A federal jury in Florida has convicted an insurance brokerage president and the CEO of a marketing company for their roles in a scheme to fraudulently enroll individuals in subsidized ACA plans to obtain commission payments from insurers. The scheme…
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Afton, Wyo.-based Star Valley Health will return to Cigna’s network on Dec. 15, according to a Nov. 14 news release from the health system. Negotiations have been going for months. Star Valley Health sent a letter to patients after reaching…
Aetna is rolling out a generative AI-powered conversational assistant within its website and mobile app. The new tool synthesizes member benefits, provider networks and program information to deliver answers in plain language, eliminating the need for users to understand industry…
Patients today expect upfront clarity on cost and when they don’t get it, they delay or avoid care. That makes accurate estimates more than a finance issue; it’s a trust issue. Join leaders from Mercy Health to hear how they…
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Presented by:
Presenters
Staci Fletcher, CHAM
Director of Patient Access, Mercy Health
Ben Koppenheffer
Senior Director – Client Success, Waystar
Cigna Healthcare is launching Clearity, a copay-only, tech-enabled health plan, according to a Nov. 18 news release. The product is a tiered copay model without deductibles and coinsurance. Employers can choose from five plan designs, which include up to four…
It is no secret that Kentucky struggles with maternal and infant health outcomes. The state scored an “F” on preterm birth rates in the March of Dimes annual report card and is among the worst in the country for maternal…
Molina Healthcare has been selected by the Florida Agency for Health Care Administration to administer a specialized Medicaid and CHIP program for low-income and underserved children. Molina was the sole plan selected and expects to serve approximately 120,000 enrollees of…
Health systems are under renewed pressure to embed equity across the patient journey. For non-English-speaking populations, language access is a critical piece but often underfunded, disconnected and reactive. At Intermountain Health, Lehigh Valley Health Network and LCMC Health, that’s changing.…
Presented by:
Presenters
Dr. Toni Flowers
Corporate Chief Opportunity and Social Responsibility Officer LCMC Health
Joumana De Santiago
Director, Interpreter Services and Language Access Center Lehigh Valley Health Network
Carlos E. Martinez-Morales, BS, CMI, CHI, UT-CMLI-Spanish
Director, Language Services & Cultural Competence Intermountain Healthcare
Corey Bolt
Strategic Business Development Executive, Language Services AMN Healthcare
Blue Cross and Blue Shield of Massachusetts reported a year-to-date net loss of $101.4 million on revenue of $7.7 billion (-1.3% net margin) and expects to end the year with operating and net losses. The most recent financial results reflect…
Medica plans to purchase certain contracts and assets from UCare as the latter’s legacy business winds down operations next year, the two companies said Nov. 17. “We have the opportunity to build upon both Medica’s strengths and UCare’s legacy, allowing…
