BlueCross BlueShield of Tennessee is “winding down operations” at its subsidiary Shared Health, a move that will affect 150 employees. Shared Health provides plans to individuals dually eligible for Medicare and Medicaid in Texas and Mississippi. BCBS Tennessee will wind…
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Chorus Community Health Plans, the insurance arm of Milwaukee-based Children’s Wisconsin, will not offer individual and family ACA plans past 2025. In a June 26 letter to providers, the insurer’s president, Mark Rakowski, cited significant increases in medical and pharmaceutical…
Humana has launched its Medicaid business in Virginia. Virginia Cardinal Care beneficiaries can now select Humana as a Medicaid managed care plan, according to a July 2 news release. The state selected Humana as one of five insurers in 2024…
A Minnesota judge has ruled against UnitedHealthcare in a lawsuit challenging a Minnesota law barring for-profit insurers from the state’s Medicaid program. In a decision issued June 30, Minnesota District Court Judge Mark Ireland ruled the statute, passed as part…
The future is live: How trailblazing health systems are revolutionizing primary care with agentic AI
“Don’t worry about what AI will do to clinicians – focus on what it can do for us. We won’t be replaced. We become superheroes with AI’s help.” AI agents validated with clinical rigor and embedded in the EHR aren’t hypothetical…
Jul 22, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Darren Shafer, D.O.
President, Presbyterian Medical Group
Keith Fisher, M.D.
Chief Medical Officer, Adventist Healthcare, Fort Washington Medical Center
Deepthi Bathina
Founder & CEO, RhythmX AI | Former CPO of Humana, and former COO of Wolters Kluwer - Health UpToDate and Nuance Healthcare
The health insurance industry is facing a major downturn, driven by escalating issues in the Medicaid and ACA markets, as well as growing scrutiny of prior authorizations and pharmacy benefit managers, according to J. Mario Molina, MD, former CEO of…
Nevada Gov. Joe Lombardo and the Nevada Department of Health and Human Services have announced the launch of the Nevada Health Authority, effective July 1. The NVHA consolidates the state’s Medicaid program, ACA exchange, and public employees’ benefits program under…
The COVID-19 pandemic cemented virtual care as a clinical mainstay. Now, health systems are shifting from survival mode to long-term strategy. But scaling telehealth sustainably demands more than new tech. It requires integrated staffing, standardized workflows and a sharp focus…
Presented by:
Elevance Health has agreed to a $12.9 million settlement to resolve a class action lawsuit that accused the company of improperly denying coverage for residential treatment of mental health and substance use disorders. The lawsuit was originally filed in April…
Centene has pulled its earnings guidance for 2025, citing higher aggregate ACA market morbidity. In a July 1 regulatory filing, Centene said it received data from consulting firm Wakely indicating overall marketplace growth in 22 of its 29 marketplace states…