Rushil Desai, president and CEO of Aetna Better Health of Illinois, is stepping down from his role. “The impactful public-private partnerships we’ve fostered have been instrumental in innovating solutions, expanding reach, and strengthening the overall health ecosystem in Illinois,” Mr.…
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In its second quarter earnings call, Cigna Group executives detailed how the company is continuing to build its position as a key player in the high-demand GLP-1 market, using its insurance and pharmacy benefit arms to shape how the high-cost…
Hospitals face escalating costs, fragile supply chains and mounting pressure to meet sustainability goals while maintaining care quality. However, too many procurement teams still rely on outdated tools, inconsistent supplier management and emergency plans that are never tested. The 2025…
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The Iowa Department of Health and Human Services has named Lee Grossman director of Medicaid. Mr. Grossman spent more than 14 years with the Wyoming Department of Health, where he most recently served as the state’s Medicaid director beginning February…
UnitedHealth Group has named Wayne DeVeydt as its new chief financial officer, effective Sept. 2. John Rex, who has been CFO since 2016, will become strategic advisor to CEO Stephen Hemsley on the same date. Mr. DeVeydt was most recently a…
Pharmacy remains one of the largest cost centers for health systems. Yet instead of bringing innovation to this space, many health system pharmacies still rely on disconnected workflows and outdated tools. That status quo drives shortages, shrinkage and noncompliance. The medical/surgical supply…
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CMS has granted a special Medicare enrollment period for individuals affected by the July contract disagreement between UnitedHealthcare Medicare Advantage and Providence, R.I.-based Brown University Health. CMS determined that the removal of the system’s hospitals from UnitedHealth’s MA network was…
Federal healthcare policy is shifting fast. Expiring pandemic-era tax credits, research funding cuts and increasing prior authorization pressures are already reshaping how care is delivered and reimbursed. During this virtual learning session, hear from two Cigna senior leaders on how…
Sep 10, 2025 1:00 PM - 2:00 PM America/Chicago
Presented by:
Presenters
Mitch Relfe
Sr. Principal, Federal Government Affairs, The Cigna Group
Allison Hofmann
Vice President, Health System Division, Cigna Healthcare
Recent CMS changes removed over 2,000 diagnostic codes and introduced 200-plus that don’t map to reimbursement under previous rules. For health systems and ACOs, missing these changes can translate into massive revenue losses and poor risk scoring. Health systems like…
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With second quarter earnings now reported, health insurers are navigating elevated medical cost trends that are hurting their profit margins, driven by increased member utilization of specialty drugs, behavioral health, and emergency services. In their calls with investors, executives specifically…