Insurers own less than 5% of primary care providers, but this share has grown significantly since 2016, a study published in the July issue of Health Affairs Scholar found. Researchers calculated the share of primary care providers owned by Optum,…
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Home-based care is no longer optional. Yet payers, health systems and ACOs often struggle to identify the right patients, coordinate across providers and scale models that deliver ROI. Without clear pathways, efforts stall and costs rise. In this expert-led discussion,…
Aug 20, 2025 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Catherine Tabaka, Chief Executive Officer, Matrix Medical Network
- Thomas R. Graf, Vice President and Chief Medical Officer, Florida Blue Medicare
- Randi Protter, MD, FACP, NCMP, Senior Medical Director, Provider Performance and Clinical Transformation, Horizon Blue Cross Blue Shield of New Jersey
- Nate Miller, MSPT, Senior Vice President of Operations, ClearSky Health
Healthcare’s staffing crisis isn’t new, but relying on temporary fixes is no longer sustainable. As labor costs rise and burnout intensifies, forward-thinking systems — like FirstHealth of the Carolinas — are reimagining how they build, deploy and retain their workforce.…
Aug 5, 2025 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Larry Adams, Chief Nurse Executive & SVP, Strategy, CareRev
- Lisa Stein, Nurse Manager, FirstHealth of the Carolinas
Independent Health President Jim Dunlop has departed from his role, Buffalo Business First reported July 8. Under a leadership succession plan, Mr. Dunlop was promoted to president in February 2024 after serving as executive vice president and CFO for three…
Justice Department officials have questioned former UnitedHealth Group employees as part of an investigation into the company’s Medicare Advantage billing practices, The Wall Street Journal reported July 9. The Journal first reported in May that the company was under criminal…
Patients expect seamless digital communication, yet most health systems rely on siloed, manual tools that create delays, errors and frustration. Traditional communication systems can’t keep up with the demand for real-time, personalized patient interactions. This situation contributes to missed appointments…
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Many payers still rely on brokers to manage nonemergency medical transportation (NEMT). This model is rife with inefficiencies, including misaligned incentives, fraud risk, outdated workflows and lack of data visibility. Missed appointments, access delays and rigid advance-notice requirements can increase…
Presented by:
CareSource has named David Thomas as president of the company’s Ohio market. Mr. Thomas was most recently CEO of markets and Medicaid at Centene, according to a news release shared with Becker’s July 7. He was named CEO of Centene’s…
Tools that allow providers to see prescription cost estimates at the time of prescribing did not have any effect on cost, a study published July 3 in JAMA Network Open found. The cohort study included 2.8 million Medicare Advantage beneficiaries…
A federal court has partially ruled in favor of Alignment Healthcare in a legal challenge against CMS, resulting in the Medicare Advantage company’s Arizona HMO star rating being raised from 3.5 to 4 stars. All of Alignment’s members are now…