Mary Washington Healthcare (MWHC) faced familiar operational challenges: ED boarding, delayed discharges and status friction that slowed throughput and pressured margins. This case study details how MWHC implemented a comprehensive healthcare operating system to improve visibility, align teams and hardwire…
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Centene Corp. is reducing its board size for the second time in August following the resignation of Thomas Greco from its board of directors. Mr. Greco stepped down Aug. 12 due to “increased professional responsibilities” stemming from his recent appointment…
The U.S. Office of Personnel Management will end coverage of gender transition-related surgeries and hormone treatments under the Federal Employees Health Benefits and Postal Service Health Benefits programs, beginning in 2026. In an Aug. 15 letter to carriers, OPM said…
A federal judge in Texas has struck down portions of a rule governing Medicare Advantage broker and marketing payments, siding with agent groups that challenged the regulation put into place last year. On Aug. 18, U.S. District Judge Reed O’Connor…
For many ASCs, the accreditation experience can feel more like a burden than a benefit — with shifting survey standards, inconsistent processes and surveyors who lack ASC-specific expertise. The result? Wasted time, operational inefficiencies and frustrated staff. In this report,…
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A federal judge has approved a $2.8 billion settlement resolving antitrust claims brought by healthcare providers against the Blue Cross Blue Shield Association and its independent entities, ending more than a decade of litigation. The settlement was approved Aug. 19…
A Texas federal judge dismissed Elevance Health’s lawsuit challenging its 2025 Medicare Advantage star ratings, ruling that the company “has not shown any evidence that CMS acted arbitrarily or capriciously.” Elevance filed its lawsuit Oct. 31, 2024, alleging that CMS’…
Length of stay can be a proxy for every operational challenge in a hospital — and The Queen’s Health Systems was feeling the strain. ED admissions were delayed, transfers were turned away and the financial toll kept rising. Their solution?…
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Hospitals and health plans are no longer judged solely by what happens during an inpatient stay. With CMS tightening star ratings, HEDIS measures and value-based thresholds, providers and payers must manage quality and costs across the full continuum — especially…
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The Superior Court of Fulton County, Georgia placed Sonder Health Plans into receivership with the state’s insurance department on Aug. 13 due to the insurer’s reported “insolvency and inability to raise additional funds from outside investors.” Sonder was placed into…
