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How Memorial Hermann and St. Luke’s scaled AI across specialties — with measurable ROI

While many health systems are still piloting AI, Memorial Hermann and St. Luke’s have already scaled it systemwide — delivering outcomes at both the bedside and bottom line. In this on-demand session, hear directly from clinical and informatics leaders as…

On Demand

Presented by:

Presenters

Dr. Terry Ribbens

Associate Chief Medical Information Officer, St. Luke’s Health System

Dr. Ryan Walsh

Chief Medical Information Officer, Memorial Hermann Health System

Dr. Will Morris

Chief Medical Officer, Ambience Healthcare

Louisiana pivots from CVS Caremark as PBM for state employees

Louisiana’s Office of Group Benefits is cutting back its reliance on CVS Caremark as its pharmacy benefit manager for state employees, according to Sept. 18 meeting documents. Liviniti and SilverScript Insurance Co., under CVS Health, are now forging emergency contracts…

Aetna expands Medicare Advantage care coordination program to 10 hospitals

Aetna is expanding a program that aims to reduce readmissions for its Medicare Advantage members to ten hospitals by the end of 2025. The insurer is currently implementing the clinical collaboration program at Merriam, Kan.-based AdventHealth Shawnee Mission, Houston Methodist,…

Fixing claim errors before they happen: The power of real-time data exchange

Traditional claim processing is plagued by interoperability issues, leading to manual data exchange and lack of transparency. Real-time, automated data exchange between health plans and providers can help. By sharing eligibility, claim and payment data upfront, providers can identify and…

State of Claims 2025 — Insights on rising denials & AI integration

Denials remain on the rise as errors become harder to catch early and eligibility rechecks take longer. This 2025 State of Claims report — based on a survey of healthcare finance and revenue cycle professionals — identifies what is driving…

Presented by:

Stop Buying Recommendations. Start Buying Results: Why more hospitals are replacing traditional consulting with managed partnerships

Traditional consultants deliver reports and recommendations — then leave hospitals to figure out the rest. It’s a model that’s falling short in today’s healthcare environment. That’s why hospitals are shifting toward co-managed partnerships. These models embed clinical and operational leaders…

Nov 18, 2025 11:00 AM - 12:00 PM America/Chicago

Presented by:

Presenters

John Birkmeyer, MD

President, Medical Group, Sound Physicians

Roberta Luskin-Hawk, MD

Regional President, Sound Physicians

Melissa Buchner-Mehling, MD, CHCQM, CPHYADV, FABQAURP

Associate Chief Medical Officer, Sound Physicians

Ohio Medicaid director to depart

Ohio Department of Medicaid Director Maureen Corcoran is stepping down from the role, effective Oct. 31. Ms. Corcoran has served as director since January 2019, according to a Sept. 18 news release from Ohio Gov. Mike DeWine’s office. “Maureen has…

How this insurer stays in the top 1% for quality care

The National Committee for Quality Assurance has once again named the highest-quality and most effective health plans in the country, with Blue Cross Blue Shield of Massachusetts remaining at the top. On Sept. 16, the NCQA released its 2025 ratings…

CMS to allow plan changes over inaccurate Medicare Advantage directories

As Medicare Advantage directory data are incorporated into the Medicare plan finder, CMS is launching a special election period for beneficiaries to leave their current plan if incorrect information is present, a Sept. 12 CMS memo said. This window applies…

TriHealth in talks with UnitedHealthcare

Cincinnati-based health system TriHealth is negotiating its agreement with UnitedHealthcare as its current contract is set to expire at the end of the year, the system told Becker’s. TriHealth confirmed it sent a letter to patients addressing the potential changes…