Recent CMS changes removed over 2,000 diagnostic codes and introduced 200-plus that don’t map to reimbursement under previous rules. For health systems and ACOs, missing these changes can translate into massive revenue losses and poor risk scoring. Health systems like…
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With second quarter earnings now reported, health insurers are navigating elevated medical cost trends that are hurting their profit margins, driven by increased member utilization of specialty drugs, behavioral health, and emergency services. In their calls with investors, executives specifically…
The nation’s largest payers have filed their second-quarter earnings reports, revealing which companies recorded the largest profits for the three months ended June 30. 1. UnitedHealth Group: $3.4 billion Total net income in the second quarter was $3.4 billion. UnitedHealthcare’s…
Every denied claim means wasted effort, delayed cash flow and rising cost-to-collect. Yet too many hospitals are addressing denials after they happen, not where they begin. Missed authorizations. Registration errors. Faulty insurance verification. These preventable breakdowns account for the majority…
Presented by:
Susan Callaway-Stradley
Vice President, Coding/Auditing Quality Assurance, Coronis Health
As people’s health needs become more complicated, they’re looking for more support from those who help them stay healthy. What they want most is a trusted partner to guide them through the often-confusing healthcare system and make it easier to…
The Cigna Group reported a net income of $1.53 billion in the second quarter of 2025, compared to $1.55 billion during the same quarter last year, according to its July 31 financial report. Total revenue was $67.2 billion for the…
Staffing constraints in rural hospitals are leaving patients vulnerable. Meanwhile, urban units face mounting acuity, and bedside teams are burning out under relentless demand. Without new approaches, care delays, inequities and rising turnover will only worsen. But some health systems…
Presented by:
Karie Ryan DNP, MS, RN, CENP
Chief Nursing Officer
John Bowles, PhD, RN, CENP
Vice President and Chief Nursing Officer, HonorHealth Deer Valley Medical Center
Desi McCue, DNP, MBA, RN, FACHE, CENP
Vice President & Chief Nursing Officer Legacy Meridian Park Medical Center
Heather Schimmers, RN, MBA
President Emplify Health - Gundersen Health System
Scaling technology across a health system isn’t just about deploying technology, it’s about designing a change management strategy that delivers lasting impact and fits the unique DNA of each organization. Abridge partners closely with leading health systems to co-develop tailored…
Presented by:
Daniel Smith
VP, Informatics, Corewell Health
Sue West
ACMIO, Corewell Health
Val Kozak
Emerging Technology Researcher, Corewell Health
Matt Troup
Senior Director of Clinical Success, Abridge
Almost 39 million people were enrolled in HSA-eligible health plans in 2024, according to a July report from AHIP. The report findings are based on survey responses from 20 health plans offering employer-sponsored insurance and individual ACA coverage, collectively representing…
Fitch affirmed UnitedHealth Group’s “AA-” rating July 30 but revised the company’s outlook to negative from stable. Fitch said the revision reflects new information disclosed by UnitedHealth during its second quarter earnings call held July 29. “The company provided guidance…
