At Becker’s 15th Annual Meeting, leaders from Microsoft and Blue Shield of California shared how AI is one tool to help transform payer operations — not by replacing humans, but by personalizing care, cutting friction and restoring trust. Christine McKinney,…
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After the pandemic, leaders at Jefferson Health knew that their teams needed help. However, meeting the behavioral health needs of their workforce presented a challenge of access and scale. Jefferson Health faced this challenge head-on by integrating Marvin Behavioral Health’s…
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From exploring the sale of a South American-based subsidiary to suing The Guardian for defamation, here are 10 updates on UnitedHealth Group that Becker’s reported since June 2: 1. A federal judge approved a $69 million agreement to settle a…
With an aging population and the growing burden of chronic disease, remote patient monitoring will only become more important in the years to come. RPM can reduce readmissions, lower costs and improve care continuity — but only when adoption scales.…
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Curana Health has named Derek Chao, MD, as president and chief medical officer. Previously, Dr. Chao served as CEO of Optum Health’s western region, where he oversaw operations and care delivery across nine states. He had been with the company…
New York City can implement an Aetna Medicare Advantage plan for its retirees, the state’s highest court ruled June 18. The city has pushed to switch its health benefits for retired city employees to a Medicare Advantage plan since 2021.…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. CentraCare, based in Saint Cloud, Minn., seeks a senior director of payer contracting…
How to Build a Technology-First Strategy for UM Effective utilization management (UM) begins with a strategic approach grounded in technology, data, and continuous improvement. As AI adoption accelerates, payers must align their UM strategies with both regulatory demands and operational…
Uncertainty around potential pharmaceutical tariffs is one factor driving up the cost of marketplace coverage in 2025, according to KFF. Multiple insurers, including UnitedHealthcare plans in New York, Maryland and Oregon, and Independent Health have cited tariffs on pharmaceuticals as…
Hospitals and health systems now spend more than $20 billion annually trying to overturn denied claims. With denials rising in volume and complexity, revenue cycle teams are under increasing pressure — facing delayed reimbursements, staff burnout and interruptions to patient…
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Presenters
Jozette Cook-White
Sr. Director of Revenue Cycle Operations for Managed Resources
Judy Peek-Lee
Chief Financial Officer, The University of Vermont Health Network
Gerilynn Sevenikar
Chief Revenue Cycle Officer, Sharp Healthcare
Sham Firdausi
CFO of ScionHealth
Luke Rockenbach
Chief Financial Officer, Silicon Valley Market Sutter Health
