Healthcare’s AI conversation has moved from adoption to performance. Many health systems have built the technology and governance to scale AI. The harder question is whether clinicians and staff are ready to make sound decisions with it. A health system…
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A service line is short two physicians. The employed group can absorb some of it. Per diem covers a few shifts. An agency can fill the rest by next month, at a rate someone will have to justify in the…
Presented by:
- Greg Morgan, VP, Physician Enterprise, Hallmark
- John Buffa, CEO, Austin Major Group
- April Hansen, CEO, Barton Associates
- James Tekippe, Director, VMG Health
New Jersey Democratic Gov. Mikie Sherrill launched the State Health Benefits Program Reform Working Group on Oct. 1 to review and advise on health coverage for public employees. Ms. Sherrill announced the working group following a Sept. 2 agreement with…
Five Democratic governors have asked HHS Secretary Robert F. Kennedy Jr. to delay the Jan. 1, 2027, compliance date for Medicaid work requirements, stating that they cannot implement the rules responsibly in the fewer than 100 days that remain. The…
A Clover Health July data breach affected 138,677 people, according to a notice filed with HHS’ Office for Civil Rights. Clover flagged the incident to the Securities and Exchange Commission on July 17 after first learning of unauthorized activity on…
The Department of Veterans Affairs has awarded Optum Serve a 10-year contract worth up to $30 billion to build and administer its national dental network. The network is set to be fully in place within a year of the award…
Medicare Advantage insurer Devoted Health has closed a $555 million Series G round as part of a $1.18 billion financing deal. The remainder is a $622 million commitment from the same investors to buy shares from existing Devoted shareholders through…
San Francisco-based Dignity Health, part of Chicago-based CommonSpirit, reached an agreement to transfer its share of co-owned Arizona managed care health plan, Mercy Care, to CVS Health subsidiary Aetna. CommonSpirit had a 49.75% ownership interest in Mercy Care as of…
Medicare Advantage plans are actively deciding what to fund next in artificial intelligence. But those decisions are rarely made in one room. These siloed decisions can undermine the efficiencies AI is meant to deliver. Risk adjustment, quality, and compliance each…
Presented by:
- Justin Liu, Chief Executive Officer, Charta Health
SCAN Health Plan and Costco shared Oct. 1 that their co-branded Medicare Advantage plans will go live in California and Nevada in 2027. The HMO will be available in 17 California counties and two Nevada counties on Jan. 1, a…
