A federal court has partially ruled in favor of Alignment Healthcare in a legal challenge against CMS, resulting in the Medicare Advantage company’s Arizona HMO star rating being raised from 3.5 to 4 stars. All of Alignment’s members are now…
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Shifting regulations, rising demand for care and staffing shortfalls have put the healthcare industry in a constant state of flux. Decisive leadership during times of ambiguity is critically important. To create a sustainable competitive advantage, healthcare organizations must identify market…
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America’s behavioral-health crisis is intensifying, marked by soaring demand for mental health services and a nationwide shortage of psychiatric clinicians. To close these gaps, seamless coordination across every level of care is essential. To make mental health support even more…
Aug 28, 2025 1:00 PM - 2:00 PM America/Chicago
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Presenters
Dr. Christopher Ott
Chief Medical Officer Physician Services at HCA Healthcare Clinical Services Group
Dr. Georgia Gaveras
Co-Founder and Chief Medical Officer of Talkiatry
Robert Krayn
Co-Founder and CEO of Talkiatry
S&P Global Ratings is considering downgrading Centene’s credit rating to junk status. In a July 1 news release, the agency cited Centene withdrawing its 2025 earnings guidance as the driver for the potential downgrade. Centene’s Medicare, Medicaid and ACA businesses are…
Health Care Service Corporation has launched its national HealthSpring brand following the company’s acquisition of Cigna’s Medicare business. In March, HCSC purchased Cigna’s Medicare Advantage, Part D and supplemental benefits businesses, along with a value-based care management subsidiary, for $3.3…
Generative AI for clinical documentation has shown significant promise in reducing administrative workloads, alleviating clinician burnout, and enhancing the patient experience. Yet there remains untapped potential in leveraging patient-clinician conversations to automate critical business functions, particularly across revenue cycle management.…
Jul 29, 2025 12:30 PM - 1:30 PM America/Chicago
Presented by:
Presenters
Dr. Charles Frazier
SVP and Chief Medical Information and Innovation Officer, Riverside Health
Matthew Cox
Chief Financial Officer, Corewell Health
Chris Bergman
VP and Chief Financial Officer, Dayton Children’s Hospital
Sagar Sanghvi
Chief Financial Officer, Abridge
Total risk adjustment payments in individual and small group insurance plans increased modestly in 2024, according to new data from CMS. The agency published its annual summary report of risk adjustment payments June 18. The risk adjustment program is designed…
UCare will withdraw from 11 counties in Minnesota where it offers Medicaid plans beginning in September through the end of 2025, the company said in a statement shared with Becker’s. The company made the “difficult decision” to withdraw from several…
Last week, a coalition of more than 50 major health insurers signed a pledge at a Washington, D.C. summit to “simplify” prior authorization. Led by Secretary Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services (CMS) Administrator Dr.…
Academic health systems are expanding rapidly. But growth alone isn’t enough to fulfill the tripartite mission of clinical care, research, and education. Today, “systemness” has evolved into a shared commitment—one that drives resilience and lasting impact. This whitepaper highlights how…
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