It was Tuesday at 3pm, and Michael, a health plan compliance officer, paced around his office in frustration. A new state law mandated a fundamental change in reporting data related to claims reimbursement policies. The deadline was looming, and his…
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Service lines are central to hospital strategy but too often, decisions about them rely more on gut instinct than evidence. The result? Fragmented strategies, siloed operations and inconsistent performance. Join healthcare leaders to explore how to reframe service lines as…
Nov 14, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Michelle Kannapel
System Vice President, Strategy & Growth, Norton Healthcare
Rebecca Limestall
Principal, Intelligence, Sg2
Janelle Kwan
Associate Principal, Intelligence, Sg2
Payers face growing pressure to modernize utilization management. Between rising provider abrasion, evolving expectations from AHIP and CMS, and intensifying market competition, traditional UM strategies no longer cut it. In this on-demand session, you’ll learn what the AHIP-CMS pledge signals…
On Demand
Presented by:
Presenters
Gus Weber
Chief Technology Officer, Cohere Health
Ashok Subramanian
Chief Executive Officer, Centivo
Geoff Swanson
Chief Medical Officer, Select Health
Pooja Ika
President & CEO, Eternal Health
Ty Wang
Co-Founder & CEO, Angle Health
Molina Healthcare is facing a proposed class-action lawsuit from an investor who alleges the company misled shareholders about rising medical costs and its 2025 earnings projections. The complaint, filed Oct. 3 in the U.S. District Court for the Central District…
The American Hospital Association critiqued the Medicare Payment Advisory Commission’s initial assessment of Medicare Advantage enrollment changes and its effect on hospital finances, according to an Oct. 3 letter from Molly Smith, AHA’s group vice president of public policy. MedPAC…
Insurers that own providers can use internal transactions to inflate medical spending figures and reduce their rebate obligations under the ACA’s medical loss ratio rules, according to an analysis published Sept. 29 in Health Affairs. The analysis was published by…
A federal judge in Washington state ruled in favor of Elevance Health in a case involving a former executive who was accused of violating a relationship policy and was terminated, according to an Oct. 3 order granting a motion for…
Caroline Goldzweig, MD, and Betsy Seaton joined the board of directors for Premera — parent company of Premera Blue Cross — according to an Oct. 6 news release. Dr. Goldzweig is the vice president and chief medical officer for the…
Technician turnover is above 30%, labor costs are rising, and prescription volumes are projected to grow 10–12% by 2028. Traditional, manual pharmacy models simply can’t keep up. One pharmacy needed 862 FTEs to process 75,000 daily prescriptions manually. With automation?…
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UnitedHealthcare’s Mid-Atlantic CEO Joseph Ochipinti called out two healthcare groups for their “cynical” contract negotiation strategy in an Oct. 6 statement. Mr. Ochipinti specifically drew attention to Baltimore-based Johns Hopkins Medicine and Fulton, Md.-based Capital Women’s Care, a large mid-Atlantic…