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The Latest

AI continues to hold promise for transforming healthcare operations, but realizing that potential requires more than plug-and-play solutions. In a featured session at Becker’s Fall 2025 Payer Issues Roundtable, leaders from Raport and Precision Medicine Diagnostic Partners explored what it…

Former U.S. Food and Drug Administration Commissioner Scott Gottlieb, MD, has been named to UnitedHealth Group’s board of directors.  Dr. Gottlieb served as FDA commissioner from 2017 to 2019, “where he became known for promoting transparency, strengthening patient safety and…

A recent study from St. Louis-based Washington University assessed administrative burdens that low-wage individuals face with Medicaid and SNAP. While issues with SNAP were generally more prevalent, Medicaid had unique challenges. Here are five takeaways on Medicaid burdens: 1. The…

As patient volumes surged, Sarasota Memorial Health Care System faced growing pressure to maintain throughput and discharge efficiency — without added resources. In this on-demand webinar, leaders from the top-ranked system share how they used AI-enabled automation to predict discharge…

On Demand

Presented by:

Presented by
Presenters:
  • Susan Grimwood, DNP, APRN, Executive Director, Logistics, Capacity and Patient Throughput, Sarasota Memorial Health Care System
  • Kathy LeFrancois, RN, BSN, Director, Patient Flow and Nursing Resources, Sarasota Memorial Health Care System - Venice Campus

A federal jury in Florida has convicted an insurance brokerage president and the CEO of a marketing company for their roles in a scheme to fraudulently enroll individuals in subsidized ACA plans to obtain commission payments from insurers. The scheme…

Afton, Wyo.-based Star Valley Health will return to Cigna’s network on Dec. 15, according to a Nov. 14 news release from the health system. Negotiations have been going for months. Star Valley Health sent a letter to patients after reaching…

Aetna is rolling out a generative AI-powered conversational assistant within its website and mobile app. The new tool synthesizes member benefits, provider networks and program information to deliver answers in plain language, eliminating the need for users to understand industry…

Patients today expect upfront clarity on cost and when they don’t get it, they delay or avoid care. That makes accurate estimates more than a finance issue; it’s a trust issue. Join leaders from Mercy Health to hear how they…

On Demand

Presented by:

Presented by
Presenters:
  • Staci Fletcher, CHAM, Director of Patient Access, Mercy Health
  • Ben Koppenheffer, Senior Director – Client Success, Waystar

Cigna Healthcare is launching Clearity, a copay-only, tech-enabled health plan, according to a Nov. 18 news release. The product is a tiered copay model without deductibles and coinsurance. Employers can choose from five plan designs, which include up to four…

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