Massachusetts will invest an additional $250 million to help residents pay for premium increases after ACA enhanced subsidies expired at the end of 2025. The investment brings the state’s total commitment to its ConnectorCare program to $600 million, the largest…
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A Florida insurance brokerage executive will serve nearly three years in prison for participating in a $133 million ACA fraud scheme, the Palm Beach Post reported Jan. 8. Dafud Iza, 54, of Florida, previously served as executive vice president at…
Generative AI is reshaping clinical and operational workflows — but not all AI use is visible to leadership. Across hospitals and health systems, “shadow AI” is emerging fast: unvetted, unsanctioned tools being used by clinicians and staff without formal oversight.…
Presented by:
Presenters
Deborah Gordon
Executive Vice President and Chief Legal Officer, Chief Governance Officer and Secretary, Cleveland Clinic
Kelly M. Greening, CIPP/US
Vice President and Deputy General Counsel, Ann & Robert H. Lurie Children’s Hospital of Chicago
Albert Villarin, MD MBA FACEP
Vice President, Chief Medical Informatics Officer, Nuvance Health
Clara Lin, MD
Vice President and Chief Medical Information Officer, Clinical Associate Professor, Pediatrics, Seattle Children’s
Cheng-Kai Kao, MD FACP SFHM
Chief Medical Information Officer, Medical Director of International Programs, Associate Professor of Medicine, The University of Chicago
Peter Bonis, MD
Chief Medical Officer, Wolters Kluwer Health
Idaho Gov. Brad Little said he does not support repealing the state’s voter-approved Medicaid expansion program, The Idaho Statesman reported Jan. 8. Mr. Little’s statement comes after a panel of Idaho lawmakers in December recommended repealing the program, which provides…
Texas Gov. Greg Abbott appointed Amanda Crawford as the state’s next commissioner of insurance, according to a Jan. 8 news release. Ms. Crawford’s term will run until Feb. 1, 2027. She follows Cassie Brown, who will retire on Feb. 2,…
The House of Representatives voted to extend the ACA enhanced tax credits that expired at the end of 2025 for three years. The measure now heads to the Senate. The 230-196 vote followed a Democrat-led discharge petition that reached the…
As Medicaid eligibility fluctuates, Medicare reimbursement tightens and coverage rules evolve, health systems are seeing more denials, underpayments and avoidable write-offs rooted in front-end gaps. Health systems that fail to adapt risk compounding denials, underpayments and avoidable write-offs in 2026.…
Presented by:
Presenters
Joanna Caballero, MHA, CCS, CRC, CRCR
Corporate Vice President, Revenue Cycle/SBO, Scripps Health
Anita Colon
VP, Revenue Cycle Operations Temple Health
Paul LePage
VP Revenue Cycle, UC Davis
Christine D. Sturtevant, CPA, MHA
VP Revenue Cycle, Vandalia
Sarah Brainard
Vice President of Enterprise Solutions, Office Ally
Blue Cross Blue Shield licensee Hawaii Medical Service Association and Honolulu-based Hawaii Pacific Health are coming together under a new nonprofit parent organization, One Health Hawaii, the organizations confirmed in a Jan. 7 news conference recorded by Hawaii News Now.…
Senators Elizabeth Warren, D-Mass., and Ron Wyden, D-Ore., are expanding their probe into UnitedHealth Group’s nursing home programs after the company provided what they said is an insufficient response to their initial inquiry, along with new allegations of resident deaths.…
House Republicans have asked the leaders of some of the nation’s largest health insurers to testify before Congress at the end of January as scrutiny intensifies over rising healthcare costs and industry profits. On Jan. 22, the CEOs of UnitedHealth…
