Nearly 70% of Medicaid enrollees diagnosed with an opioid use disorder did not receive appropriate medications — such as buprenorphine, methadone or naltrexone — within 180 days of diagnosis, according to a study published Nov. 23 in The American Journal…
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Legally residing refugees and asylees will face new challenges with accessing health insurance coverage. The 2025 budget law will cut Medicaid spending by about $1 trillion over 10 years, and Medicaid data usage by Immigration and Customs Enforcement is slated…
Medicaid information sharing with Immigration and Customs Enforcement officials will pick back up shortly, according to a Nov. 21 CMS notice. “This notice announces CMS policy that CMS will provide certain information to ICE upon request from ICE consistent with…
Specialty pharmacies face growing pressure to improve efficiency, but legacy workflows often stand in the way — creating delays and headaches. This session explores how leaders are replacing manual processes with flexible, tech-enabled systems that accelerate care and ease day-to-day…
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Presenters
Bobby Hillman
Principal Business Development Manager Inovalon
Nine in ten health systems are piloting or deploying ambient AI scribes, but pilots alone aren’t enough. As C-suites demand harder returns, clinical and IT leaders must show where value is actually being delivered. This report recaps a featured panel…
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Jenny Smith is the Hawaii Medical Service Association’s new COO and first female president. Her priorities as the organization’s operational lead are not overly fancy, but she does not think that makes them any less important. “If we do not…
California patients are suing Blue Shield of California and Magellan Health over alleged inaccurate mental health provider directories, according to a class-action lawsuit filed Nov. 19. The lawsuit said Blue Shield of California and Magellan work together to administer behavioral…
Access delays are worsening. Appointment wait times average more than 3 weeks, manual workflows are stretched thin and frustrated staff are juggling high volumes with low visibility. But AI alone won’t solve the problem. Many organizations stall after pilot phases,…
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AHIP published its state-by-state report on health coverage Nov. 12, which includes the average salary for health insurance industry employees across the U.S. Calculations for the average salaries are based on U.S. Census Bureau data from 2022. The District of…
U.S. Sen. Rick Scott, R-Fla., proposed legislation to “stop giving tax dollars to big insurance companies” and instead redirect premium tax credit amounts to people with a Trump Health Freedom Account, which would mirror a health savings account. “My new…