Cigna and Chattanooga, Tenn.-based Memorial Hospital — under Chicago-based CommonSpirit Health, formerly CHI Memorial — have not reached an agreement ahead of their Feb. 1 contracting deadline. “We have a longstanding relationship with Memorial Hospital and want them to remain…
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Powered by Cencora’s Accelerate Pharmacy Solutions, the Pharmacy Outlook 2026 draws on proprietary survey data from more than 100 health system pharmacy leaders navigating payer restrictions, specialty leakage, infusion expansion, and evolving regulatory pressures. The report offers benchmarks across specialty…
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Hospitals and payers are integrating AI into workflows faster than ever but with acceleration comes scrutiny. Patients want transparency. Regulators want guardrails. And health system leaders are asking: how do we ensure AI is safe? In this session, URAC and…
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Presenters
De’Anna Hardin
Business Development Executive, URAC
Jenn Richards, PhD, PharmD, JD
Senior Director, Product Management, URAC
Demetri Giannikopoulos
Chief Innovation Officer, Rad AI
Shakira J. Grant, MD
Chief Executive Officer, CROSS Global Research and Strategy
Lisa Silverman, MA
Client Education Specialist, URAC
Traditional 911 systems weren’t built for hospitals, let alone hybrid care. But with rising violence, distributed staff and new mandates like RAY BAUM’S Act, most healthcare emergency communication strategies are no longer fit for purpose. This whitepaper explores what happens…
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CMS is moving to replace four legacy Medicare claims platforms. Now, it is seeking a vendor to design one platform that would assume all four systems’ responsibilities. In a Jan. 8 request for information, CMS said the new platform —…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Denver Health sees a senior director of payer contracting. 2. Hartford (Conn.) HealthCare…
Republicans from the House Committees on Energy and Commerce and Ways and Means sent a letter Jan. 9 to the HHS Office of Inspector General over concerns of Medicare fraud in California. The letter focused on home health agencies and…
Aetna’s Medicaid President, Mark Santos, has been named senior vice president and head of network strategy and provider experience. Mr. Santos has been with the insurer for more than two decades, serving in a variety of leadership roles, including president…
ACA marketplace enrollment is declining nationally and Congress is struggling to extend the expired subsidies. Five updates on enhanced ACA subsidies: 1. President Donald Trump said Jan. 11 he might veto a bill to extend the subsidies, Bloomberg reported. The…
New data shows 94% of healthcare decision-makers said they plan to increase AI spending, with nearly 1 in 5 expecting it to double. This report distills key findings for healthcare executives, highlighting the biggest trends shaping the future of AI…
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