Centene Corp. is reducing its board size for the second time in August following the resignation of Thomas Greco from its board of directors. Mr. Greco stepped down Aug. 12 due to “increased professional responsibilities” stemming from his recent appointment…
The Latest
The U.S. Office of Personnel Management will end coverage of gender transition-related surgeries and hormone treatments under the Federal Employees Health Benefits and Postal Service Health Benefits programs, beginning in 2026. In an Aug. 15 letter to carriers, OPM said…
A federal judge in Texas has struck down portions of a rule governing Medicare Advantage broker and marketing payments, siding with agent groups that challenged the regulation put into place last year. On Aug. 18, U.S. District Judge Reed O’Connor…
For many ASCs, the accreditation experience can feel more like a burden than a benefit — with shifting survey standards, inconsistent processes and surveyors who lack ASC-specific expertise. The result? Wasted time, operational inefficiencies and frustrated staff. In this report,…
Presented by:
A federal judge has approved a $2.8 billion settlement resolving antitrust claims brought by healthcare providers against the Blue Cross Blue Shield Association and its independent entities, ending more than a decade of litigation. The settlement was approved Aug. 19…
A Texas federal judge dismissed Elevance Health’s lawsuit challenging its 2025 Medicare Advantage star ratings, ruling that the company “has not shown any evidence that CMS acted arbitrarily or capriciously.” Elevance filed its lawsuit Oct. 31, 2024, alleging that CMS’…
Length of stay can be a proxy for every operational challenge in a hospital — and The Queen’s Health Systems was feeling the strain. ED admissions were delayed, transfers were turned away and the financial toll kept rising. Their solution?…
Presented by:
Hospitals and health plans are no longer judged solely by what happens during an inpatient stay. With CMS tightening star ratings, HEDIS measures and value-based thresholds, providers and payers must manage quality and costs across the full continuum — especially…
Sep 25, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Nicole Sunder
Senior Director, Solution Design PointClickCare
Howard Brill
Senior Vice President, Population Health and Quality Monroe Plan
Antonio Rios, MD, FACP, CPE
Chief of Population Health Northeast Georgia Health System
Marissa Bloomer, RN, BSN, CMCN
Vice President, Population Health Curative
Arshad Rahim, MD, MBA, FACP
Chief Medical Officer and Senior Vice President, Population Health Mount Sinai Health System
The Superior Court of Fulton County, Georgia placed Sonder Health Plans into receivership with the state’s insurance department on Aug. 13 due to the insurer’s reported “insolvency and inability to raise additional funds from outside investors.” Sonder was placed into…
Highmark New York is the lowest-ranked Medicare Advantage plan for customer satisfaction in 2025, according to J.D. Power’s 11th annual Medicare Advantage study. The consumer insight firm published its list of the top Medicare Advantage plans in 10 markets on…