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What patient flow looks like when transition planning starts at admission

Picture a patient whose likely transition needs begin to take shape earlier in the inpatient stay. By the time the patient is ready for discharge, key barriers are understood, referral work is underway and the team has greater clarity on…

Nov 9, 2026 1:00 PM - 2:00 PM CST

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Presenters:

Russell Graney, Founder, Aidin (a part of LeanTaaS)
Jason Harber, Chief Product Officer, LeanTaaS

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From policy to practice: How health plans can operationalize CMS payment integrity changes

CMS is reshaping how health plans approach payment integrity. Faster regulatory cycles along with heightened scrutiny of improper payments have resulted in expanded audits for providers and payers. This represents a greater emphasis on prevention and real-time intervention as increasing…

No Surprises Act author moves to replace arbitration amid $15B payouts

Rep. Frank Pallone Jr., D-N.J., one of the authors of the No Surprises Act, is introducing legislation that would replace the law’s arbitration process with a payment benchmark based on the median in-network rate. The Lower Premiums, Faster Payments Act…

Some patients are taking insurance denials to the C-suite

Some patients are bringing insurance coverage disputes directly to health insurer CEOs, seeking another avenue for review when recommended care is denied, MedPage Today reported Oct. 8. Two patients recently obtained coverage approvals after contacting insurance company executives, according to…

Overlooked pitfalls and opportunities in COB: Protecting revenue and the patient financial experience

Coordination of benefits (COB) denials are hard to spot and harder to resolve. Left unchecked, they delay reimbursement, leak revenue and leave patients caught between their provider and payer. The fallout reaches patients quickly through confusing bills, collection activity and…

Nov 13, 2026 11:00 AM - 12:00 PM CST

Presented by:

Presenters:

Amanda Berra, EVP and Chief Education Officer, Union Healthcare Insight
Melisa Peterson, SVP of Product Management and Business Analytics, Knowtion Health
Adlher Rodriguez, MHA, AVP, Patient Financial Services, Montefiore Nyack Hospital

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'Somebody cares about this enough': What the ICHRA-to-CHOICE rebrand means

In September, CMS rebranded individual coverage health reimbursement arrangements as CHOICE arrangements, short for Custom Health Option and Individual Care Expense. The ICHRA benefits model first launched in 2020. Through the model, employers give workers fixed, tax-free contributions to buy…

How Mount Sinai used AI to handle nearly 20% prescription volume growth and more complex cases without adding staff

Specialty drugs, complex patients and shifting payer rules are landing on pharmacy faster than ever. Each one needs more clinical judgment and more documentation, and pharmacists are expected to manage all of it. At Mount Sinai Health System, prescription volume…

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8.8x ROI: How Lee Health transformed OR utilization without building new rooms

Surgical access often looks like a scheduling challenge — but at scale, it’s a strategic growth lever. Take Lee Health, where fragmented systems, rigid block schedules and manual coordination created the illusion of constrained capacity, even when usable OR time…

Nov 12, 2026 1:00 PM - 2:00 PM CST

Presented by:

Presenter:

Lis Digneo, MHA, RN, System Director OP Surgical Services, Lee Health

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BCBS Association reabsorbs data analytics business

The Blue Cross Blue Shield Association is bringing its data and analytics work “under one internal umbrella,” the organization confirmed to Becker’s Oct. 9. The former CEO of Blue Health Intelligence, an analytics company that has been a BCBSA licensee,…

How many states are affected by HR 1's Medicaid provisions?

HR 1 set several key Medicaid provisions into motion. While these changes weigh most heavily on expansion states, there is a patchwork of which provisions apply to which states. HR 1’s eligibility provisions — including work requirements, more frequent redeterminations…