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About 1 in 3 U.S. adults have at least three risk factors for cardiovascular-kidney-metabolic (CKM) syndrome — a condition rooted in the overlap of heart disease, kidney disease and metabolic disorders like Type 2 diabetes and obesity. Yet care delivery…

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From payers announcing commitments to reduce prior authorizations to Alaska lawmakers passing a reform bill, here are six updates on prior authorization that Becker’s has reported since June 23:  1. The broader health insurance industry announced a series of commitments…

The percentage of eligible Medicare beneficiaries enrolled in Medicare Advantage plans rose to 54% in 2025, but the pace of the increase in enrollment slowed in 2025, according to a July 28 report from KFF.  Six things to know:  1.…

CMS is raising the bar on provider directory accuracy. For payers, that means more than quarterly updates — it means demonstrating that your network is real, accessible and audit-ready. Ghost networks remain one of the biggest threats to both member…

Oct 16, 2025 11:00 AM - 12:00 PM America/Chicago

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Presenters

Chris Nolan

Director, Payer Solutions, HealthLink Dimensions

Kimberly Rogers, MBA, RN

Vice President Provider Network and Relations, Peak Health

William Britton

Vice President of Technology, NCD

Michael Kane

Senior Vice President, Provider Data Operations, UnitedHealthcare

On July 25, Centene’s CEO Sarah London detailed three key dynamics affecting the ACA risk pool this year after the company posted a $253 million loss in the second quarter. The morbidity of the ACA market in some states has…

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