Older, medically complex Medicaid beneficiaries are among those most at risk of losing coverage due to work requirements, according to a study published Oct. 1 in JAMA. A team led by researchers at Yale University in New Haven, Conn., used…
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Despite Cigna launching its downcoding policy on Oct. 1, the insurer is temporarily holding off on implementing it for California HMO plans, according to the California Medical Association and Cigna. The policy allows Cigna to adjust some higher-level evaluation and…
Consumer expectations are shifting fast, and traditional care models aren’t built to keep up. Patients want care that’s accessible, connected and available on their terms. If health systems can’t deliver that, someone else will. Hartford HealthCare is staying ahead of…
Presented by:
Presenters
Dr. Padmanabhan Premkumar, M.D.
President of the Hartford Healthcare Medical Group
Ethan Fischer
VP of Strategy and Business Development at K Health
In 2024, Henry Ford Health expanded its network, prompting a strategic overhaul of its healthcare technology management (HTM) practices. Partnering with TRIMEDX, Henry Ford Health implemented a standardized and transparent approach to clinical asset management, encompassing clinical engineering, capital planning,…
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Brewer, Maine-based Northern Light Health and Anthem Blue Cross and Blue Shield have agreed to extend coverage until Oct. 31, according to a joint statement shared with Becker’s. The news follows a tumultuous mediation attempt. “Northern Light Health and Anthem…
AmeriHealth Caritas has named Gregg MacDonald interim president. Mr. MacDonald has been with AmeriHealth Caritas, a jointly owned subsidiary of Independence Health Group and Blue Cross Blue Shield of Michigan, since September 2024, according to an Oct. 1 news release…
As the Medicare annual open enrollment period kicks off this month, some older adults struggle with choosing a plan. Three-quarters of beneficiaries said the process is confusing, according to an Oct. 1 eHealth poll. “This is not the year for…
Primary care is under immense strain from rising patient demand, workforce shortages, and administrative complexity. Primary Care as a Service transforms this challenge into an opportunity by serving as a scalable extension of the care team. By orchestrating best next…
Presented by:
Presenters
Ines M Vigil, MD, MPH, MBA
Chief Medical Officer, Regional Operations Executive Physician, Business Development & Strategy
Anagha Vyas
Vice President of Artificial Intelligence, Lumeris
From Oct. 15 to Dec. 7, older adults can select from a range of Medicare Advantage plans. Here are updates from the biggest insurers so far: UnitedHealthcare The insurer’s Medicare Advantage plans will reach 94% of those eligible, compared to…
Big insurers — from Humana to Cigna — are shying away from Medicare Advantage, exiting “unprofitable” markets, axing commission payments and even selling their businesses entirely. Now, other insurance companies have a chance to step up and gain market share,…
