Premiums for employer-provided coverage could increase by about 5% to 14% for employers that cover GLP-1s, according to an Oct. 9 analysis from the Employee Benefit Research Institute. With 55% of employers covering GLP-1s for diabetes and 36% for both…
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Health information management and revenue cycle teams are overwhelmed by document-heavy workflows — from intake packets and physician orders to clinical notes and appeal evidence. Manual separation, classification, and data entry slow cycle time, increase administrative burden, and limit scalability.…
Nov 18, 2025 1:00 PM - 2:00 PM America/Chicago
Presented by:
Presenters
Jay Harmon
Senior Applications Analyst, Nebraska Medicine
Angela Colbert
Revenue Cycle Manager of Payment Posting, Payment Processing and Imaging Teams, Patient Financial Services, Iowa Health Care
Ellen Wandro
Revenue Cycle Representative Imaging Team Specialist, Patient Financial Services, Iowa Health Care
Sarah Armenio
Senior Manager, Product Management, Hyland
Building an effective care management program starts with targeting the right people. Too often, outreach is broad, generic and resource-intensive — leading to minimal engagement. In this webinar, UMass Memorial Health’s Chief Medical Officer of population health will explore proven…
Nov 6, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Dr. Tom Scornavacca
Chief Medical Officer of Population Health, UMass Memorial Healthcare
Justin Berry
Vice President, Population Health Conifer Health
West Virginia may have paid managed care organizations up to $32.4 million for ineligible Medicaid participants, according to an October audit report. The audit examined payments from 2019 to 2020 and was inspired by Louisiana audits involving Aetna. MCOs get…
Many Medicare Advantage and Medicaid managed care plans lack robust behavioral health networks, according to an October brief from the HHS Office of the Inspector General. The OIG analyzed four MA plans and two Medicaid managed care plans across 10…
Blue Cross Blue Shield of Massachusetts is offering a voluntary separation program to about 18% of its employees — totaling nearly 800 people — a company spokesperson told Becker’s. Employees who are at least 55 years old and have worked…
Pennsylvania lawmakers introduced a bill in October to regulate AI use in health insurance, joining a wave of states attempting to add guardrails in the payer space, especially after an early draft of the One Big Beautiful Bill Act included…
A federal judge in Indiana has thrown out most claims in a whistleblower lawsuit accusing four insurers and six health systems of improperly billing the state’s Medicaid program, but left the door open for the case to continue. The lawsuit,…
Omaha, Neb.-based GS Labs, a currently nonoperational COVID-19 testing firm, is suing Aetna, alleging the insurer owes over $53 million for more than 100,000 claims related to COVID-19 testing services, according to an Oct. 6 court filing. GS Labs accused…
Cigna has agreed to settle a “ghost network” class-action lawsuit for $5.7 million, according to October federal court filings in Illinois. Plaintiffs Andrew and Andrea Hecht alleged that in 2021, they received bills from a hospital saying it was out…