jobs, according to a company letter that was sent to employees Nov. 2. The letter, obtained by Becker’s, did not specify how many jobs would be affected but confirmed there would be fewer…
UnitedHealthcare individual and group retiree Medicare Advantage members will continue to have in-network access to Ballad Health under a new multi-year contract inked by the two organizations. The contract includes value-based measures around care quality and patient experience, according to…
