Eli Lilly is dropping CVS Caremark as the administrator of drug benefits for its 50,000 employees next year, Bloomberg reported Nov. 12. Lilly selected Rightway as its new PBM partner. The move comes after Caremark selected Novo Nordisk’s Wegovy over…
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The Wasteful and Inappropriate Service Reduction initiative from CMS will take effect next year, adding prior authorization requirements to traditional Medicare. Providers in Arizona, Washington, New Jersey, Texas, Ohio and Oklahoma will pilot the new protocol. Here are eight things…
Patients at elevated risk of breast cancer are often missed in routine care and with paper-based high-risk screening programs. Midstate Radiology Associates (MRA) changed that. In 2021, MRA overhauled its approach with a digital-first platform that standardizes history collection, calculates…
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President Donald Trump proposed that federal healthcare funds bypass insurers and be directed straight to individuals in a Nov. 8 post on Truth Social. “I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent…
Health plans are under growing pressure to improve accuracy, accelerate recoveries and reduce waste. AI is helping meet that challenge — not by replacing workflows, but by making them more intelligent and responsive. By analyzing structured and unstructured data, from…
Dec 3, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Arun Rangamani
Senior Vice President, Payment Services, AI and Analytics Solutions and Services, EXL
William O’Neill
Vice President, Healthcare Solutions, EXL
Many health systems are moving fast on AI, but scattered pilots and disconnected tools rarely scale or solve the day-to-day frictions clinicians and staff face. This session explores a pragmatic path forward: embedding AI agents into ERP systems to coordinate…
On Demand
Presented by:
Presenters
Dr. Jim Whitfill
Chief Transformation Officer HonorHealth
Thom Bales
Principal, Health Services Advisory Leader PwC US
John Kravitz
VP, Global Head of Healthcare, Industries Workday Inc.
From the company’s CFO outlining financial turnaround plans to Optum launching an AI-powered claims system, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Oct. 21: 1. UnitedHealth Group CFO Wayne DeVeydt laid out…
A Nov. 10 study found risk-based Medicare Advantage contracts had little effect on healthcare delivery. The University of Pennsylvania’s Leonard Davis Institute of Health Economics reviewed Medicare Advantage insurer data to better understand the ramifications of moving from fee-for-service to…
When surgical operations span 13 hospitals, fragmentation shows up fast: misaligned metrics, inconsistent workflows, disconnected schedules and underused ORs. MultiCare Health System tackled this challenge systemwide with a new approach — one that enabled 3,200 additional surgical cases in one…
Dec 11, 2025 1:00 PM - 2:00 PM America/Chicago
Presented by:
Presenters
Chris Hunt, MBA, MSHA, BSN, RN, CSSM, NEA-BC
AVP of Perioperative Services, MultiCare Health System
Katrina Freitag, MN, RN
Nurse Manager, Surgical Services, MultiCare Covington Medical Center
Tiane Kneerim
Associate Director, Client Outcomes Manager, LeanTaaS
Mark Cuban, the billionaire entrepreneur behind Cost Plus Drugs, criticized Sen. Bernie Sanders’ Medicare for All Act Nov. 9 on X. The bill, which would establish a nationwide health insurance program, has been a longtime agenda item for Mr. Sanders,…