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A North Carolina Superior Court judge has denied the North Carolina State Health Plan’s request for a temporary injunction against…
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Maryland regulators are studying whether nonprofit hospitals’ offshore captive insurance companies, subsidiaries that hospitals form to cover their own risks such as malpractice claims, should be subject to the state’s 3% premium tax. The Maryland Insurance Administration held a public…
Roughly 1.1 million Medicare beneficiaries have signed up to access discounted GLP-1s through CMS’ Bridge model, HHS Chief Counselor Chris Klomp said during an Oct. 7 Wall Street Journal event. The pilot launched July 1, rolling out to Medicare Part…
Molecular residual disease (MRD) testing is moving into the next phase of precision oncology, extending molecular insight past diagnosis and treatment selection into post-treatment monitoring, surveillance and survivorship. For health systems, the question is not whether to add another test.…
Presented by:
- Rick Baehner, MD, Chief Medical Officer, Precision Oncology Abbott Cancer Diagnostics, Clinical Professor of Pathology,, University of California, San Francisco
Alignment Healthcare filed a lawsuit on Oct. 9 against CMS and HHS over 2027 Medicare Advantage star ratings. The complaint, filed in the District of Columbia’s federal court, follows CMS’ release of MA star ratings on Oct. 8. The star…
CMS shared its Transparency in Coverage rulemaking — formed in partnership with the Labor and Treasury departments — on Oct. 5. Now, payers are reckoning with the changes. The rule updated previous regulations introduced by the Trump administration in 2020,…
Former UnitedHealth Group CEO Sir Andrew Witty has been named chairman of Hatteras Venture Partners, a venture capital firm focused on healthcare innovation, investing across biopharmaceuticals, medical devices and health technology. Mr. Witty is returning to Hatteras, where he served…
Value-based care promised better outcomes at lower cost. Years of effort and millions in infrastructure later, payer leaders are asking a blunt question: is it delivering? On Oct. 21, join us for a candid discussion built for payer leaders that…
Presented by:
- Tim Smith, ASA, MAAA, MS, Chief Actuary, Arbital Health
- Niall Brennan, Chief Data and Analytics Officer, Horizon BCBS
- Ali Khan, MD, MPP, FACP, Advisor, Andreessen Horowitz, Former CMO of Medicare, Aetna
Independence Blue Cross has contracted with ASCs for years, but its new ownership stake in a surgery center company signals the insurer decided contracts alone were not enough. “Contracting remains an important part of Independence Blue Cross’s strategy, but that…
Peter Watson, MD, is now chief medical officer of the Henry Ford Employee Health Plan and chief medical officer of clinical value for the Henry Ford Medical Group. According to an October LinkedIn post, Dr. Watson has been with Detroit-based…
Cigna board director Donna Zarcone will retire at the end of 2026. Ms. Zarcone informed the board of her decision on Oct. 6. According to her LinkedIn profile, she has been on Cigna’s board since 2005. Ms. Zarcone is also…
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