Indiana is removing MDwise as a managed care health plan offered within the state’s Medicaid programs, effective Jan. 1. MDwise is part of Grand Blanc, Mich.-based McLaren Health Care. Its current Medicaid contract with Indiana was awarded in 2023, and…
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From supply chain disruption to payer friction, healthcare’s persistent operational challenges share a common root: contracts. Yet for many health systems, critical agreement data remains scattered and underutilized — limiting visibility, fueling revenue loss and increasing exposure to risk. This…
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Clinical leaders understand the value of early cancer detection — but scaling hereditary cancer risk assessment across multiple care sites? That’s a different challenge entirely. HCA Healthcare Sarah Cannon Cancer Network faced this challenge head-on. Through a strategic partnership, they…
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RWJBarnabas Health and BJC Medical Group are confronting one of healthcare’s biggest threats: workforce instability. These leaders are rethinking how they recruit, retain and deploy physicians — not as a reaction to shortages but as a strategy to build long-term…
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Presenters
Dr. Matt Broom
Chief Medical Officer, BJC Medical Group
Dr. Michael Loftus
Senior Vice President for System Medical Affairs, RWJBarnabas Health; Chief Medical Officer, Cooperman Barnabas Medical Center
Shannon Peterson
Senior Vice President, Medicus Healthcare Solutions
Humana has filed a lawsuit against ChenMed, which operates medical centers for older patients, in Delaware over breach of contract and other alleged harms, according to a heavily redacted Nov. 7 court filing. Humana and ChenMed jointly operate JenCare Senior…
Managing rising health benefits costs has surpassed talent retention as the top strategic priority for health systems in 2025, according to Aon’s twentieth annual Benefits Survey of Hospitals. The report includes insights from 155 health systems, representing more than 1,500…
Cigna Healthcare has partnered with Magic Johnson to produce “Magic Sounds,” a six-track album designed to boost mental health, according to a news release. Cigna pulled from peer-reviewed research and worked with clinical experts and music therapists to determine tempo,…
Elevance Health’s Medicaid business is expected to reach a low point on profits in 2026, according to the company’s CFO, Mark Kaye. While speaking at the UBS Global Healthcare Conference on Nov. 11, Mr Kaye said the company anticipates its…
North Carson City, Nev.-based Carson Tahoe Health and the Nevada Health Authority are extending the health system’s contract with UMR, a UnitedHealthcare subsidiary, according to a Nov. 11 post. State of Nevada employees will stay in network with CTH through…
From lawmakers seeking to halt an upcoming Medicare pilot to BCBS of Alabama and physicians outlining shared commitments, here are six updates on prior authorization that Becker’s has reported since Oct. 8: 1. Six Democratic House representatives introduced legislation to…