CareSource and New York-based ElderServe Health have finalized their affiliation, effective Sept. 1. ElderServe Health, which offers Medicaid and Medicare to elderly or disabled New Yorkers, will no longer operate under RiverSpring Living, its former parent company, according to a…
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SCAN Health Plan is expanding into Washington state and will enter new counties in California and Texas. Pending CMS approval, the nonprofit insurer will offer plans in Pierce, Spokane, and Thurston counties in Washington; Sacramento, Placer, Yolo, San Joaquin, Kings,…
Blue Cross Blue Shield of Wyoming is entering the Medicare Advantage market for 2026 coverage. In its inaugural year, WyoBlue Advantage will be available to Medicare-eligible residents in 22 of Wyoming’s 23 counties. The company will offer both a Medicare-only…
UnitedHealthcare’s prior authorization gold card program has seen a more than 40% increase in the number of qualifying provider groups in 2025, the company shared with Becker’s. Launched in October 2024, the program reduces prior authorization requirements in favor of…
The nationwide neurologist shortage is straining inpatient care and forcing many hospitals to transfer patients they could otherwise treat. Few hospitals are capable of solving this issue with recruitment and retention alone. This report explores how teleNeurohospitalist programs are helping…
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Logistics are typically placed into a separate category from the upstream clinical workflow in the pharmacy. However, there are impactful solutions – both old and new that are quickly becoming the standard of practice as the stakes are raised unanimously…
Oct 23, 2025 11:00 AM - 12:00 PM America/Chicago
Presented by:
Presenters
Amanda Awe, PharmD
Clinical Product Consultant, Curatio Advisors
Marc Choquette, PharmD, MBA
Specialty Pharmacy Manager, Saint Luke’s Health System (Kansas City, MO)
Seven health-system owned insurers have named new leaders in 2025: 1. Presbyterian Health Plan, part of Presbyterian Healthcare Services, named Heather Thiltgen as its next president. 2. Baylor Scott & White Health Plan named Stephanie Motter as president. 3. Health…
Psychiatrist shortages, record emergency department visits and prolonged boarding are straining hospital capacity nationwide. But a new care model is easing the pressure — and improving patient flow. This report shares how hospitals are deploying a virtual, team-based approach to…
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A recent JAMA Health Informatics study found Real-time Prescription Benefit (RTPB) tools don’t reduce patient spending. At the same time, new regulations require RTPB for PBMs and EHRs. Does RTPB drive value? In this thought-provoking panel discussion, we’ll explore what…
Sep 23, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Seth Joseph
Forbes Healthcare Contributor and Founder of Summit Health Advisors
Kyle Kiser
Arrive Health – Chief Executive Officer
Dr. Brett Walker
MultiCare – Associate Chief Medical Information Officer
Lauren Hackenburg
OptumRx – Sr. Director of Provider Capabilities
Paul Brient
athenahealth - EVP & Chief Product Officer
The No Surprises Act is tied to an 18% decline in out-of-pocket spending among adults with direct purchase private health insurance, according to a BMJ study published Aug. 27. The analysis was conducted by researchers from Harvard University and Mass…