Capital District Physicians’ Health Plan has named Barry Thornton II as its next CEO, effective Jan. 1. He succeeds Brian O’Grady, who is retiring after more than a decade at the company. Mr. Thornton currently serves as COO at the…
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SCAN Health Plan and Costco Wholesale Corp., a preferred pharmacy for the insurer, are collaborating to offer older adults a rewards program, provide them with greater flexibility with spending benefits and educate them about Medicare. Senthu Arumugam, SCAN’s chief commercial…
Johnson City, Tenn.-based Ballad Health is suing UnitedHealth Group for alleged “Medicare Advantage manipulation” that has led to denied care and underpayment for services. The lawsuit was filed Oct. 21 in a Tennessee federal court and claims that UnitedHealth’s actions…
Elevance Health is working to mitigate rising costs in its Medicaid business amid what executives describe as a challenging year ahead. The company reported its third-quarter earnings on Oct. 21, with senior leadership telling investors that escalating Medicaid costs, driven…
AI is flooding healthcare, but not all of it improves outcomes or deserves trust. For payer leaders overseeing utilization, case management and other clinical operations, the question isn’t whether to adopt AI — it’s how to evaluate the right kind.…
On Demand
Presented by:
Presenters
Tony Oliva, DO, MMM, FACPE
Chief Medical Officer, MCG Health
Health system leaders are moving from pilots to practical results with data and AI. As ecosystems mature and generative models evolve, the focus is shifting to trusted data foundations, responsible rollout and measurable outcomes. Yet many organizations still face fragmented…
Nov 19, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Murali Gandhirajan
Global Healthcare and Life Sciences CTO, Snowflake
Joe Warbington
Industry Principal, Healthcare, Snowflake.
David Sylvan
Chief Strategy, Innovation, and Marketing Officer; President, UH Ventures University Hospitals
Amit Patel
Head of Innovation, ChenMed
UnitedHealth’s Optum has launched Optum Real, a real-time claims system designed to streamline the claims and reimbursement process by providing instant coverage validation for providers. “Optum Real transforms the pre-service experience in real time by delivering greater clarity and certainty…
As health systems pivot toward proactive care, the focus is shifting from disease management to personalized wellness. But making that shift isn’t easy — it demands new tech, new mindsets and new ways of defining value. Join executives from Vituity,…
Nov 20, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Andrew Smith
Chief Operations and Business Officer, Vituity
Liz Kearney
Senior Director of Precision Health, UW Health
Enitza D. George, MD, MBA, MSAI
Associate Professor and Chair, Department of Family and Community Medicine, Chief Population Health Officer, University Hospital at Downstate
Bobbie Kumar, MD, MBA, FAAFP
Director, Clinical Transformation, Vituity and Director & Co-founder; MOOV Health & Wellness
Transportation gaps, scheduling hurdles and fragmented coordination keep too many patients from getting the care they need. Behavioral health access isn’t just about volume — it’s about logistics alignment. When support systems aren’t designed around patients’ daily realities, inequities persist…
Nov 18, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Eboney Kraisoraphong
Chief Operating Officer, Northeast Treatment Centers
Maria Jackson
Chief Executive Officer, Bournewood Health Systems
Valerie Holland
Head of US Sales, Uber Health
Wayne Young, MBA, LPC, FACHE
Chief Executive Officer, The Harris Center for Mental Health
Tanmay Mathur
Vice President, Vanderbilt Psychiatric Hospital, Vanderbilt University Medical Center
A Colorado state audit criticized Connect for Health, a nonprofit organization that runs the state’s health insurance marketplace, for its sponsorship practices, financial management and reporting in a Sept. 16 report. The state’s General Assembly requested the audit following Connect…