Underwriting accuracy hinges on speed, consistency and a clear view of changing risk. When new business, renewal and population health workflows run on different tools, teams face slow quotes, inconsistent pricing and limited insight into what’s driving costs. This report…
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A new kind of Medicare Advantage advertisement is hitting the airwaves, one diverging from the usual scenes of seniors gleefully enjoying an outdoor activity or making a medical appointment against a backdrop of upbeat music. Instead, a more blunt framing…
BlueCross BlueShield of Tennessee is laying off an additional 95 employees and eliminating 28 vacant positions in non customer-facing roles. “Like health insurers across the country, BlueCross has seen a sharp rise in claims costs – a trend that started…
Alignment Healthcare has named Matt Eyles as executive vice president of government and business strategy, effective Sept. 29. In the newly created position, Mr. Eyles will focus on the Medicare Advantage company’s engagement and leadership in healthcare policy at federal…
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…
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:
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…
Presented by:
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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