How proactive CFOs are protecting revenue, strengthening compliance, and preparing for sweeping Medicaid changes Q1 2026 is coming fast—and with it, Medicaid cuts, tighter margins, and new documentation and compliance requirements. Hospitals in ACA expansion states and rural communities face…
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The Medicare Advantage (MA) market is entering a potentially transformative phase. Profit pressures, regulatory shifts, and an evolving reimbursement landscape are converging to prompt a strategic reset. A shift from growth-at-any-cost to profitability-first Like many publicly traded payors with significant…
Managing locum tenens at scale is rarely efficient. For one Mid-Atlantic academic medical center, a fragmented approach led to high costs, siloed departments and internal competition for providers. But a centralized, vendor-neutral strategy changed everything. By overhauling its locum tenens…
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More than 200 industry leaders have spoken: the 2025 Trends in Specialty Drug Benefits Report, co-sponsored by Genentech and Pharmaceutical Strategies Group (PSG), is here. This executive summary captures how payers are resetting specialty drug strategies and what that means…
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In today’s healthcare environment, labor costs can determine whether a health system thrives or struggles. Join Paula Phillips (SVP, Operations Infrastructure, Ascension), Bryan Fissel (CFO, Ascension Medical Group), and Bharat Sundaram (CEO, Hallmark Health Care Solutions) for an exclusive discussion…
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Paula Phillips
SVP Operations Infrastructure, Ascension
Bryan Fissel
CFO Ascension Medical Group, Ascension
Bharat Sundaram
CEO, Hallmark Healthcare Solutions
Many self-funded organizations are still making high-stakes benefits decisions without timely, actionable data. That gap is becoming more costly as employer healthcare expenses are projected to rise 8% in 2025, marking the steepest increase in a decade. This report examines…
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Medicare Advantage continues its rapid growth, with over 32.5 million enrollees in 2024—now representing more than half of the eligible Medicare population. [source] As the older adult population expands, payer organizations face the critical challenge of delivering highly personalized, quality care at…
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Rona Li
Chief Corporate Development Officer, SCAN Health
Ben Zaniello, MD
Chief Medical Officer, Best Buy Health
Value-based physician enablement company Wellvana has named Susan Diamond CEO, effective immediately. Ms. Diamond has served in the role on an interim basis since August, in addition to her role as president and CFO, according to an Oct. 30 Wellvana…
The Cigna Group’s Evernorth recently shared plans for a rebate-free pharmacy benefit model. The move could simplify drug pricing, but leaders on Cigna’s Oct. 30 earnings call warned of some potential growing pains while adjusting to the change. “Our new…
Arkansas Blue Cross and Blue Shield confirmed it is exploring an affiliation with Cambia Health Solutions, The Arkansas Democrat Gazette reported Oct. 30. A spokesperson for Arkansas BCBS told the news outlet the “strategic affiliation agreement” the company is considering…
