Unnecessary diagnostic testing is putting patient safety and hospital margins at risk. At Mayo Clinic Florida and UC San Diego Health, clinical leaders are reshaping this pattern with structured diagnostic stewardship programs — cutting inappropriate testing, preserving antimicrobial effectiveness and…
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CMS is freezing $259.5 million in federal Medicaid funding to Minnesota, citing unsupported or potentially fraudulent claims in the state’s program. “We have decided to temporarily halt certain amounts of Medicaid funding that are going to the state of Minnesota…
Medicare Advantage margins are outperforming other lines of business, according to a Feb. 23 KFF data brief. The analysis relied on 2024 insurer-reported financial data found in Mark Farrah Associates’ Health Coverage Portal database, looking across individual, group, Medicaid and…
HHS released its third annual report Feb. 9 that evaluates how the No Surprises Act has affected healthcare markets. The report was produced with analytical support from RAND, and extends claims data trends through 2022, the first full year after…
Through a multiyear agreement, Farmington-based University of Connecticut Health will go back in network for Aetna commercial and Medicare Advantage members starting March 1, an Aetna spokesperson confirmed to Becker’s Feb. 25. “This new agreement ensures continued access to high-quality,…
Fiona Fang has been named CEO of Aetna Better Health of Florida. Ms. Fang will oversee operations, clinical performance, network strategy, and provider partnerships. She has been with Aetna since 2017. “Fiona brings deep expertise across Florida’s Medicaid, CHIP and…
Montgomery, Ala.-based Jackson Hospital is suing BCBS Alabama amid the hospital’s bankruptcy proceeding, according to a Feb. 16 filing with the Middle District of Alabama’s U.S. Bankruptcy Court. According to the filing, BCBS Alabama loaned over $1.5 million to Jackson…
A coalition of more than 60 employer groups, insurers, patient advocacy and labor organizations sent a letter Feb. 24 to the Treasury Department, Labor Department and HHS, urging the Trump administration to crack down on what they describe as systemic…
As payer complexity increases and margins narrow, revenue cycle leaders are moving beyond reactive fixes.Advances in automation, AI and process modernization are driving measurable gains in denials management, coding accuracy and AR follow-up — while enabling earlier intervention across the…
Presented by:
Pat DeAngelo
President, CorroHealth
Keisha Downes DMSc(c),MBA-HM, BSN, RN, CCDS, CCS
Vice President, Mid-Revenue Cycle Beth Israel Lahey Health
Paul LePage II
Vice President, Revenue Cycle UC Davis Health
GoodRx is moving into the employer benefits market with a new program that lets companies subsidize discounted cash prices on brand-name drugs for their employees. The program, GoodRx Employer Direct, launched earlier this year with grocery chain Hy-Vee as one…
