Pittsburgh-based Highmark Health appointed Karen Hanlon as president, effective immediately. Ms. Hanlon will continue in her role as COO, according to an Oct. 8 Highmark Health news release. She is responsible for managing the operations of Highmark Health, Highmark Inc.,…
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The Medicare Part D market is entering 2026 amid a period of contraction and recalibration. Premiums are ticking down on average, but plan options are shrinking as major insurers reassess the profitability of standalone drug plans under the effects of…
California Gov. Gavin Newsom has signed a bill into law allowing the state’s Department of Managed Health Care to waive prior authorizations for services or prescriptions that payers approve at least 90% of the time. Senate Bill 306 also requires…
Precision medicine is delivering measurable performance in value-based care, but the returns often lag the costs. This whitepaper lays out how health system executives and value-based care leaders can advance the clinical and financial benefits of precision medicine. It details…
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Health plans, hospitals, and government entities are under growing pressure to streamline utilization management (UM) but too often, they rely on outdated, inflexible processes. Structured data lacks context. Review workflows are manual and misaligned. And attempts to layer AI fall…
On Demand
Presented by:
Presenters
Jason Gillman, MD, FIDSA
Director, Clinical Informatics MCG Health
HR leaders have no shortage of ideas — but turning strategy into systemwide action and impact is another story. At many health systems, engagement, retention and well-being initiatives fall flat when they hit the front line. This live session brings…
Nov 13, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Jill Ragsdale
Chief Human Resources Advisor, Laudio
Margie Zyble
Chief Human Resources Officer, UC Health
Even those with employer-sponsored health insurance struggle with accessing mental healthcare, according to a survey from the Employee Benefit Research Institute and Path Forward. The survey encompassed over 3,100 workers with employer-sponsored health coverage. Here are five numbers depicting how…
Leaders in healthcare are problem solvers. Our goal is to continually revolutionize healthcare by designing innovative products to address complex challenges and deliver better healthcare outcomes for our members and customers. Today’s healthcare solutions landscape is flooded with new products,…
Sixty-five percent of U.S. voters believe Democrats should accept a continuing resolution to end the government shutdown instead of holding out for extended ACA funds, according to a Harvard CAPS-Harris Poll. The survey ran Oct. 1-2, gathering results from 2,413…
The Maryland Department of Health is streamlining three Medicaid waiver programs overseen by the Developmental Disabilities Administration into a single program, according to an Oct. 6 news release. The unified waiver program aims to help those with intellectual and developmental…