Work requirements for Medicaid eligibility are set for 2027, but states can request short-term exceptions for counties with high unemployment. By assessing county-level data in Medicaid expansion states, KFF found only 7% of counties meet the exception criteria using a…
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UnitedHealth Group has asked a Minnesota federal court to throw out a proposed class action lawsuit filed against it by the country’s largest pension fund. The lawsuit, originally filed by the California Public Employees’ Retirement System (CalPERS) in May 2024 and…
With the release of CMS Star Ratings for 2026 and updates for the upcoming year, Medicare Advantage and Part D plans are navigating an evolving quality landscape. Adherence measures are shifting from triple- to single-weighted and will incorporate risk adjustment,…
Average premiums, benefits and plan choices for Medicare Advantage and the Medicare Part D prescription drug program should remain relatively stable next year, CMS said in a Sept. 26 news release. But MA enrollment is projected to decrease 900,000 in…
Commercially insured patients pay substantially different rates for the same procedure, with negotiated costs for inpatient procedures varying by an average ratio of 9.1, according to an August report from market intelligence firm Trilliant Health. The report reviewed health plan…
An estimated 3 out of 5 U.S. children have been enrolled in Medicaid or the Children’’s Health Insurance Program, according to a Harvard T.H. Chan School of Public Health model. As of 2024, states must provide a year of continuous…
A Northeast health system faced a 40% rise in workplace violence, particularly in pediatric behavioral health. Staff morale was low. Reporting was inconsistent. Rural response times lagged up to 15 minutes. Leadership knew it couldn’t continue. This case study details…
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Health systems are moving fast on AI, but scattered pilots and disconnected tools rarely change day-to-day work. This session focuses on a pragmatic path forward: embedding AI agents inside ERP systems to orchestrate clinical, administrative and operational workflows with governed…
Oct 29, 2025 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Dr. Jim Whitfill, Chief Transformation Officer HonorHealth
- Thom Bales, Principal, Health Services Advisory Leader PwC US
- John Kravitz, VP, Global Head of Healthcare, Industries Workday Inc.
Cardiovascular care is shifting fast. CMS payment trends and rising ASC adoption are moving cardiac procedures out of the hospital and into ambulatory settings. But this isn’t a simple site-of-care change. It’s redefining how hospitals plan service lines, how cardiologists…
Oct 31, 2025 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Derrick Idbeis, Chief Commercial Officer, MedHQ
- Kristen Richards, MBA, Vice President of Ambulatory Care, Cardiovascular Logistics
- Ronald Riner, MD, President and CEO of The Riner Group
Brewer, Maine-based Northern Light Health President and CEO Timothy Dentry voiced frustration with Anthem Blue Cross and Blue Shield in a Sept. 26 letter as the contract end date between the two organizations looms. “It is disappointing and deeply concerning…