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How NYC Health + Hospitals built one utilization review process for 11 hospitals

NYC Health + Hospitals runs 11 acute care hospitals and more than 70 patient care locations, making it the largest public health system in the country. Standardizing anything across that footprint is difficult. Standardizing emergency department utilization review is harder.…

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Presented by:

Presenters:

Joshua Moskovitz, MD, MPH, MBA, Medical Director of Utilization Management, NYC Health + Hospitals
Joy Osa Uzamere, DNP, RN CCM-BC, Director, Emergency Department Utilization Review Care Management, NYC Health + Hospitals
Rob Shutter, LMSW (he/him/his), Director of Utilization Management, NYC Health + Hospitals

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AI Is a How, Not a Why, Rethinking Product Strategy for Health Plans

Ask a health plan executive what they want AI to do, and they’ll usually answer with a goal, faster credentialing, cleaner directories, fewer complaints. But AI isn’t the goal. It’s one way to get there, and for most of what…

Oct 7, 2026 10:00 AM - 11:00 AM CDT

Presented by:

Presenters:

Chris Lance, Chief Product Officer, Quest Analytics®
Adam Sullivan, VP of AI, Change Healthcare, Labcorp

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'We are going to hit the gas': Aetna president details insurer's turnaround

Aetna’s two-year financial turnaround has taken hold following a leadership overhaul, thousands of ongoing cost management initiatives and a margin recovery plan expected to complete by 2027. “Once you get the fundamentals in place, you start getting credibility, not only…

Federal watchdog calls on MA plans, CMS to address gaps in preventing medical equipment supplier fraud

HHS’ Office of Inspector General released a report in September detailing gaps in efforts to reduce or halt medical equipment supplier fraud in Medicare Advantage. Earlier in the month, CMS announced that it had barred 11 medical suppliers from receiving…

GoHealth to shut down ‘majority’ of operations, cut 103 jobs

GoHealth will lay off 103 of the 111 full-time employees reporting to its Chicago headquarters months after the health insurance marketplace and Medicare-focused digital health company filed for bankruptcy. The company said in a Sept. 3 WARN notice that due…

The housing crisis is a hospital operations problem: How Tampa General + others are responding

In high-cost markets, hospital staff increasingly earn too much to qualify for housing aid yet too little to afford a home near work. The strain lands on operations: longer commutes, harder recruiting, higher turnover and rising labor costs. The scale…

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Hospital emerges from bankruptcy after inking 4-year deal with BCBS Alabama

Montgomery, Ala.-based Jackson Hospital exited bankruptcy Sept. 14, its president and CEO John Quinlivan confirmed to Becker’s. The hospital’s emergence from bankruptcy comes about one month after it signed a four-year agreement with Blue Cross Blue Shield of Alabama. The…

Health insurers' word of the year: discipline

There has been one word health insurers have not been shying away from in 2026: discipline. Elevated utilization for specialty drugs, behavioral health and emergency services has been driving medical costs in recent years. As insurers face pressures across lines…

Judge dismisses Ballad Health's Medicare Advantage lawsuit against UnitedHealth

A federal judge has dismissed Ballad Health’s lawsuit accusing UnitedHealth Group of denying and underpaying Medicare Advantage claims, ruling the dispute must go to arbitration. Johnson City, Tenn.-based Ballad sued UnitedHealth in October, alleging the insurer spent years denying valid…

Beyond the Test: Preparing Health Systems for the Next Era of Cancer Monitoring

Molecular residual disease (MRD) testing is moving into the next phase of precision oncology, extending molecular insight past diagnosis and treatment selection into post-treatment monitoring, surveillance and survivorship. For health systems, the question is not whether to add another test.…

Oct 15, 2026 3:00 PM - 4:00 PM CDT

Presented by:

Presenter:

Rick Baehner, MD, Chief Medical Officer, Precision Oncology Abbott Cancer Diagnostics, Clinical Professor of Pathology,, University of California, San Francisco

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