Jersey City, N.J., Mayor James Solomon has hired an auditor to review health insurance claims paid by Horizon BCBS New Jersey, according to a March 17 news release. Horizon previously served as the city’s third-party health insurance administrator. The insurer…
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HSS’ Office of Inspector General estimates that BCBS Alabama received at least $7 million in Medicare Advantage overpayments, according to a March audit report. From a sample of 271 enrollee-years, 247 had medical records that did not align with diagnosis…
Optum Health is about four months into a leadership transition, with its new CEO Krista Nelson laying out her vision for what the care delivery giant looks like after years of rapid expansion that company leadership has acknowledged steered the…
The Trump administration is widening its Medicaid fraud crackdown to Florida, with CMS sending a letter March 17 to Gov. Ron DeSantis and other state leaders that requests information on how the state identifies, prevents and addresses Medicaid program integrity…
Tich Changamire, MD, PhD, was named president of the Medicaid health plan run by Wellpoint Washington, D.C., a subsidiary of Elevance Health, according to a news release shared with Becker’s March 18. In his role, Dr. Changamire will focus on…
BCBS Kansas City and Highmark earned regulatory approval from the Missouri Department of Commerce and Insurance to close their affiliation deal, according to a March 17 news release. Their affiliation will close March 31. However, the companies said integration will…
The era of siloed physician staffing is ending. Yet many health systems still manage locums and permanent recruitment separately, creating higher labor costs, longer vacancy windows and fragmented visibility across service lines. Leading organizations are rethinking this approach. In this…
Apr 30, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Teague Morton, Vice President, Permanent Placement, AMN Healthcare
- Janet Pilchard, Executive Director Provider Recruitment, Wellstar Health System
- Christopher Sizemore, MBA, FACHE, FACMPE, Regional Vice President of Operations, Baptist Health System KY & IN
Jessica Lopez-Liggett was named commercial state plan president for Anthem’s Indiana business in February, coming at a time when employers nationally are contending with the highest increase in benefits costs in at least a decade. Now about a month in,…
The Association for Community Affiliated Plans, Alliance of Community Health Plans, America’s Essential Hospitals, AHIP and the Federation of American Hospitals are asking CMS to pull back on its proposal to permit non-network plans to receive qualified health plan certification,…
As of February, a share of payers and providers had not yet started working toward the application programming interface requirements established by CMS’ interoperability and prior authorization final rule, according to survey results released March 10 by the Workgroup for…