A federal judge has approved a $2.8 billion settlement resolving antitrust claims brought by healthcare providers against the Blue Cross Blue Shield Association and its independent entities, ending more than a decade of litigation. The settlement was approved Aug. 19…
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A Texas federal judge dismissed Elevance Health’s lawsuit challenging its 2025 Medicare Advantage star ratings, ruling that the company “has not shown any evidence that CMS acted arbitrarily or capriciously.” Elevance filed its lawsuit Oct. 31, 2024, alleging that CMS’…
Length of stay can be a proxy for every operational challenge in a hospital — and The Queen’s Health Systems was feeling the strain. ED admissions were delayed, transfers were turned away and the financial toll kept rising. Their solution?…
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Hospitals and health plans are no longer judged solely by what happens during an inpatient stay. With CMS tightening star ratings, HEDIS measures and value-based thresholds, providers and payers must manage quality and costs across the full continuum — especially…
Sep 25, 2025 12:00 PM - 1:00 PM America/Chicago
Presented by:
Presenters
Nicole Sunder
Senior Director, Solution Design PointClickCare
Howard Brill
Senior Vice President, Population Health and Quality Monroe Plan
Antonio Rios, MD, FACP, CPE
Chief of Population Health Northeast Georgia Health System
Marissa Bloomer, RN, BSN, CMCN
Vice President, Population Health Curative
Arshad Rahim, MD, MBA, FACP
Chief Medical Officer and Senior Vice President, Population Health Mount Sinai Health System
The Superior Court of Fulton County, Georgia placed Sonder Health Plans into receivership with the state’s insurance department on Aug. 13 due to the insurer’s reported “insolvency and inability to raise additional funds from outside investors.” Sonder was placed into…
Highmark New York is the lowest-ranked Medicare Advantage plan for customer satisfaction in 2025, according to J.D. Power’s 11th annual Medicare Advantage study. The consumer insight firm published its list of the top Medicare Advantage plans in 10 markets on…
For many health systems, Epic Community Connect seems like a win-win: access for affiliates, scale for hosts. But all too often, key issues are overlooked — from governance and readiness to role clarity and long-term support. The result? Friction, confusion…
Sep 25, 2025 1:00 PM - 2:00 PM America/Chicago
Presented by:
Presenters
Stephanie Murray
Senior Director, Epic Services, CereCore
Lyndsay Schuering
Consulting Project Manager, Epic Services, CereCore
The Trump administration is rolling out a Medicaid enrollment oversight initiative that will direct states to remove individuals who cannot verify their citizenship or immigration status. CMS said Aug. 19 it has started providing states with reports identifying Medicaid and…
The rapid adoption of ambient AI for clinical documentation speaks to the tangible benefits experienced by clinicians and demonstrates the trust placed in these technologies. At Abridge, we believe that it is our responsibility to continuously improve the AI platform…
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New CMS reimbursement policies and Medicaid redeterminations are straining hospital revenue — especially in markets with high exchange plan enrollment. Health systems can’t afford to rely on legacy growth strategies. In this session, marketing, strategy and finance leaders will explore…
Sep 24, 2025 1:00 PM - 2:00 PM America/Chicago
Presented by:
Presenters
Ben Fuqua
SVP and Group Lead of Analytics, Unlock Health
Kevin Thilborger
Chief Revenue Strategy Officer, Unlock Health
Kris Wickline
VP, Strategy, Unlock Health