Manchester, N.H.-based Catholic Medical Center and Cigna reached a new contract on Aug. 28. The agreement ensures that the hospital remains an in-network provider for all of Cigna’s commercial health insurance products, according to an Aug. 28 news release from…
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Total health benefit costs per employee are slated to increase 6.5% in 2026, marking the highest jump since 2010, according to Mercer’s 2025 National Survey of Employer-Sponsored Health Plans. That figure takes cost-reduction measures into account. Employers estimate nearly a…
Hospitals aren’t just healthcare providers — they’re among the largest employers in their communities. But as workforce demands grow and burnout intensifies, health systems must rethink how to support finance and RCM teams while staying financially agile. This whitepaper outlines…
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CMS is expanding eligibility for catastrophic health coverage on the ACA marketplace in 2026. The agency issued new hardship exemption guidance on Sept. 4 aimed at individuals projected to be ineligible for advance premium tax credits or cost-sharing reductions due…
Former CVS Health CFO Shawn Guertin has joined the board of directors for Aledade, the largest network of accountable independent primary care practices in the U.S. Mr. Guertin served as CVS Health’s executive vice president and CFO from 2021 until…
Hollywood, Fla.-based Memorial Healthcare System went out of network with Florida Blue Sept. 1 after the parties were unable to agree to a new contract. The split affects all Florida Blue plans, Memorial Healthcare said on its website. The system…
A group representing nonprofit health plans is raising concerns over what it claims is a wide variation in Medicare Advantage risk adjustment scores across insurers, leading to what it calls a “gaming” of MA payments to the benefit of for-profit…
As mobile technology becomes foundational to care delivery, many health systems are expanding shared device programs — but few have a strategy to match. In this session, Wellstar Health System IT Security Manager Clay Hall will walk through the system’s…
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Presenters
Rachel Pickering
Manager, Product Marketing, Imprivata
Clay Hall
IT Security Manager, Wellstar
Claire Reilly, RN, MSc
Chief Nursing Informatics Officer and VP Clinical Operations, Imprivata
Executive Summary Payer-provider contracts are the backbone of financial and operational efficiency in the U.S. healthcare ecosystem. Seemingly straightforward, a payer-provider contract is the legal agreement between a healthcare payer and a provider that outlines the terms for delivering and…
Aledade’s ACOs accumulated $1 billion in savings through the Medicare Shared Savings Program in 2024. The network of independent primary care providers worked with about 11% of all MSSP beneficiaries, contributing nearly 20% of the program’s shared savings, according to…
