The Blue Cross Blue Shield system is made up of more than 30 independent and locally operated companies. While they share branding and licensing through the Blue Cross Blue Shield Association, each plan typically functions as its own entity with…
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UnitedHealth Group’s Optum Rx is monitoring three notable drug candidates that might be approved in the next few months, according to its winter 2026 report published Jan. 2. Two of the medications Optum Rx is tracking are also on GoodRx’s…
Allentown, Pa.-based Lehigh Valley Health Network, part of Jefferson Health, will exit UnitedHealthcare’s Medicare Advantage network Jan. 26, following a contract dispute between the two organizations. Five things to know: 1. After months of negotiations, LVHN said UnitedHealthcare has not…
Maryland is losing its longstanding rate-setting power for Medicare fee-for-service under CMS’ “achieving healthcare efficiency through accountable design” payment model. Commercial insurers are going to bear the brunt, needing to tackle about half of the state’s necessary savings and covering…
Specialty care leaders are navigating a pivotal moment. Reimbursement pressure, workforce constraints, outpatient migration and consolidation are converging, forcing specialty care organizations to rethink how they operate and grow. Models built on manual processes and disconnected technology are increasingly difficult…
Feb 26, 2026 2:00 PM - 3:00 PM America/Chicago
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Presenters
Sri Velamoor
CEO, NextGen Healthcare
Humana has sold a San Antonio office complex valued at $11.3 million after 35 years of ownership, the San Antonio Express-News reported Jan. 14. The sale included more than 133,000 square feet of office space and housed Humana’s call center…
Clover Health CEO Andrew Toy is feeling bullish about his company’s AI positioning. “We are absolutely, in my mind, the AI leader in Medicare Advantage,” he said Jan. 15 at the J.P. Morgan 2026 Healthcare Conference in San Francisco. Clover…
Fortune and consulting firm Korn Ferry released their 2026 “World’s Most Admired Companies” ranking Jan. 21, featuring five U.S. health insurers. The publisher and firm start with 1,500 candidates before focusing on the highest-revenue companies. They then identify the “best-regarded…
Hospitals are sending more messages than ever, yet critical information still isn’t reaching nurses when it matters most. Seventy percent of nurses report receiving workplace updates several times per week, but many still miss essential safety protocols, compliance updates and…
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President Donald Trump released a healthcare policy framework Jan. 15 that raises many questions about its implementation and legislative viability. The president’s proposal calls on Congress to codify voluntary drug pricing agreements with pharmaceutical companies, provide direct payments to Americans…