Trillium Community Health Plan, a Centene subsidiary, will take over PacificSource’s Medicaid population in Oregon’s Lane County, according to statements shared with Becker’s Oct. 17. In September, PacificSource decided not to renew its Medicaid contract, affecting about 92,000 people in…
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Wellmark Blue Cross and Blue Shield has filed a lawsuit against Iowa’s insurance commissioner, challenging the enforcement of a newly enacted state law that regulates pharmacy benefit managers and the administration of prescription drug benefits. The lawsuit, filed on Oct.…
When physicians don’t have timely, easy-to-navigate EHR training, satisfaction with both IT and leadership declines and burnout rises. M Health Fairview experienced this firsthand. Fragmented learning systems and inconsistent support chipped away at clinician confidence and created operational bottlenecks —…
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Orthopedic and musculoskeletal (MSK) practices face an uphill battle: complex codes, payer scrutiny and limited staff capacity make revenue loss almost inevitable. Denials, delays and rework not only drain margins but also pull focus from patient care.In this session, attendees…
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Presented by:
Presenters
Mark Herzog
Principal Solutions Specialist, Veradigm
Two companies earned the “best overall” recognition in U.S. News & World Report‘s 2026 ratings for Medicare Part D prescription drug coverage. Both were among the top four last year. This year’s scores rely on CMS star ratings, as well…
Three companies secured the “best overall” title in the U.S. News & World Report 2026 ratings for Medicare Advantage plans. Two made the cut last year, as well. This year’s scores rely on CMS star ratings, as well as 37…
CMS Administrator Mehmet Oz, MD, discussed some of the biggest issues facing the Medicare Advantage program at an Oct. 15 industry conference. During his first six months on the job, CMS has already overseen policy moves to streamline prior authorization…
Vermont, Utah and Minnesota topped the Commonwealth Fund’s Medicare performance scorecard in 2025, whereas Kentucky, Mississippi and Louisiana struggled the most. The healthcare research foundation evaluated states on criteria spanning four domains: access to care, quality of care, costs and…
Commercial insurance prices were 78% higher in hospital outpatient settings compared with ambulatory surgical centers in 2024, according to a Health Affairs study published in October. The analysis, led by researchers at Brown University, examined 2024 pricing data for UnitedHealthcare,…
OR inefficiency doesn’t always look like downtime. It often hides in missed opportunities, such as unused blocks, delayed scheduling and reactive processes. At Inova, released OR time meant lost revenue, surgeon frustration and underused resources. Emails and spreadsheets weren’t keeping…
Nov 13, 2025 11:00 AM - 12:00 PM America/Chicago
Presented by:
Presenters
Kelly Connolly, MHSA, PMP
Senior Director of the Surgery Service Line, Inova
Jane Yang, MHA
Director of Operations, Perioperative Services Surgery Service Line Administration, Inova
Caity Butler, MSN, RN, CNOR
Manager of Centralized Scheduling, Inova
Thomas Brehmer
Client Outcomes Manager, LeanTaaS