New Medicaid work requirements. Tighter eligibility redeterminations. Steep funding cuts. The One Big Beautiful Bill Act could reshape hospital and payer finances, especially for rural and safety-net providers. While many are still waiting for federal guidance, leading organizations are already…
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Health plans found that 39% of provider’s surprise billing disputes were ineligible for arbitration and never should have been submitted to the federal independent dispute resolution process, according to a survey published Oct. 24. The No Surprises Act established the…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Broward Health, based in Fort Lauderdale, Fla., seeks a manager of managed care…
Pain during IUD placement is a real concern for patients and has historically been undertreated and inadequately addressed. With new guidance in 2025 from ACOG, many clinicians and clinical teams are eager to understand what evidence-based and practical options for…
On Demand
Lisa Goldthwaite, MD, MPH, FACOG
Clinical Advisor at Upstream USA
Mara D'Amico
Senior Regional Director of Partnerships, North at Upstream USA
Hospitals and health systems are pressed to find timely, innovative ways to generate value and navigate economic headwinds. In this webinar, the discussion will be focused around how leading health systems are using data-driven strategies to bridge the gap between…
Presented by:
Dr. Aash Shah
CMO, HealthTrust
John Kontor, MD
SVP, GM Clinical Decision Support, Optum
John Beard
CMO, GE Healthcare
Improving member experience remains a top priority for payers — and for Medicare Advantage plans, it’s not just a goal but a business imperative. Member experience directly influences CMS Star Ratings, which in turn affect financial performance. At the heart…
On average, in 2022, Medicare Advantage enrollees had plans that covered only 48% of the physicians that traditional Medicare beneficiaries could access, according to an Oct. 27 KFF report. The study reviewed 4,200 individual HMO/PPO MA plans that covered 20.3…
A new analysis shows the average health system spends more than $1 million annually on avoidable remediation for lost or delayed specimens. For many hospitals and labs, the cost of fixing courier errors often exceeds the cost of the courier…
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Only four cancers are routinely screened leaving most patients without early detection options. Multi-cancer early detection (MCED) is poised to change that. This blood-based screening test is gaining national momentum, and health systems are taking note: 67% are planning to…
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Jenny Smith will take over as president and COO of the Hawaii Medical Service Association on Nov. 1, according to an Oct. 24 news release. She will serve as the organization’s first female president. Since April 2024, Ms. Smith has…
