In 2026, 4.6 million Medicare Advantage beneficiaries, or 16% of enrollees, experienced disruptions to their health plan, according to a recent brief from the Alliance of Community Health Plans and consulting firm HealthScape Advisors. Hospitals have been dropping MA plans,…
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Plans are expecting Medicare Advantage enrollment of 34 million beneficiaries in 2027, or about 47.4% of all Medicare enrollees, according to a Sept. 28 CMS news release. This would be flat compared with the 2026 projection, but actual MA enrollment…
Naples Comprehensive Health was managing roughly 40 travel nurses across four staffing agencies, each with its own systems, rate structures and communication processes. Recruiters contacted every agency individually, forwarded resumes, coordinated interviews, tracked compliance documents and reconciled invoices from multiple…
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UnitedHealthcare and TeamHealth have settled a lawsuit in which the insurer accused the physician staffing company of upcoding emergency department claims. The lawsuit was voluntarily dismissed with prejudice Sept. 24 in Tennessee federal court, according to court records. The dismissal…
Medicare Advantage plan choice will fall in more than half of states in 2027, even as CMS projects lower average premiums and a nearly unchanged number of available plans nationwide. The decline follows widespread disruption in 2026, when as many…
Most of a regional plan’s commercial book now sits in arrangements that pay a fee rather than a premium, and some employers are leaving group coverage altogether. For growth leaders at regional and mid-market plans, what happens between the account…
Bobby Hunter has been named president of UnitedHealthcare. Mr. Hunter said Sept. 28 his focus in the new role will be on speeding up UnitedHealthcare’s modernization agenda, working toward a system where plans and providers work together more seamlessly, information…
Milwaukee-based Children’s Wisconsin named Bill Hanna as president of its affiliated insurer, Chorus Community Health Plans, Sept. 28. Mr. Hanna will oversee the direction and strategies for CCHP, which offers Medicaid coverage through the state’s BadgerCare Plus program. He will…
Prior authorizations, benefits checks and pharmacy coordination stand between a prescription and the moment a patient starts treatment. When those steps stall, care is delayed and clinical and pharmacy teams absorb the extra manual work. In this webinar, physician leaders…
Presented by:
- Sherif ElMasry, Head of Growth, Forus
- Gary I. Kleiner, M.D., Ph.D., University of Miami Health System
- Angela J Lamb, M.D., Mount Sinai
Health systems rely heavily on medical equipment that moves throughout hospitals with patients and clinicians. These devices play a role at many stages of the patient care journey and represent a significant investment of capital and operating resources. Yet many…
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