Northern Light Health says it has “made the difficult but necessary decision” to end its relationship with Anthem Blue Cross and Blue Shield, citing payment delays, administrative burdens, and what it calls misleading public narratives from the insurer. The Brewer,…
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UPMC has the highest-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 Aug. 19.…
Iowa will implement work requirements for its Medicaid expansion program beginning Jan. 1, 2026, Radio Iowa reported Aug. 19. Under the recently signed One Big Beautiful Bill Act, states will have to establish Medicaid work requirements for certain individuals, beginning…
UnitedHealth subsidiary SCA Health acquired one of the largest gastroenterology physician group practices in the U.S. in early 2025 from a private equity firm, The Philadelphia Inquirer reported Aug. 19. SCA acquired Exton, Pa.-based U.S. Digestive Health from Amulet Capital…
In today’s data-driven healthcare landscape, delivering higher quality outcomes increasingly depends on how seamlessly and securely health information flows — not just from providers to payers, but across every touchpoint in the care journey. When data is shared bidirectionally and…
Margin erosion, payer rate compression and regulatory mandates are squeezing healthcare revenue. For many systems, reimbursement strategies remain reactive, leaving millions on the table. Without a data-driven approach, organizations risk falling behind in payer negotiations and missing opportunities that standalone…
Sep 18, 2025 1:00 PM - 2:00 PM America/Chicago
Presented by:
Presenters
Michael Faulkenberry
Director, Data & Intelligence Solutions Strata Decision Technology
Josh Wiggins
Senior Director of Product Management-Decision Support Strata Decision Technology
Hospitals face an overwhelming number of performance metrics, making it challenging to know where to focus. In this session, you’ll learn how health system leaders cut through the noise prioritizing the right metrics and using advanced analytics, interdisciplinary huddles, and…
Sep 24, 2025 11:00 AM - 12:00 PM America/Chicago
Presented by:
Presenters
Tony Briningstool, MD, FACEP
Chief Executive Officer, Emergency Medicine
Mihir Patel, MD, MBA, CPE
Chief Executive Officer, Hospital Medicine
Anthem Blue Cross’ commercial and ACA health plans in California have been awarded Health Equity Accreditation from the National Committee for Quality Assurance through July 28, 2028. Anthem’s Medi-Cal plan previously earned the NCQA’s Health Equity and Health Equity Plus…
Peak Health is planning its largest expansion to date in the Medicare Advantage market, more than doubling its potential footprint in its home state and moving into Pennsylvania for the first time. “We’re looking to expand substantially. We will be…
Blue Cross and Blue Shield of Massachusetts reported a net loss of $129.7 million on revenue of $2.6 billion (-4.9% net margin) in the second quarter. Year-to-date, the company has reported a net loss of $92.6 million on revenue of…