So far, 2026 has been a year defined by insurer retrenchment, including market exits across product lines and other strategic realignments. A slew of policy changes has reshaped markets: the expiration of enhanced premium tax credits and tighter prior authorization…
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Inpatient CDI has traditionally depended on disruptive retrospective queries, fragmented workflows, and clinicians revisiting the record days or weeks after discharge. What changes when context and documentation guidance arrive during the encounter, while the clinical context is still fresh? Health…
Oct 15, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenter:
- TBD, TBD
Clinical reviewers open a utilization management or appeals case and spend most of it assembling evidence — hundreds of pages, several source systems and a fax queue that has outlasted every modernization plan built around it. The determination itself is…
Oct 13, 2026 1:00 PM - 2:00 PM CDT
Presented by:
Presenters:
- Mark Miller, Sr. VP of Insurance and Strategic Accounts, Naviant
- Jason Bui, Head of Healthcare, UiPath
Taft Parsons III, MD, is leaving his role as CVS Health’s chief psychiatric officer. “Executives decide to try something different, and organizational structures and jobs change,” he said Sept. 11 on LinkedIn. “I’ve benefited from those changes more often than…
From announcing plans to drop prior authorization requirements for 1,700 services to facing a lawsuit from the Maryland attorney general, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Aug. 26: 1. Ujjwal Ratan…
The California Department of Health Care Services notified Centene’s Health Net of a corrective action plan and potential sanctions Aug. 25, according to a letter shared with Becker’s. Health Net is ending the Assisted Living Facility Transitions service for Medi-Cal…
Medicare Advantage enrollees who filled specialty medications through a pharmacy owned by their insurer got their drugs faster and paid less out of pocket than those who used nonintegrated pharmacies, according to a July study published in Health Affairs Scholar.…
Ujjwal Ratan has joined UnitedHealth Group’s consulting and analytics division, Optum Insight, as chief AI officer. In a Sept. 10 LinkedIn post, Mr. Ratan said his role is to enable Optum Insight to operate as a connected agentic network in…
In 1987, economist Robert Solow observed that the computer age was visible everywhere except in the productivity statistics. The machines were bought; the work stayed put. The payoff came a decade later, once companies rebuilt around the technology. Revenue cycle…
Oct 13, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Dawn Castro, SVP of Revenue Cycle, Surgery Partners
- Shannan Bolton, VP of Revenue Cycle Optimization and Performance Excellence, Stanford Health Care
- Peter Thompson, VP of RCM Business Support, UF Health
- Michelle Castillon, Chief Product Transformation Officer, Vee Healthtek
AI can transform utilization management — but only when it is built into the decisions and workflows that determine how cases are reviewed, prioritized and supported throughout the patient stay. Building on the session “”Beyond the Worklist: Architecting AI-Enabled Utilization…
Oct 21, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Dr. Jennifer Weinberg, VP, Physician Advisory Solutions, R1
- Melissa Hannan, VP, Product Management, R1