CMS Administrator Mehmet Oz, MD, is not only encouraging AI use across his agency but also with Medicare beneficiaries, he said in a recent interview with HIMSS President and CEO Hal Wolf. “Why wouldn’t we, within a year, be able…
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Rising costs, specialty drug pressure and Medicare Advantage headwinds are making sustained medical loss ratio performance harder to achieve. At many health plans, risk, quality, network and value-based initiatives are still managed through disconnected analytics tools or spreadsheets. This fragmentation…
Apr 7, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Trenor Williams, MD, CEO and Co-Founder, Socially Determined
- Justin Neece, Chief Growth Officer, MedeAnalytics
- Soyal Momin, Chief Data & Analytics Officer, Major Health Plan
Minnesota’s House of Representatives passed HF3378 in a 107-27 vote March 12, which aims to grant lawmakers access to the full, unredacted Optum report on the state’s Medicaid program. Optum has been acting as a third-party auditor for Minnesota in…
About 82% of the more than 16,000 available public comments on the 2027 Medicare Advantage proposed rate notice share the perspective and language of a letter from the Medicare Advantage Majority, a group with undisclosed funding sources and founders, according…
Anthem Blue Cross Blue Shield and UnitedHealthcare offer the best mobile provider search tools among major Medicare Advantage insurers, according to a February report from Corporate Insight shared with Becker’s. The report evaluated tools available on iOS and looked at…
New Jersey Gov. Mikie Sherrill proposed that employers with at least 50 workers on Medicaid should either cover the workers’ healthcare or pay a fine, she said in her 2027 budget address March 10. The governor said the fines would…
An Illinois Senate bill introduced in February would ban payers from using automated tools, including AI, to downcode physician claims and would require that any downcoding decision be made by a licensed physician of the same or similar specialty as…
The Medicare Payment Advisory Commission estimated Medicare Advantage payments will be 14% greater than fee-for-service Medicare in 2026, according to a March 12 report from the congressional agency. That 14% equates to an extra $76 billion for MA, with the…
Oral inflammation may play a role in cardiovascular outcomes — yet medical and dental care often operate in silos. In this on-demand webinar, dental and clinical leaders from Nationwide Children’s Hospital, Texas Children’s, Asian Health Services and Scenic Bluffs Community…
On Demand
Presented by:
Presenters:
- Andrew H. Tran, MD, MPH, MS, FAHA, FAAP, Director of Preventive Cardiology, Assistant Professor Nationwide Children's Hospital, Columbus, OH
- Justin Zachariah, MD, MPH, FAHA, FACC, FAAP, Associate Professor in Pediatrics (Cardiology), Baylor College of Medicine Director of Research, Pediatric Cardiology, Texas Children's Hospital Heart Center Inaugural Faculty Co-Chair of Research Operations, Texas Children's Research Institute
- Huong Le, DDS, MA, Chief Dental Officer Asian Health Services
- Mychi Nguyen, MD, Chief Medical Officer Asian Health Services
- Heather Pintz, MBA, Dental Operations Director Scenic Bluffs Community Health Centers
- Penny Funk, RN, MSN, Clinical Director Scenic Bluffs Community Health Centers
Montana is slated to roll out Medicaid work requirements July 1, according to a Department of Public Health and Human Services presentation on March 9. Under HR 1, Medicaid expansion states, such as Montana, must install community engagement requirements —…