A settlement has been finalized in a decadelong lawsuit that claimed Aetna and Optum used misleading billing practices to conceal administrative fees for chiropractic and physical therapy services as medical charges. Chief Judge Martin Reidinger of the federal Western District…
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For compliance leaders, revenue cycle teams and legal counsel, audits are nothing new — but when the numbers don’t make sense, the stakes skyrocket. Statistically invalid findings can trigger major repayment demands, disrupt operations and damage reputations. In this session,…
On Demand
Presented by:
Presenters
Frank Cohen
Sr Director, Data and Business Intelligence, VMG Health
Pam D'Apuzzo, CPC, ACS‑EM, ACS‑MS, CPMA
Managing Director, VMG Health
For more than two years, Becker’s has reported on the intensifying trend of Medicare Advantage reimbursement fights between hospitals and insurers that has contributed to a dizzying and ever-changing environment for older adults to navigate each enrollment period. Now, that…
Health systems face intensifying pressure to reduce burnout, improve staff satisfaction and get smarter about scheduling. The new 2025 KLAS Nurse & Staff Scheduling report highlights which capabilities — and vendors — are actually delivering results. Join KLAS Research, Penn…
Oct 30, 2025 1:00 PM - 2:00 PM America/Chicago
Presented by:
Presenters
Niel Oscarson
Director of Research and Analysis, KLAS Research
Susan Grant, DNP, RN, NEA-BC, FAAN
Chief Clinical Officer, symplr
Rita Barry
Director of Workforce Management, Penn State Health
Larry Punteney
Vice President of Sales, symplr
Health systems face intensifying pressure to reduce burnout, improve staff satisfaction and get smarter about scheduling. The new 2025 KLAS Nurse & Staff Scheduling report highlights which capabilities — and vendors — are actually delivering results. Join KLAS Research, Penn…
With over half of hospitals and health systems in the U.S. operating outpatient pharmacies, retail pharmacies are critical to care continuity, but many hospital-owned sites are dangerously under protected against drug diversion. Staff shortages and inconsistent reconciliation only heighten the…
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Elevance Health is cutting some Medicare Advantage plans — affecting about 150,000 members next year — and fully exiting standalone Part D plans in 2026. “We made the decision to exit some plans and counties where we did not see…
A group of House Republicans are backing the newly filed Bipartisan Premium Tax Credit Extension Act, which would extend enhanced ACA subsidies for one year beyond their current expiration date at the end of 2025. Under the legislation, the premium…
CMS’ progress toward expanding its team of medical coders to audit more Medicare Advantage plans is unclear, Bloomberg reported Sept. 5. In May, the agency said it would audit every MA plan for potential overpayments annually, in what was described…
Massachusetts’ Division of Insurance and Department of Public Health has issued a bulletin Sept. 3 requiring insurance carriers to cover vaccines as outlined by the state, not just the CDC. “We won’t let Donald Trump and Robert Kennedy get between…