Navigating GLP-1 coverage for weight loss has been a sore spot for insurers and employers. These drugs — alongside other specialty drug spending — have been behind price hikes going into 2026. Still, as some employers, states and insurers hesitate…
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The Alabama Independent Pharmacy Alliance is pushing for transparency from pharmacy benefit managers, focusing on one in particular. The statement, published Dec. 23 in the Alabama Healthcare Examiner, specifically mentions the PBM Prime Therapeutics, which is jointly owned by Blue…
Blue Cross and Blue Shield of Kansas has reached an agreement with Topeka-based University of Kansas Health System St. Francis Campus, also owned by Nashville, Tenn.-based Ardent Health Services, the insurer’s website said Dec. 24. The agreement retains coverage for…
CMS shared plans Dec. 23 for its voluntary “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth” — or BALANCE — model. The announcement comes weeks following the White House’s agreements with Eli Lilly and Novo Nordisk to apply most-favored-nation…
American hospitals face an unprecedented convergence of crises threatening patient access to care. Hospital occupancy has surged to 75%—an 11-percentage-point increase from pre-pandemic levels—and is projected to reach a critical 85% threshold by 2032. At the same time, observation patient…
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Prior authorization was a hot topic in 2025, from insurers pledging reforms to a Medicare pilot on the horizon. Here are five of the biggest stories on prior authorization from 2025: 1. Payers have been working toward meeting requirements for…
Revenue cycle management priorities are shifting—and technology investments are leading the charge. In this session, join UC San Diego Health’s Chief Revenue Officer, Mike Vigo, as we explore today’s top organizational goals set forth by hospital and health system leaders,…
Feb 11, 2026 12:00 PM - 1:00 PM CST
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Presenters:
- Mike Vigo, Chief Revenue Cycle Officer, University California San Diego
- Jonathan Wiik, Vice President, Health Insights, FinThrive
The Board of County Commissioners in Multnomah County, Ore., approved $2.4 million Dec. 11 to partially address a $4.6 million budget gap left when the state’s largest Medicaid provider, CareOregon, rolled back spending for behavioral healthcare, according to a Dec.…
Health insurance is the most-valued employee benefit among U.S. workers, according to a Dec. 4 report from Indeed’s Hiring Lab. The findings are based on Indeed’s 2025 Workforce Insights Survey, which polled 80,936 adults between May and June across eight…
Children continuously enrolled in Medicaid had lower emergency department use, according to a study published Dec. 22 in Pediatrics. The study was led by researchers from Ann Arbor-based University of Michigan, Atlanta-based Emory University, Minneapolis-based University of Minnesota and Columbia…