Priority Health is now the sole governing member of Group Health Cooperative of Eau Claire, a community-based health plan in Wisconsin serving more than 61,000 members. The transaction was first announced in July and was completed Jan. 1. The move…
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GLP-1s and high-cost claims get the attention, but the real drain on health plans? Chronic disease driven by delayed intervention and low preventive care use. Join finance and HR leaders from CommonSpirit and MedStar to explore a prevention-first model proven…
Presented by:
Presenters
Scott Charles
Chief Financial Officer, Personify
Shelly Schorer, FHFMA, MBA
California CFO, CommonSpirit Health
Michael Sloan
VP of Human Resources / CHRO, CommonSpirit Health
From $1 trillion in Medicaid cuts courtesy of the One Big Beautiful Bill Act to workforce shortages, Medicaid home- and community-based services are under pressure. KFF evaluated payment rates, provider closures and staffing issues through a 2025 survey. All states,…
New York Gov. Kathy Hochul blamed a 38% average spike in health insurance premiums for state residents on the Dec. 31 expiration of ACA enhanced premium tax credits. The average monthly increase for a New York couple is $228. Out…
CMS has lifted its enrollment freeze on Gold Kidney of Florida after state regulators restored the insurer’s ability to accept new members. The agency released its intermediate sanction on Gold Kidney’s Medicare prescription drug plan, effective Dec. 15, 2025. The…
Optum has begun reviewing Minnesota Medicaid claims as part of an enhanced prepayment audit, state officials said, as the state grapples with a widening fraud crisis in its public assistance programs. On Jan. 5, Minnesota Gov. Tim Walz said he…
Hospitals are under constant pressure to perform in quality programs like CMS Star Ratings, Leapfrog, VBP and HRRP, yet most manage these initiatives retrospectively, through lagging metrics and after-action reviews. The delay creates blind spots: frontline teams don’t know about…
Presented by:
Presenters
Nik Rao
CEO, Dexur
EHRs are no longer just systems of record — they’re becoming engines of automation, clinical insight and patient engagement. But meaningful transformation takes more than technology alone. Health systems like Tufts Medicine, Houston Methodist, Jupiter Medical Center and Rush University…
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Static credentialing can no longer keep up with regulatory complexity. As workforce and vendor access expand, periodic checks are no longer enough and hospitals are increasingly exposed. In 2026, credentialing won’t be a checkbox. It will be a board-level issue,…
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New Mexico’s health insurance marketplace has reached record enrollment, despite the expiration of enhanced federal subsidies at the end of 2025, the Albuquerque Journal reported. More than 80,400 people have enrolled for medical or dental coverage through BeWell, the state’s…
