Managed care organization Magellan Health, part of Centene, has appointed Steven Pratt, MD, as chief medical officer, according to a Sept. 10 news release. Dr. Pratt, a psychiatrist, will further the company’s clinical mission and engagement in his new role.…
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Amid a wave of health systems dropping Medicare Advantage plans over administrative and reimbursement issues, the Medicare Payment Advisory Commission has found no “statistically significant change in hospital profit margins” due to growing enrollment in Medicare Advantage plans, according to…
An estimated 450,000 New Yorkers will lose zero-premium comprehensive health insurance amid the One Big Beautiful Bill Act’s cuts, according to a news release from the New York State Department of Health and a statement from Democratic Gov. Kathy Hochul.…
A federal judge in Minnesota has denied UnitedHealth Group’s request to narrow the scope of discovery in an ongoing lawsuit that accuses the insurer of using artificial intelligence to wrongfully deny Medicare Advantage members post-acute care. The case, filed in…
Hospitals are investing heavily in digital tools, but many still fail to realize meaningful ROI. Why? Because technology is rarely the limiting factor — the real challenges are resistance, complexity and misaligned workflows. In this virtual learning session, learn how…
Presented by:
Presenters
Navaneeth Nair
Chief Product Officer, Infinx
Anthony Tedeschi, MD
former CEO, Tenet Healthcare Detroit
Stuart Newsome
Vice President RCM Insights, Infinx
The U.S. Bankruptcy Court for the Middle District of Florida has approved a bid from Humana’s CenterWell to acquire the assets of The Villages Health, the health system serving The Villages retirement community in Florida. TVH filed for Chapter 11…
CVS Caremark will pay $32.1 million to the state of Oklahoma after the pharmacy benefit manager allegedly held back savings from the state’s employee health plan, according to a Sept. 9 news release from Oklahoma Attorney General Gentner Drummond. The…
Research is no longer a siloed academic exercise; it’s a strategic lever. Healthcare leaders are under increased pressure to drive value in new ways. But without the right digital infrastructure, too many initiatives stall out due to fragmented data, unclear…
Presented by:
Presenters
Dr. Calum Yacoubian
Director for Health Data Enablement, IQVIA’s Applied AI Sciences group
UnitedHealth’s Rocky Mountain HMO and Elevance Health’s Anthem HMO Colorado have withdrawn their plans to end coverage for multiple health plans in the state’s individual market following legislative action in the Colorado General Assembly. Both companies will continue services in…
Patients’ high demand for behavioral health services since the pandemic is no secret, but Bill Harlan — vice president of behavioral health and health engagement of Canton, Mass.-based Point32Health — said the insurer’s provider partners have also faced challenges, like…
