Elevance said it was “surprised and disappointed” by a recent CMS sanction threat, which would suspend enrollment in Medicare Advantage prescription drug plans, CFO Mark Kaye said March 10 at the Barclays 28th Annual Global Healthcare Conference in Miami. The…
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Centene expects its ACA membership to fall nearly 40% by the end of 2026, company executives said March 11 at the Barclays 28th Annual Global Healthcare Conference. CEO Sarah London said the company ended 2025 with 5.5 million members in…
Most virtual health pilots fail not because of the technology — but because of how they’re architected from the start. Without defined exit criteria, integration benchmarks, or measurable system impact, even promising pilots stall before reaching production. This session brings…
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Presented by:
Presenters:
- Jason Ward, VP of Information Systems Collette Health
- Maruf Haider, MD, Associate Chief Medical Information Officer, Digital Health Carilion Clinic
- Alen Oganesyan, MPA, CHCIO, CDH-E, Associate Chief Information Officer Keck Medicine of USC
- Albert Villarin, MD, MBA, FACEP, VP, Chief Medical Informatics Officer Nuvance/Northwell Health
- Greta Branford, MD, ACMIO, Associate Medical Director for Healthcare IT, Michigan Medicine
UnitedHealthcare and AARP are facing a lawsuit regarding alleged Medicare supplement denials, according to a Feb. 22 complaint filed with the U.S. District Court for New Jersey. The organizations collaborate on a handful of AARP-branded insurance products, including Medigap plans.…
The Iowa House passed legislation on Feb. 25 that would ban health insurers from denying coverage for a service solely because the referring primary care provider is out of network. Under the legislation, insurers would also be barred from imposing…
The Office of the Inspector General for HHS found 121,454 emergency department procedures were possibly billed incorrectly in 2021 and 2022, leading to over $15.1 million in improper or potentially improper payments. Medicare improperly paid physicians $922,524 and may have…
The Congressional Joint Economic Committee identified an additional $13.4 billion contributing to higher Medicare Part B premiums in 2025 due to Medicare Advantage overpayments, according to a March 10 report. The committee relied on Medicare Payment Advisory Commission estimates. Overpayments…
The possibility of a state-based health insurance exchange in Mississippi is looking less probable, state Insurance Commissioner Mike Chaney told Mississippi Today in a March 10 report. “It might be too little, too late, because the dollars are not there…
Idaho Republican state lawmakers have introduced a bill to repeal Medicaid expansion, the Idaho Capital Sun reported March 9. Four things to know: 1. The proposed legislation would repeal Medicaid expansion on Jan. 1, 2028, removing about 90,000 Idaho residents…
On March 8, a judge for the U.S. District Court in Connecticut approved a preliminary injunction against Aetna, ordering the insurer to alter its gender-affirming care policy for two plaintiffs. Several transgender women sued Aetna in 2024 over denied gender-affirming…