On average, in 2022, Medicare Advantage enrollees had plans that covered only 48% of the physicians that traditional Medicare beneficiaries could access, according to an Oct. 27 KFF report. The study reviewed 4,200 individual HMO/PPO MA plans that covered 20.3…
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A new analysis shows the average health system spends more than $1 million annually on avoidable remediation for lost or delayed specimens. For many hospitals and labs, the cost of fixing courier errors often exceeds the cost of the courier…
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Only four cancers are routinely screened leaving most patients without early detection options. Multi-cancer early detection (MCED) is poised to change that. This blood-based screening test is gaining national momentum, and health systems are taking note: 67% are planning to…
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Jenny Smith will take over as president and COO of the Hawaii Medical Service Association on Nov. 1, according to an Oct. 24 news release. She will serve as the organization’s first female president. Since April 2024, Ms. Smith has…
The Cigna Group’s Evernorth division introduced a rebate-free pharmacy benefit model that it says will lower medication costs and simplify drug pricing. The model removes the traditional post-purchase rebate structure by applying negotiated drug discounts upfront, according to an Oct. 27…
The Cigna Group’s board of directors has declared a $1.51 per share cash dividend to be paid on Dec. 18. The dividend will be paid to shareholders of record as of the close of business Dec. 4, according to an…
A vital program to the survival of the country’s most vulnerable hospitals has announced a change that could significantly impact eligible hospitals. For more than 30 years, the 340B Drug Pricing Program has been an upfront discount model to hospitals…
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Presenters
Beth Feldpush
Senior Vice President, Policy and Advocacy, America’s Essential Hospitals
Nicole Faucher
President, Clearway Health
Shannon Sale
Executive Vice President, Chief Strategy Officer, Grady Health System
Allison Arant
Senior Vice President, Client Development and Marketing, Clearway Health
Rising costs, fragmented systems and performance pressures are pushing hospitals to their limits. But some health systems are turning that pressure into progress — using trusted data and cross-functional collaboration to drive measurable improvement. For nearly twenty years, Health Catalyst…
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Today, the durable medical equipment management (DME) process can be fragmented, inefficient, and unreliable – leading to errors and delays that impact member health, inflate costs for health plans, and burden clinicians with administrative complexity. But what if the end-to-end…
Elevance Health is deepening its use of artificial intelligence enterprise-wide, focusing on enhancements to its member services, clinical workflows and provider operations as part of long-term efforts to simplify care delivery and reduce costs. Chief Digital Information Officer Ratnakar Lavu…
