Troy Hildreth has left his role as president of WellCare of North Carolina. Under Centene, WellCare of North Carolina was the state’s brand for government-backed plans. In a LinkedIn post, Mr. Hildreth said he worked for Centene and the brand…
The Latest
A federal judge in Texas signed off on the Chapter 11 bankruptcy plan for Omnicare, CVS Health’s long-term care pharmacy, Sept. 17. Omnicare filed for Chapter 11 protection in 2025 in the wake of a false claims case that neared…
At Inova Health System’s adult infusion center, patient hours had climbed significantly. Then severe understaffing hit — and leaders faced a hard question: could they hold that volume with fewer nurses at the bedside? The proposed fix, a new nurse-pull…
Oct 19, 2026 1:00 PM - 2:00 PM CDT
Presented by:
Presenters:
- Monica Cfarku, MSN, RN, TCTCN, CCM, NE-BC, Senior Director of Oncology Nursing Services, Inova
- Tricila Ronquillo, BSN, RN, Nurse Manager, Inova
Of the 956 health plans rated by the NCQA in 2026, 15 received a rating of 2 stars or lower. The ratings, published Sept. 15, evaluate plans on clinical quality, patient experience and health plan accreditation status. A total of…
Nationally, employees contribute an average of $7,314 per year toward the cost of employer-sponsored family health insurance, according to an analysis from KFF. The 2025 data comes from the Agency for Healthcare Research and Quality’s Medical Expenditure Panel Survey Insurance…
Medicaid members with behavioral health conditions pass through emergency departments, inpatient units and outpatient follow-up as though each were a separate system. For most plans it is, and the members who need coordination most are the least likely to get…
Oct 14, 2026 11:00 AM - 12:00 PM CDT
Presented by:
Presenters:
- Kristi Carney, Director of Behavioral Health, CareSource, Indiana Market
- Nishi Rawat, MD, Chief Clinical Officer and GM Care Navigation, Bamboo Health
Follow-up colonoscopy rates after a positive stool-based test range from 24-75%, according to NCQA. Same test, same result, very different odds that the whole screening continuum actually gets completed. That spread has been invisible in quality reporting. HEDIS scored health…
Oct 20, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Jordan Karlitz, MD, Senior Medical Officer, Screening, Abbott
- Brenna Lin, Applied Research Scientist, Population Health, National Committee for Quality Assurance
Blue Cross and Blue Shield of Minnesota named Todd Hedtke as treasurer and chief investment officer. Mr. Hedtke shared the update in a September LinkedIn post. He previously founded Integroz US, an investment architecture advisory firm and was CEO of…
Nearly every pediatric clinician surveyed this year expects zirconia crown use to rise, but far fewer are placing them today. A 2026 benchmark report drawn from 161 in-person responses from pediatric dentists, residents and dental team members at the American…
Ambient AI has made outpatient documentation easier. But no solution has addressed the far more complex documentation of an inpatient stay in a way that serves both clinicians and downstream revenue cycle teams. One multi-hospital health system found a different…
Jan 12, 2027 12:00 PM - 1:00 PM CST
Presented by:
Presenters:
- Faisal Chawla, MD, Medical Director for Clinical Documentation Integrity, Cedars-Sinai Health System, Physician Advisor for Utilization Management, Cedars-Sinai Medical Center
- Renee Allenbaugh, MD, Regional CMO, Penn Highlands Healthcare