A federal judge has paused portions of a new ACA rule that were set to take effect on Aug. 25, which included stricter eligibility verifications and limitations on premium subsidies. “Eliminating coverage for an estimated 1.8 million people will drive…
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Discover how Banner Health and evolvedMD, a leader in integrated healthcare, are redefining patient care through an innovative, fully integrated behavioral health model. With a unique onsite, in-person approach, supported by data and proven results, the collaboration not only enhances…
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Presenters
David Valenzuela, MD
Physician Executive, AZ Banner Medical Group (BMG), Primary Care and Pediatrics
Erik Osland
Chief Executive Officer, evolvedMD
Ed Clarke, MD
Vice President, Chief Medical Officer Banner Health Plans and Networks
Linking de-identified datasets can unlock critical value for research and AI — but without the right safeguards, it also raises serious privacy risks. Even with private tokenization, data linkage can increase the chance of re-identification in ways many teams underestimate.…
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Presenters
Brian Rasquinha, PhD
Associate Director of Solution Architecture, Privacy Analytics (an IQVIA company)
Troy Health, a North Carolina-based Medicare Advantage insurer, has entered into a non-prosecution agreement with the Department of Justice after admitting to a scheme involving fraudulent Medicare enrollments and identity theft. The company used automation and artificial intelligence software to…
Hospitals are losing up to millions annually from missed coding opportunities — and most leaders don’t even realize it. Vague documentation, siloed teams and under-resourced coders quietly erode margins, delay reimbursement and trigger denials. Download the 10 strategies hospitals are…
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Pittsburgh-based Highmark Health reported $16.5 billion in revenue, $121 million in operating income and $329 million in net income in the first half of 2025. “Strong first half performances by AHN and United Concordia Dental were offset by continued pressure…
Oscar Health is teaming up with grocery chain Hy-Vee to offer a new employer health benefits plan in Des Moines, Iowa. If approved by regulators, the partnership will use an Individual Coverage Health Reimbursement Arrangement (ICHRA) model, which allows employers…
HHS and CMS are establishing a panel of experts tasked with providing recommendations on how to “improve how care is financed and delivered” across Medicare, Medicaid, the Children’s Health Insurance Program and the ACA’s exchanges. Members of the Healthcare Advisory…
Humana’s board of directors declared a $0.885 per share dividend to be paid Oct. 31. The dividend will be paid to all shareholders of record as of the close of business Sept. 26, according to an Aug. 21 Humana news…
Generative AI is no longer a “future tech” — it’s actively transforming patient care, hospital operations and clinical workflows. But success depends on more than the technology itself. Zoom and Becker’s Healthcare surveyed 100 leaders from health systems, nonprofits, academic…
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