A New Jersey pharmaceutical sales representative who orchestrated a scheme that defrauded state health insurance programs of more than $50 million has been sentenced to 27 months in federal prison. On Aug. 18, U.S. District Judge Edward Kiel sentenced William…
The Latest
Health system and cardiovascular leaders discuss implementing Lp(a) testing more consistently across clinical practices. The session explores why Lp(a) levels are an important consideration in comprehensive cardiovascular risk assessment and examines how systems have approached internal alignment, workflow challenges, and…
Presented by:
- Arshad Rahim, MD, MBA, FACP, Chief Medical Officer and Senior Vice President,, Population Health and Clinically Integrated Network New York, NY
- Craig J. Beavers, PharmD, FACC, FAHA, FCCP, BCCP, BCPS (AQ-Cardiology), CACP, Cardiovascular Clinical Pharmacist, System Cardiovascular Serviceline Director, Vice President of Operations, Adjunct Associate Professor, Paducah, KY
Payers are continuing to trim their workforces amid financial pressures, growing medical and pharmacy utilization, Medicaid funding cuts and strategic restructuring. Below are workforce reduction efforts or job eliminations that were announced or take effect in 2026. Insurance industry layoffs…
The No Surprises Act’s independent dispute resolution process has generated an estimated $22.4 billion in total costs over its first four years, according to an analysis published Aug. 26 in Health Affairs Forefront. The researchers from Georgetown University’s Center on…
A former senior director of data analytics at Optum has been sentenced to three years in federal prison for creating a no-show job for a friend and pocketing kickbacks from their salary. Karan Gupta, 48, of Walnut Creek, Calif., was…
Health systems are increasingly talking about the value of technology and AI, but the ability to demonstrate that value financially has not caught up, according to new research from Deloitte. The Deloitte Center for Health Solutions surveyed 64 healthcare CFOs…
Detroit-based Henry Ford Health saw Medicare Advantage membership climb 45.8% year over year during the first half of 2026 as its insurance business helped drive revenue growth. Seven things to know: 1. Medicare Advantage membership reached 132,566 as of June…
A federal judge has given final approval to a $14.75 million settlement between Elevance Health and a group of nurses who alleged the insurer misclassified them as exempt from overtime pay. U.S. District Judge David Novak signed off on the…
Arizona failed to ensure that insurers administering its Medicaid program complied with federal requirements prohibiting stricter prior authorization limits on mental health services compared to medical services, an audit report published Aug. 24 by the HHS Office of Inspector General…
Most dental organizations run every provider through the same development path, and engagement suffers at both ends — the new associate feels unsupported, the seasoned doctor feels overlooked. This on-demand session walks through a five-stage framework one DSO built to…
On Demand
Presented by:
- Dr. Kristen Hendricks, Chief Dental Officer, Dental Care Alliance
