Four more Medicare Advantage prescription drug plans have received five-star ratings thanks to CMS’ recalculation. CMS initially unveiled 2026 MA star ratings in October, with 18 MA-PD contracts scoring five stars overall. On July 22, CMS released updated 2026 Medicare…
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Health systems are suing insurers over what they describe as systematic underpayment and unilateral policy changes that reduce reimbursement, while insurers have been turning to the courts to accuse hospitals of gaming the No Surprises Act’s arbitration process. Layered on…
Ten states have not expanded Medicaid, leaving an estimated 1.2 million adults without insurance, according to a July 27 KFF analysis. The rest of the country, including the District of Columbia, has expanded Medicaid, allowing adults who make up to…
Medicare Advantage will account for 57% of overall Medicare enrollment by 2036, up from 51% this year, according to a July report from the Congressional Budget Office. Five things to know:
Federal subsidies for employment-based health coverage will grow to $840 billion in 2036, up from $478 billion in 2026, according to a July report from the Congressional Budget Office. Five things to know:
This webinar is on-demand and can be viewed at your convenience. At many infusion centers, nurse schedules are built on tradition rather than data, leaving teams stretched thin on busy days and overstaffed on slow ones. As patient volumes rise…
On Demand
Presented by:
Presenters:
- Amanda Carbray, Clinic Operations Manager, Hartford HealthCare
- Betsy Hlavac, Clinical Operations Manager, Ambulatory Infusion & Medical Oncology, Hartford HealthCare
More data is pointing to concerns of skyrocketing healthcare costs in the upcoming years. Steeper medical utilization is one cause for concern, according to several sources. Meanwhile, HR 1 is radically reshaping Medicaid, and the expiration of ACA enhanced subsidies…
Utilization review teams face a constant squeeze: manual EHR searches for clinical documentation slow admission and appeal processes, introduce errors and raise denial risk — all while revenue hangs in the balance. Stormont Vail Health confronted these inefficiencies directly. By…
On Demand
Presented by:
Presenters:
- Chad Yeager, RN, MSN, VP of Quality and Population Health, Stormont Vail Health
- Brianna Brown, MSN, BSN, RN-BC, CCDS, Director of Clinical Performance, Stormont Vail Health
- Sri V. Suravarapu, MD, MPH, CPE, CHCQM-PHYADV, Medical Director of Utilization Review / Clinical Appeals, Stormont Vail Health
Despite time-outs and standard protocols, positioning-related nerve and pressure injuries continue to occur in spine surgery. They tend to strike where teams least expect them — in high-complexity cases, in prone and lateral positions, and in patients whose risk was…
Aug 25, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenter:
- Jen Anzalone MSN, RN, CNOR, CSSL, NPD-BC, NE-BC, Perioperative Consultant and Surgical Services Nurse Manager, J. Anzalone Consulting
Excellus BlueCross BlueShield must face claims of race discrimination and retaliation brought by a former contract negotiation director, according to a July 22 federal court order. U.S. District Court Judge Anthony Brindisi denied Excellus’ motion for summary judgment and allowed…