A team of Stanford (Calif.) University researchers specializing in health law, AI, ethics and medicine identified “risks of supercharged flaws” in harnessing AI for prior authorization in a Jan. 6 Health Affairs report. Prior authorization is a longstanding sore spot…
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Today’s group health market is defined by complexity: rising costs, changing risk profiles and heightened expectations from brokers and employers alike. Carriers need more than standalone risk scores; they need complete visibility and control. But too many are stuck with…
Feb 24, 2026 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Andrew Martin
Head of Underwriting, BlueCross NC
Jake Evans, MBA CEBS
Group Health Consultant, Gradient AI
Vince DiBenedetto
Chief Executive Officer, The Provant Group
Highmark now covers all diagnostic breast studies and breast MRIs at 100% without copays or deductibles for members of its Blue Cross Blue Shield plans in Pennsylvania, New York, West Virginia and Delaware. The policy was effective Jan. 1 and…
The No Surprises Act’s independent dispute resolution process continues to be a source of controversy and litigation nationally more than three years after its implementation, with insurers and providers suing over alleged abuse of the arbitration system. The disputes come…
About 20% of Nevadans who actively selected a health plan through the state’s marketplace, Nevada Health Link, picked a new public option, Nevada Health Authority Director Stacie Weeks told lawmakers Jan. 6. In 2025, Nevada secured federal approval for its…
Insurer Fallon Health will join Boston-based Mass General Brigham Health Plan, according to a Jan. 8 joint statement. “This reflects the outcome of Fallon Health’s thoughtful and intentional process to identify a long-term partner aligned with its mission and strategic…
If you work in the Talent or HR department at your organization, you know how important benefits plan design is for retaining and attracting talent. A recent survey found that employees who are satisfied with their benefits are 1.8x more…
A federal judge ruled that Florida failed to provide adequate notice to Medicaid recipients before terminating their coverage during the post-pandemic unwinding process. The class-action lawsuit was filed in August 2023, alleging that beneficiaries received confusing notices from the state’s…
The United Health Foundation’s 2025 “America’s Health Rankings Annual Report,” published Jan. 8, presented a wave of optimistic health signals, but disparities persist. The organization analyzed 99 measures from 31 sources, relying on the most recent data, as of Oct.…
A report from the Office of the New York State Comptroller published Jan. 6 found Anthem Blue Cross either did not recover or remit over $19.3 million in hospital claim overpayments and relied on incorrect time periods to evaluate the…