DataSpring, powered by CAQH, assembled a collective of insurers, along with the American Medical Association, to launch a new standard to measure provider directory data quality for individual clinicians on Oct. 13. DataSpring, owned by major health insurers, bridges payer…
The Latest
Optum Health’s earnings from operations climbed to $735 million in the third quarter, up from $41 million a year earlier, as UnitedHealth Group’s care delivery arm continues to recover from a challenging 2025. The unit’s operating margin rose to 3.2%…
The American Hospital Association is challenging a Blue Cross Blue Shield Association analysis that estimated rising hospital coding intensity added $942 million in costs and linked the trend to AI-enabled billing tools. The AHA argued in an Oct. 5 blog…
A North Carolina Superior Court judge has denied the North Carolina State Health Plan’s request for a temporary injunction against Charlotte, N.C.-based Atrium Health’s new affordability program, ruling the plan is unlikely to succeed on the merits of its case,…
In 2027, Walmart is making more than 250 medications — including some GLP-1s, insulin and inhalers — available for employees at no cost. While GLP-1s have already been available to employees with Type 2 diabetes, the drugs will be accessible…
Maryland regulators are studying whether nonprofit hospitals’ offshore captive insurance companies, subsidiaries that hospitals form to cover their own risks such as malpractice claims, should be subject to the state’s 3% premium tax. The Maryland Insurance Administration held a public…
Recent research has indicated Americans are warming up to “Medicare for All” propositions ahead of the 2026 midterm elections. The latest Axios/Ipsos American Health Index survey polled 1,122 adults in late September. It found that 43% of Americans would support…
Health plans rely on clinical data to improve quality, manage risk, coordinate care, and support analytics and AI. But that data arrives from multiple sources, in different formats, and through a variety of exchange methods.Choosing the right clinical data repository…
Presented by:
When the START Center for Cancer Care hit the ceiling on infusion capacity, the obvious fix was also the most expensive: build more space. Two high-volume infusion centers were straining against their limits, with one nearly out of room to…
Nov 16, 2026 1:00 PM - 2:00 PM CST
Presented by:
Presenter:
- Elizabeth Cavanaugh, RN, MSN, Director of Clinical Services, The START Center for Cancer Care San Antonio, Texas
Health plans covered by a federal interoperability rule must begin processing prior authorization requests electronically Jan. 1, but the rule’s reach into ASCs may be limited. It excludes many of the payers ASCs depend on most, and the systems that…