University of Miami Health System has reached a multi-year agreement with UnitedHealthcare to maintain in-network access. Under the agreement, UHealth’s hospitals, facilities and physicians will remain in network for UnitedHealthcare’s employer-sponsored plans, its Florida Medicaid plan and its ACA plans.…
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Prolonged operative times and prone positioning make spine surgery one of the highest-risk settings for pressure and nerve injuries. The consequences land on patients, staff and margins alike. That risk is about to carry new accountability. Beginning in calendar year…
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Group health insurers are being pushed harder than ever to deliver speed, accuracy, and value, often while working with fragmented data and highly variable claim patterns. Underwriters are expected to answer tougher questions, in less time, with greater precision. The…
Nebraska estimated that about 200 people from its expansion population have lost Medicaid coverage Aug. 1 amid its first work requirements check. Tradeoffs reported on the projection from Nebraska’s Medicaid director, Drew Gonshorowski, July 30. Over the next year, Nebraska…
A coalition of 22 states are suing to block key pieces of CMS’ 2027 ACA marketplace rule, arguing the changes will push consumers into “barebones” coverage and revive provisions a federal court previously struck down. The complaint, filed July 31…
CMS on July 31 finalized its Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System rule for fiscal 2027, setting a 2.3% payment increase for acute care and long-term care hospitals and locking in the first mandatory, nationwide…
Members may not think they are talking to AI when they call their health plan, but the person assisting them might be. Some insurers have been leaning into member-facing AI capabilities. One of UnitedHealth Group’s 1,000 AI use cases has…
Centene offered buyouts to most employees in June. Now, the financials are catching up. In a July 28 report, the company projected severance costs between roughly $315 million and $365 million, mostly driven by the voluntary separation program, for the…
Pressure injuries remain one of the most common and most preventable forms of patient harm — and CMS is about to measure them far more closely. The CMS Hospital Harm: Pressure Injury (HH-PI) electronic clinical quality measure (eCQM) introduces reporting…
Presented by:
- Michele Deppisch PT, CWS, FACCWS, Wound Care Consultant
- Robin Gasparini MSN, RN, ACNS-BC, DNP, APRN, Nursing Executive Advisor Consultant
Join Dr. Kalie Dove-Maguire, President and Chief Product Officer at Evidently, and physician leaders from major health systems for a direct conversation about what repeatable clinical AI outcomes look like when clinicians finally have the full complexity of the patient…
Presented by:
- Kalie Dove-Maguire, MD, President and Chief Product Officer, Evidently
- David Marcozzi, MD, MHS-CL, FACEP, Chief Clinical Officer and Senior Vice President, University of Maryland Medical Center
- James M. Blum, MD, CDH-E, Chief Health Information Officer, University of Iowa
- Spencer Dorn MD, MPH, MHA, Professor of Medicine, Executive Director, UNC Faculty Physicians, UNC Health
