Brewer, Maine-based Northern Light Health said it has agreed to engage in mediation with Anthem Blue Cross Blue Shield in a “last-ditch effort” to resolve a contract dispute between the parties. Northern Light’s Aug. 26 announcement comes after the system…
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For growing dental groups, expansion isn’t just about more locations — it’s about more efficient operations and better experiences for both patients and staff. Join Emmet Scott, co-founder of a 50-plus location dental group and a leading voice in the…
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Presented by:
Presenters
Emmet Scott
CEO, Dentist Entrepreneur Organization (DEO)
Steve Wright
Enterprise Director, Solutionreach
As large language models make their way into medical coding, health systems are facing a tough reality: most models aren’t yet reliable. Coding inaccuracies, flawed HCC score capture and downstream financial risks are emerging as common concerns. In this on-demand…
On Demand
Presented by:
Presenters
Vidhya Sivakumaran, PhD
VP, Clinical Informatics & Terminology, Data Engineering, IMO Health
Jingqi Wang, PhD
SVP, Data Science & Chief AI Architect, IMO Health
Workforce education is one of the biggest untapped levers for cutting costs, improving safety, retention and efficiency. Traditional training models not only waste time and budget, but also overlook critical knowledge gaps and fail to address the root causes of…
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Rising costs, workforce shortages and disconnected systems are forcing leaders to rethink how care is delivered and managed across specialties — from orthopedics and behavioral health to ENT and GI. New survey data from 195 healthcare leaders reveals what’s working…
Sep 30, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Sri Velamoor
President and COO of NextGen Healthcare
John Polikandriotis, PhD, MBA, MPH, MSA, FACHE, FACMPE
Chief Executive Officer, South Florida Orthopaedics & Sports Medicine
Michelle Tanner, MD
Board Certified Otolaryngologist - Head and Surgery, The ENT Center
Aetna is rolling out new claims cost control measures under its Claim and Code Review Program, beginning Sept. 1. The new claims editing policy applies to commercial, Medicare and student health members, the company said in June. Aetna may trigger…
Delayed wound care drives avoidable costs — and for payers, those costs can be substantial. Each year, U.S. health plans spend billions on wound-related treatment, complications and prolonged care episodes. New real-world data from more than 15,000 patients shows how…
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Economic uncertainty and policy changes from the current administration have changed the way health plans operate over the past year. Many have found workarounds to continue efficiency and growth. Becker’s connected with five leaders to learn their biggest accomplishments so far…
MVP Health Plan has agreed to overhaul its mental health provider directory as part of a settlement with the New York Attorney General’s Office. The settlement follows an investigation from the office that uncovered systemic issues with MVP’s network, including…
Massachusetts has approved $75.6 million in health insurance rebates for more than 350,000 residents and small businesses. The rebates are required under the state’s medical loss ratio law, which mandates that insurers spend at least 88% of premiums on medical…