Sentara Health Plans will not offer Medicare Advantage, MA prescription drug HMO, or C-SNP plans in Virginia, North Carolina and Florida in 2026. “These products are no longer financially sustainable in the current environment. Industry-wide headwinds and market dynamics, including…
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Durham, N.C.-based Duke Health will stay in network with CVS Health’s Aetna, according to an Oct. 3 statement on the university system’s website. The agreement allows Aetna’s commercial and Medicare Advantage members to access all Duke Health locations and providers.…
A shareholder of UnitedHealth Group has put forward a proposal calling for the appointment of an independent chairperson for the company’s board that is separate from the CEO position, Bloomberg reported Oct. 3. Earlier this year, UnitedHealth named its board…
As many major insurers scale back on Medicare Advantage, some players are exiting the market entirely. Here’s a look at the insurers that are fully backing out: Editor’s note: This is not an exhaustive list. It will continue to be…
Ochsner Health Plan will no longer offer Medicare Advantage plans in 2026. The insurer, part of Jefferson, La.-based Oschner Health, has around 6,000 total MA members, per CMS enrollment data. The majority of members are enrolled in an HMO plan,…
Louisville, Ky.-based Norton Healthcare and Norton Children’s will stay in network with Cigna Healthcare, according to an Oct. 3 statement on the health system’s website. The partnership was originally scheduled to terminate on Sept. 8, but Norton and Cigna discussed…
Seventy-eight percent of U.S. adults want Congress to extend the enhanced ACA tax credits, according to a KFF poll published Oct. 3. While the vast majority of Democrats and independents support an extension, most Republicans and “Make America Great Again”…
CMS has already approved diagnostic and interventional cardiology, including PCI, in ASCs. By 2026, additional procedures such as ablations, electrophysiology studies, atherectomy, chronic total occlusion treatment, and PCI in bypass grafts are expected to be added. This shift is accelerating…
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Only 1 in 4 agency nurses feel included where they work. That lack of belonging doesn’t just affect morale, it compromises care quality, safety and retention. With staffing shortages expected to persist through 2031, failing to integrate contingent staff isn’t…
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Provider network performance is now a competitive differentiator for health plans. Members expect choice and access, regulators expect adequacy and parity, and executives expect measurable ROI. The catch: artificial intelligence and machine learning only create value when the underlying network…
Oct 30, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
James Lamb
Vice President of National Payers, Quest Analytics
Stephen Gold
Senior Advisor at Vestar Capital, Board of Directors Member, Quest Analytics