Health plans were early adopters of AI, using it to streamline claims processing, support call centers and manage utilization. Now, they’re ramping up AI deployment to enhance member experience, improve care quality and reduce administrative costs, according to America’s Health…
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On Dec. 15, CMS published 24 quality and efficiency measures under consideration for adoption in Medicare programs. HHS employs this pre-rulemaking process to decide on measures for Medicare programs and releases a public list of the pitched measures each year.…
Clever Care Health Plan is pairing its culturally competent care model with a new provider network partnership built around the lifestyle habits of the world’s longest-living populations. The partnership launches in 2026 and will connect Clever Care’s 40,000 Medicare Advantage…
Two-thirds of U.S. adults believe the government should be responsible for ensuring Americans have health coverage, according to a Pew Research Center survey. The survey canvassed 10,357 U.S. adults and ran Nov. 17-30. Here are six other notes from the…
Patient experience is no longer a “nice to have” — it’s a core driver of growth, retention and reimbursement. Yet many health systems are falling short due to one persistent barrier: data that is fragmented, inaccurate or untrusted. To meet…
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New Hampshire legislators have introduced two bills that would impose new requirements on health insurers operating in the state, with both measures set to take effect in 2027 if enacted. HB 1406 would prohibit insurers from using artificial intelligence to…
Kaiser Permanente’s Northern and Southern California health plans have been named the highest-quality commercial plans in the state by the California Center for Data Insights and Innovation. The center rates commercial health plans using a rating system on a 1…
Inpatient care makes up just 7% of healthcare encounters but drives disproportionate costs and contributes to rising financial strain, even bankruptcy for patients. Low value care erodes hospital margins yet is difficult to define. Ardent Health launched a systemwide initiative…
Jan 21, 2026 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Susan Hughes
Vice President Case Management, Ardent
Mukul Mehra
Senior Physician Executive CDS, Premier’s Stanson Health
As more patient monitoring devices connect to clinical networks and EHRs, health systems face a new frontier of cybersecurity risk. A Becker’s–Philips survey of 100 healthcare leaders found that only half feel their organizations have a moderately or highly mature…
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If a “typical” background exists for leading a health plan, Anirban Gangopadhyay certainly does not have it: The co-founder and CTO of AI-forward Angle Health comes from tech powerhouse Palantir. “I would say Palantir operates in a very unique way…