PacificSource will no longer serve 100,000 Medicaid members in Lane County — which includes Eugene, Ore. — after failing to reach an agreement with the Oregon Health Authority, PacificSource Vice President of Medicaid Programs Erin Fair Taylor told Becker’s. “We…
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Every new AI capability promises value, but without interoperability, insights stall at the edge — in imaging, in care management, in notes. CIOs and informatics leaders need a blueprint to move the right information to the right system at the…
Presented by:
Presenters
Dr Rowland Illing
Global Chief Medical Officer and Director, Healthcare and Life Sciences at Amazon Web Services (AWS) / Visiting Professor of Informatics and Imaging at the University of Oxford
Tom Valent
Chief Business Officer, Aidoc
Shaun Miller, MD, MBA
Chief Health Information Officer Cedars-Sinai
Aging in place, medical care access and economic insecurity are the top three social factors that affect aging experience, according to Alignment Health’s “2025 Social Threats to Aging Well in America Survey.” Over 2,200 adults age 65 or older completed…
In one of the largest shifts in the Medicare Advantage landscape in recent years, Health Care Service Corporation has nearly quadrupled its Medicare Advantage membership after closing on a $3.3 billion acquisition of Cigna’s Medicare business in March. The deal,…
Payers are prioritizing tech investments but the real challenge is balance. Reducing friction for providers while maintaining evidence-based decisions remains a critical tension. AI is now central to solving this, especially in replacing slow, manual reviews that delay care, drain…
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Presented by:
Presenters
Tony Oliva, DO
Chief Medical Officer, MCG Health
Kristy Stayer
Sr. Product Owner, MCG Health
Higher utilization contributed to Medicare Advantage’s $5.7 billion underwriting loss in 2024, a marked reversal from serving as a source of earnings in the last five years, said an AM Best news release covering a Sept. 23 report. “Changes to…
Pricing operations in healthcare today are grappling with issues reminiscent of the early days of electronic medical records (EMRs). In the 1990s and early 2000s, EMR systems were fragmented across departments—emergency rooms, radiology, labs—each functioning in isolation. That same siloed…
Payers are using AI to automate and deny claims faster than ever. Meanwhile, only 8% of providers use AI in denials management. This whitepaper breaks down how leading health systems including Banner Health and Houston Methodist are closing the gap…
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In healthcare, AI success will be measured not only in adoption, but in outcomes—clinical, operational, and financial. Health systems are focused on delivering patient care and improving clinician wellbeing, not conducting financial analyses. That’s why Abridge has developed customized analysis…
Presented by:
Presenters
Reba Schenk
Vice President of Partner Experience, Abridge
Brian Lichtenstein
Chief Medical Informatics Officer, Sharp HealthCare
Muhammed Siddiqui
Chief Digital & Information Officer, Reid Health
Ambetter from Home State Health, a Centene subsidiary, will return $87.5 million in ACA rebates to Missouri members, according to a statement from the insurer. The rebates stem from failing to meet medical loss ratio requirements under the ACA, which outlines…
