Crissy Turino became a member of CountyCare — a Medicaid plan under Chicago-based Cook County Health, a public health system — about two years after it launched. She is now one of the plan’s top leaders, serving as COO. Ms.…
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Health insurers released their second-quarter earnings from mid-July through early August, with all but Elevance Health posting year-over-year profit gains. Earnings for the major payers coincided with the release of the Fortune Global 500. UnitedHealth Group moved up to become…
Payment integrity has long been constrained by audit capacity and review quality. When teams only audit what they’re staffed to handle and consistency varies widely across reviewers, it’s difficult to measure true hit rates or maintain quality at scale. AI…
Presented by:
- Shri Santhanam, Chief Product Officer, Machinify
- Emma Nasif, Chief Legal Officer, Machinify
- Vijay Bharadwaj, Chief AI Scientist, Machinify
CMS’s expanding RADV audit activity is changing the economics of risk adjustment. The question is no longer whether organizations can optimize retrospective chart chase. The question is whether their operating model can withstand continuous audit scrutiny at enterprise scale. Retrospective…
Presented by:
CVS Health brought in nearly $3 billion in profit for the second quarter of 2026, up from $1 billion during the same period in 2025. Total revenue was $106.1 billion for the quarter, a 7.3% year-over-year increase. The company lifted…
In 2026, Aetna offers the best digital experience among major insurers on both desktop and mobile, according to new research from Corporate Insight shared with Becker’s. Corporate Insight’s “2026 Commercial Health Plan Experience Benchmark,” published Aug. 5, evaluated 24 commercial…
For most health systems, the pharmacy is treated as a cost center. A growing number are proving it can be a growth engine instead, and KLAS just took a closer look at how. In its first Emerging Company Spotlight on…
Presented by:
Jacksonville, Fla.-based management services organization Complete Health Partners Holdings has agreed to pay $14.1 million to settle allegations that it violated the False Claims Act by causing false diagnosis codes to be submitted to boost Medicare Advantage payments. The settlement…
Picture a supply chain where every item, price and attribute traces back to a single trusted source, powered by Infor Supply Chain Management and Symmetric’s data sourcing and attribution capabilities. Imagine a future where off-contract spend is visible, price changes…
Presented by:
- Jennifer Krupp, Director of Customer Success, Infor
- Vicki Dardenne, AVP Procurement & Value Analysis, Baptist Health
- Melissa Amell, VP of Strategy, Symmetric Health Solutions
On average, Louisiana workers pay the largest share of their income toward their portion of family health insurance premiums for employer-based coverage, while New Hampshire and Washington, D.C. tie for the smallest, according to an AHIP analysis of Commonwealth Fund…
