A federal judge rejected Blue Cross Blue Shield of Rhode Island’s motion to dismiss a lawsuit over coverage of wilderness therapy, according to Oct. 14 court documents. Wilderness therapy is a mental health intervention that involves immersing young people in…
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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.…
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Presenters
Tony Oliva, DO, MMM, FACPE
Chief Medical Officer, MCG Health
Hospitals are under relentless pressure to do more with less. In response, forward-looking leaders are using artificial intelligence, automation and predictive analytics to transform revenue cycle management now. From faster prior auth to fewer denied claims and improved patient engagement,…
Nov 19, 2025 1:00 PM - 2:00 PM America/Chicago
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Presenters
Abhijith Godbole
Associate Vice President, Digital Solutions, Sutherland Global
Abhishek AK
AVP, Healthcare, Everest
Following the kickoff of Medicare open enrollment on Oct. 15, The Washington Post discovered inconsistencies in the Medicare Plan Finder, such as duplicative addresses and contradictory information regarding providers’ network status. After the Post reported the issues to CMS, an…
From a shareholder seeking to separate the company’s CEO and board chair roles, to Optum planning to buy a Massachusetts medical group, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Sept. 19: 1.…
Despite rising spend, the U.S. continues to lead the developed world in maternal mortality. But one health plan is proving it’s possible to reverse this trend — and reduce costs at scale. A leading health plan responded to growing demand…
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Revenue cycle teams have access to more data than ever. But siloed systems, delayed reports and manual processes are leaving leaders stuck — unable to connect insights to action. This guide shows how RCM teams can use healthcare payment analytics…
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For surgery centers, outdated financial clearance processes are draining resources. Denials are up. Coverage goes undetected. Patients face confusing bills, and staff are stuck managing it all manually. This whitepaper outlines a smarter path forward. With step-by-step strategies, you’ll see…
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AI has moved from pilot to payoff in the revenue cycle. A new Forrester Consulting study of 300-plus healthcare leaders shows how AI is driving measurable gains across claims, denials and staffing. This webinar breaks down what health systems are…
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Lisa Osborne
VP of Product Marketing, Waystar
Claim status checks are one of the most manual and error-prone parts of the revenue cycle. Without automation, they often lead to billing delays, staff burnout and denied claims. For Piedmont Health this was an every day issue. By streamlining…
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Presented by:
Presenters
Renee Miller
VP of Product, Waystar
Christy Wilbanks
Director of Professional Business Office, Piedmont Healthcare