Health systems are not the only groups pushing back against a CMS proposal to restrict remote patient monitoring. In July, CMS pitched banning Medicare payments for remote patient monitoring services carried out by third-party companies. As proposed, starting Jan. 1,…
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Imagine naming every AI application running in your organization, what data each one touches, which permissions it holds and who authorized the last action it took. Most health systems cannot do this today, and adoption is moving faster than the…
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TJ Gibb, Humana’s Medicare Part D president, has left the company through its early retirement program. In a Sept. 23 LinkedIn post, Mr. Gibb said he had been with the company for more than two decades, spending the most recent…
Centene has hired Steven Kelts for the role of AI ethicist, he announced in a September LinkedIn post. In the new role, Mr. Kelts said he is implementing ethical decision-making frameworks across the insurer’s workforce of more than 60,000 employees…
Guidelight Health has taken its intensive outpatient and partial hospitalization model into multiple states, and the clinical, operational and regulatory complexity has compounded at each step. Growth in behavioral health is rarely a question of whether the demand exists. It…
Presented by:
- Andy Cruz, Co-Founder & CMO, Guidelight Health
- Chelsea (Martel) Ladendorf, VP, Compliance & Privacy Officer, Guidelight Health
Under HR 1, many lawfully present immigrants will face narrower Medicaid and CHIP eligibility policies on Oct. 1. According to a Sept. 22 KFF brief, some lawfully present immigrants could lose coverage, as a result. To be eligible for Medicaid…
For any group operating under payer contracts, reimbursement now shifts with every policy change, fee schedule update and contract renewal and revenue can slip before anyone notices.One place that happens quietly is the professional component of clinical pathology. This webinar…
Presented by:
- Daniel Higgins, MBA, CPB, Director Account Management, Medusind
A federal appeals court has ruled that a plastic surgery practice cannot sue Cigna to collect more than $3 million it won through the No Surprises Act’s arbitration process. The U.S. Court of Appeals for the Second Circuit on Sept.…
CMS said Sept. 22 that it canceled plan year 2026 ACA policies covering 760,000 people. CMS canceled 315,000 policies covering these individuals Aug. 31. According to federal rulemaking records — set to publish in the Federal Register on Sept. 23…
Complex spine deformity surgery leaves little margin for ambiguity about who says what, and when. The Best Practice Guidelines for the Execution of Intraoperative Neuromonitoring in Spine Deformity Surgery set out what sound practice looks like. This session brings the…
Presented by:
- Jason B Anari, MD, Pediatric Orthopedic Surgeon, Children's Hospital of Philadelphia
- Benjamin B. Bruins, MD, Attending Physician, Division of Critical Care, Children's Hospital of Philadelphia
- Alier Franco, PhD, CNIM, Area Clinical Manager, SpecialtyCare
