Attorneys representing Luigi Mangione, the man accused of killing UnitedHealthcare CEO Brian Thompson in late 2024, have accused the Manhattan District Attorney’s Office of improperly obtaining over 120 pages of confidential medical records from Aetna, Mangione’s health insurer. In a…
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Healthcare is constantly transforming, and payment integrity programs are facing unprecedented challenges fueled by rising medical spend, an evolving and unpredictable regulatory environment and increasing stakeholder expectations. These trends, coupled with a rapidly accelerating technology landscape, bring payment integrity to…
With healthcare constantly changing and health plans facing unprecedented challenges, payment integrity is at a critical inflection point. At Optum, we’re defining the future of payment integrity as payment precision—helping health plans achieve payment accuracy at claim submission. By advancing…
St. Louis-based Mercy is targeting closer partnerships with fewer organizations, Gavin Helton, MD, president of primary care at the system, told Becker’s. One of these partnerships is with Humana. Mercy and Humana opened their first collaborative 65Prime+ Clinics in Springfield…
A judge has dismissed Humana’s lawsuit challenging its Medicare Advantage star ratings. In a July 18 order, U.S. District Judge Reed O’Connor dismissed the case without prejudice, meaning it could be reintroduced. In his filing, Mr. O’Connor wrote that Humana…
Health systems don’t have the luxury of building their way out of capacity constraints. WakeMed didn’t — and still boosted prime-time surgical access and throughput by double digits. In this session, WakeMed’s Chief Medical Officer Charles Harr, MD, shares how…
Aug 19, 2025 1:00 PM - 2:00 PM America/Chicago
Presented by:
Presenters
Charles D. Harr, MD, MBA
Rear Admiral, MC, SHCE (Ret.), CMO/Executive Healthcare Strategist, WakeMed Health
CMS and the Department of Homeland Security have entered an agreement that will enable Immigration and Customs Enforcement officials to access the personal data of the nation’s 79 million Medicaid members, according to an exclusive report from The Associated Press. …
HHS says it has launched a study into “misleading” Medicare Advantage marketing practices “and the harms they cause to individuals.” “In recent years, concerns about aggressive and deceptive marketing practices in Medicare Advantage have become more pressing,” the HHS OIG…
Blue Shield of California is conducting a second round of layoffs this year, with 138 more employees being laid off in September. The majority of the layoffs affect employees in Oakland and El Dorado, with the remaining cuts taking place…
Insurers are requesting the highest ACA premium increases since 2018, according to an analysis by the Peterson-KFF Health System Tracker published July 18. Insurers are requesting a median increase of 15% based on preliminary rate filings. KFF analyzed rate increase…