Average premiums, benefits and plan choices for Medicare Advantage and the Medicare Part D prescription drug program should remain relatively stable next year, CMS said in a Sept. 26 news release. But MA enrollment is projected to decrease 900,000 in…
The Latest
Commercially insured patients pay substantially different rates for the same procedure, with negotiated costs for inpatient procedures varying by an average ratio of 9.1, according to an August report from market intelligence firm Trilliant Health. The report reviewed health plan…
An estimated 3 out of 5 U.S. children have been enrolled in Medicaid or the Children’’s Health Insurance Program, according to a Harvard T.H. Chan School of Public Health model. As of 2024, states must provide a year of continuous…
A Northeast health system faced a 40% rise in workplace violence, particularly in pediatric behavioral health. Staff morale was low. Reporting was inconsistent. Rural response times lagged up to 15 minutes. Leadership knew it couldn’t continue. This case study details…
Presented by:
Health systems are moving fast on AI, but scattered pilots and disconnected tools rarely change day-to-day work. This session focuses on a pragmatic path forward: embedding AI agents inside ERP systems to orchestrate clinical, administrative and operational workflows with governed…
Oct 29, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Dr. Jim Whitfill
Chief Transformation Officer HonorHealth
Thom Bales
Principal, Health Services Advisory Leader PwC US
John Kravitz
VP, Global Head of Healthcare, Industries Workday Inc.
Cardiovascular care is shifting fast. CMS payment trends and rising ASC adoption are moving cardiac procedures out of the hospital and into ambulatory settings. But this isn’t a simple site-of-care change. It’s redefining how hospitals plan service lines, how cardiologists…
Oct 31, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Derrick Idbeis
Chief Commercial Officer, MedHQ
Kristen Richards, MBA
Vice President of Ambulatory Care, Cardiovascular Logistics
Ronald Riner, MD
President and CEO of The Riner Group
Brewer, Maine-based Northern Light Health President and CEO Timothy Dentry voiced frustration with Anthem Blue Cross and Blue Shield in a Sept. 26 letter as the contract end date between the two organizations looms. “It is disappointing and deeply concerning…
Urology practices face a perfect storm: high volumes of complex claims, constant CPT updates and limited staff to keep up. Missed codes, mounting denials and longer payment cycles keep teams stuck in reactive, manual processes. Join this conversation to unpack…
Oct 24, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Mark Herzog
Principal Solutions Specialist, Veradigm
The Cigna Group has named Eva Borden as chief product officer for its commercial insurance business. Ms. Borden has been with the company since 1999 and has served in a variety of leadership roles. She was named president of behavioral…
A federal judge has vacated a CMS rule that would have allowed the agency to claw back billions of dollars in alleged Medicare Advantage overpayments, siding with Humana in a closely watched legal battle. On Sept. 25, the U.S. District…