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…
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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…
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…
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…
Georgia regulators are fining health insurers more than $20 million for failing to comply with state and federal mental health parity laws. Insurance Commissioner John King said Aug. 15 that the penalties follow examinations that uncovered more than 6,000 violations…
Siloed systems. Burned-out teams. Delays in care delivery. Today’s operational challenges are compromising performance across the healthcare enterprise, and the cost of inaction is rising. Operations are now a systemwide priority — the engine driving results across clinical, IT, HR…
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With recent breakthroughs in artificial intelligence (AI), health plans are at a precipice of change. At Optum, we’re leveraging emerging technologies to drive payment accuracy—but it’s just the starting point. We believe AI has the potential to completely transform the…
Providence hospitals across California are the latest to sue Kaiser Permanente over allegations that the organization’s health plan has underpaid for emergency and post-stabilization care provided to Kaiser members. The Providence complaint reviewed by Becker’s was filed April 11 in…
