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While Medicaid Fraud Control Units have existed under federal law since 1977, the units have received renewed attention amid the Trump administration’s fraud, waste and abuse crackdown. KFF recently broke down the role of these state-level law enforcement entities and…

Wes Donohoe is serving as Optum Health’s CEO for AI and product innovation, the company confirmed to Becker’s Sept. 28. According to Mr. Donohoe’s LinkedIn post, he started the role, which focuses on AI and product innovation, Sept. 21. Mr.…

Elevance Health named Venkat Alladi as vice president and CIO of the commercial health benefits division, the company confirmed to Becker’s Sept. 28. Mr. Alladi’s team supports digital, data and AI advancement. The technology efforts encompass the commercial, specialty, Federal…

CMS is working with 37 states on quality measurement in Medicaid and the Children’s Health Insurance Program, the agency shared Sept. 25. The initiative, called “Investing in Health Outcomes,” allows states to sign onto a voluntary pledge centered on prioritizing…

An increasing share of healthcare payment now carries downside risk, and CMS has signaled more to come: greater provider-held risk, more mandatory models and quality reporting with real financial consequences. But the pressure isn’t confined to value-based care. The same…

Oct 26, 2026 1:00 PM - 2:00 PM CDT

Presented by:

Presented by
Presenters:
  • Anthony Spano, Executive Director, Value-Based Care, athenahealth
  • Poonam Desai, Vice President Regional Ambulatory Operations and Clinic Integration, UChicago Medicine
  • Dani Chickerella, MSM, RD, Chief of Clinical Strategy & System Delivery, University Hospitals
  • Gene Quinn, MD, MPH, CEO, Envoy Integrated Health; Non-Invasive Cardiologist, Alaska Heart and Vascular Institute
  • Nicole Bradberry, Chief Executive Officer; ValueH Network, Florida Association of ACOs, Texas Association of ACOs

Health systems are under pressure to code more accurately, accelerate the revenue cycle and do more with the coding staff they have. Point automation helped — but adding a separate tool for each coding type doesn’t scale. Autonomous coding has…

Oct 27, 2026 11:00 AM - 12:00 PM CDT

Presented by:

Presented by
Presenters:
  • MeChelle Walker, BSHA, Global product owner, outpatient autonomous coding, Solventum
  • Rebecca Caux, BFA, CPC, Global product owner, professional autonomous coding, Solventum
  • Shawn Wells, RHIT, CHDA, Global product owner, inpatient autonomous coding, Solventum

Karen Ignagni has returned to her CEO seat at EmblemHealth — and things are different this time around. Ms. Ignagni never left the organization: Following a stint as EmblemHealth’s executive board chair, she stepped back into the CEO role as…

Tennessee’s Medicaid program claimed $59.3 million in federal reimbursement for case management services provided to children who did not qualify for them, the HHS Office of Inspector General said in an audit report published Sept. 23. The OIG’s recommendations are…

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