Dan Kueter, CEO of UnitedHealthcare’s commercial business since 2022, has moved into a new role as chief commercial officer of UnitedHealth Group. Brandon Cuevas, who left UnitedHealthcare for Kaiser Permanente in 2023, has returned to take over the commercial business.…
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Since 2022, providers and payers have worked to master the No Surprises Act’s independent dispute resolution process—its eligibility rules, batching limits, deadlines, and documentation standards. Now the next phase has arrived. Those changes are already reshaping out-of-network recovery. The fee…
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Picture the quote a model scores cleanly that an experienced underwriter would stop on: thin data on a small group, a trend that breaks from the population, a circumstance the model has not seen before. AI is taking on more…
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The Labor Department is narrowing its enforcement focus on health plans’ compliance with federal mental health parity requirements, prioritizing three areas it considers highest-risk for participants while easing enforcement of newer requirements tied to ongoing litigation. The department’s Employee Benefits…
Every health system leader wrestling with AI keeps landing on the same question: where does capability end and authority begin? This session unpacks how agentic AI moves from answering questions to taking action, and why healthcare data raises the stakes…
Presented by:
- Vignesh Subramanian, SVP Product Management, Infor
- Amanda Merritt, VP, Service Industries Product & Innovation, Infor
A coalition of five Medicaid beneficiaries, six physician and health organizations and the city of Columbus, Ohio, sued HHS Secretary Robert F. Kennedy Jr., CMS Administrator Mehmet Oz, MD, and their agencies Sept. 18, arguing CMS’ interim final rule on…
The American Medical Association is urging CMS to maintain its Jan. 1, 2027, electronic prior authorization deadline. CMS broadened prior authorization reform efforts — and built upon payers’ existing commitments — to include providers and EHR vendors. Application programming interface…
Every health system, from a 15-location clinic group to a national system with tens of billions in revenue, shares the same overlooked front door: the phone. Yet, almost none of them treat it as a revenue channel. Abandoned calls, long…
Presented by:
- Malik Bahar, AVP Digital & Customer Loyalty, Virtua Health
- Valerie Daugherty, Director of Patient Access, Collaborative Health Partners
- Jennifer Preciado, Performance Manager, Keck Medicine of USC
- Scott D'Entremont, CEO, Parlance
From the moment a 911 call is placed to the moment help arrives, every second and every detail matters. In a health system, that call might originate in a patient-care area, an emergency department, a medical office building, a parking…
Presented by:
- Adam Vedas, Senior Alliance Manager, RedSky Technologies
- Dennis Penaranda, Senior Sales Engineer, RedSky Technologies
- Becky Woodbury, Marketing Director, RedSky Technologies
Nearly three in four small and mid-size employers that currently offer traditional group health insurance are considering dropping those benefits for 2027, driven overwhelmingly by rising premium costs, according to a September survey from eHealth. eHealth surveyed more than 500…
