Medicare Advantage enrollment in rural America has quadrupled since 2010, reaching 40% of eligible beneficiaries in 2023, but still far below the 53% penetration in metropolitan areas. Rural beneficiaries now have an average of 27 MA plans to choose from,…
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With high-deductible health plans on the rise, denials increasing and a greater share of receivables coming directly from patients, hospital margins are under significant strain. Capturing every last dollar has become critical to revenue protection. Keck Medicine of USC is…
Presented by:
- John Yount, Chief Innovation Officer, FinThrive
- Rudy Braccili, Senior Director Revenue Cycle Operations, Keck Medicine of USC
Employers are expecting a median healthcare cost increase of 10% in 2026, according to a survey from the International Foundation of Employee Benefit Plans. The results reflect the responses from 150 corporate and single employers surveyed between July 30 and…
The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) represents a significant compliance lift. However, payers have the opportunity to leverage the rule as a means to accelerate broader transformation. From streamlining prior authorizations to integrating clinical, claims and SDOH…
Presented by:
With CMS-0057 on the horizon — and growing friction with providers and members — health plans know utilization management needs more than a tune-up. But fragmented systems, outdated policies and poor access to clinical data continue to slow progress. In…
Presented by:
Claims denials are on the rise and already costing nearly $20 billion per year. And, as payers continue to integrate AI into denial processes, revenue cycle teams are turning to generative AI to respond to denials faster and smarter. In…
Presented by:
- Hanes Singh, Founder and CEO, DocVocate
- Rob Swisher, Chief Executive Officer, MedRevenu
Session Overview:Even the most thoughtfully designed healthcare facilities can fall short when advanced technology planning is delayed or fragmented. Misalignment between architects, construction teams, technology partners, and clinical leadership often results in costly delays, scope creep, and missed strategic objectives.…
Presented by:
- Braheem Santos, US Segment Leader, Healthcare, Schneider Electric
- Mike Maselli, Managing Principal, Technology, Introba
- TJ Landers, VP, MEP Preconstruction, Suffolk
- Kurt Gokbudak, Solutions Engineer, Healthcare, Schneider Electric
Humana and DrFirst are launching a new program aimed at closing care gaps among patients with chronic health conditions such as diabetes and cardiovascular disease. The first phase of the program will look to increase the use of statin therapy…
Ambulatory surgery centers are facing a perfect storm — staffing shortages, rising burnout and growing operational pressures, all while patient expectations climb. Every cancellation, delayed procedure and inefficient workflow directly erodes revenue and accelerates turnover. In this panel discussion, ASC…
Presented by:
- Audra Wallace, PT, DPT, NCS, Director of Clinical Success, Subflow Health
- Lynn Simon, MD, Former President, Healthcare Innovation and Chief Medical Officer, Community Health Systems
- Linda Bedwell, CEO, ASCend Specialists
- Janet L. Carlson, MSN, BSN, RN, NE-BC, FACHE, Vice President of ASC Operations, Commonwealth Pain & Spine
UnitedHealth Group has completed its acquisition of home health and hospice provider Amedisys in a deal valued at $101 per share in cash. The transaction, which closed on Aug. 14, makes Amedisys a wholly owned subsidiary of UnitedHealth and removes…
