Optum has launched a pair of AI-driven prior authorization products, one designed to speed up submissions on the provider side and another to accelerate clinical reviews for payers. The provider-facing product, Digital Auth Complete, went live in January in collaboration…
The Latest
Humana’s former CEO, Bruce Broussard, has been named interim CEO at HP. “I’m really looking forward to working alongside HP’s leadership team and employees. I know this will be a meaningful learning experience for me too, as I have the…
The Federal Trade Commission reached a settlement with Cigna’s Express Scripts in a case over alleged inflation of insulin prices, according to a Feb. 4 agency news release. With the move, the FTC expects to lower out-of-pocket costs for drugs…
Humana saw a 24.3% decrease in inpatient admissions, or a 229,000-stay dip, for Medicare Advantage members in value-based care arrangements versus those in traditional Medicare in 2024, according to Humana’s “12th Annual Value-based Care Report,” published Feb. 4. Humana reviewed…
Sidecar Health selected Sharath Pasupunuti to serve as chief technology officer, according to a Feb. 3 news release. Mr. Pasupunuti will lead engineering, AI strategy, data and platform development in the role, scaling and updating Sidecar systems that automate claims,…
Novo Nordisk has appointed Jamey Millar, former CEO of Optum Specialty Holdings, as the drug company’s executive vice president of U.S. operations, effective Feb. 5. In the role, Mr. Millar will oversee Novo Nordisk’s largest sales region, according to Novo…
Best in KLAS is one of the most trusted and influential recognitions in healthcare technology, but what actually goes into determining the winners? In this webinar, Mac Boyter, Senior Research Director for Payer/Provider and Documentation Solutions at KLAS, offers a…
Mar 5, 2026 12:00 PM - 1:00 PM CST
Presenter:
- Mac Boyter, Senior Research Director, KLAS
Value-based care programs generate no shortage of insights. The problem is turning those insights into action, consistently and at scale. As downside risk grows, organizations face thousands of coordinated tasks across quality, care management and utilization management. Manual outreach, siloed…
Mar 31, 2026 11:00 AM - 12:00 PM CDT
Presented by:
Presenters:
- Robert Connely, Global Industry Market Leader, Healthcare Pegasystems
- Monique Stoner PhD, MBA, Vice President, Provider Network Management Services, Oscar Health
- Bryan Waide, Regional Vice President of Provider Contracting for Humana’s Western Market
- Rhonda Mims, Executive Vice President, Chief Public Affairs and Risk Officer, AmeriHealth Caritas
- Amy Compton-Phillips, MD, EVP, Chief Medical Officer, CVS Health
The Blue Cross Blue Shield Association has named five senior leaders to roles spanning technology, policy, operations and communications. 1. Mouli Venkatesan, chief information and technology officer. Mr. Venkatesan will oversee BCBSA’s IT infrastructure, technology modernization and AI deployment. He…
Hospitals focus heavily on denials — but denials are only part of the problem. Across the U.S., hospitals are losing millions each year to incomplete or inconsistent documentation that understates the true complexity of care delivered. Beyond visible denials lies…
Presented by:
