Alignment Healthcare is asking a federal court to throw out a whistleblower lawsuit brought by a former executive who alleged retaliation from company leadership after reporting concerns over its accounting practices. The Medicare Advantage insurer filed its motion to dismiss…
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Centene’s Health Net named Eric Schmacker as plan president and CEO. Mr. Schmacker most recently held the same role at Silver Summit Health Plan, another Centene plan in Nevada, a LinkedIn announcement said. Leading up to his official appointment, he…
The health systems and health plans that have pushed AI furthest into their operations are among the least equipped to prove what it is returning, according to a survey of 64 U.S. healthcare CFOs and finance leaders published Aug. 12…
Cardiac imaging, monitoring and specialist follow-up volumes keep climbing, and cardiovascular disease remains the leading cause of death worldwide. The response in most health systems has been to add AI department by department — automated echo quantification in one place,…
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In 2025, insurers committed to scaling back and simplifying prior authorization as they fall into line with standards established by the 2024 Interoperability and Prior Authorization and Medicare Advantage final rules. But recent aggregated data on prior authorization — which…
Referrals stall between the referring office and the scheduler. Calls get abandoned. A patient hits the phone tree, gives up, and books somewhere else. None of it registers in a report until the revenue is gone and the patient is…
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From posting a $5.5 billion profit in the second quarter, to a former executive being confirmed as the next CDC director, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since July 20: 1. Luigi…
Most supply savings programs stop at the contract, and the opportunity that remains sits in clinical detail no spend report captures. Two physicians perform the same procedure and consume different supplies at different cost. Reimbursement does not match. Multiply that…
Presented by:
- Allen Passerallo, Senior Vice President, Physician Preference, Vizient Inc.
- Ian O’Malley, Executive Director, Strategic Sourcing, University of Chicago Medicine
Humana’s New York product is the lowest-ranked Medicare Advantage plan for member satisfaction this year in JD Power’s 12th annual MA study. The consumer insight firm published its rankings of the top MA plans in 12 markets on Aug. 18.…
Healthcare Management Administrators, a third-party administrator owned by Cambia Health Solutions, has named Diane Zalewski as CEO. Ms. Zalewski most recently served as president of payer solutions at Cigna’s Evernorth. Before Evernorth, she held several roles at Cigna, including COO…
