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ACA insurers requested a median rate increase of 15% for 2027, according to a Peterson-KFF Health System Tracker analysis. However,…
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NYC Health + Hospitals runs 11 acute care hospitals and more than 70 patient care locations, making it the largest public health system in the country. Standardizing anything across that footprint is difficult. Standardizing emergency department utilization review is harder.…
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Presented by:
- Joshua Moskovitz, MD, MPH, MBA, Medical Director of Utilization Management, NYC Health + Hospitals
- Joy Osa Uzamere, DNP, RN CCM-BC, Director, Emergency Department Utilization Review Care Management, NYC Health + Hospitals
- Rob Shutter, LMSW (he/him/his), Director of Utilization Management, NYC Health + Hospitals
Ask a health plan executive what they want AI to do, and they’ll usually answer with a goal, faster credentialing, cleaner directories, fewer complaints. But AI isn’t the goal. It’s one way to get there, and for most of what…
Presented by:
- Chris Lance, Chief Product Officer, Quest Analytics®
- Adam Sullivan, Vice President of AI, Labcorp
In high-cost markets, hospital staff increasingly earn too much to qualify for housing aid yet too little to afford a home near work. The strain lands on operations: longer commutes, harder recruiting, higher turnover and rising labor costs. The scale…
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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
Nationally, the average annual deductible for single coverage under an employer-based health insurance plan is $2,169, according to an analysis from KFF. The 2025 data comes from the Agency for Healthcare Research and Quality’s Medical Expenditure Panel Survey Insurance Component,…
Many healthcare organizations are exploring AI, but moving from experimentation to meaningful operational impact remains a challenge. Join Omkar Kulkarni, Vice President and Chief Innovation & Transformation Officer, and Amani Zaki, Manager of Language and Cultural Services at Children’s Hospital…
Presented by:
- Omkar Kulkarni, Chief Innovation Officer, CHLA
- Amani Zaki, Language and Cultural Services Manager, CHLA
- Julie Wilner, Vice President of AI Solutions Operations, AMN Healthcare Language Services
- Joe Corkery, MD, Vice President of AI Solutions Strategy,, AMN Healthcare Language Services
Health Care Service Corp. has completed the rebranding of its Medicare supplement and supplemental health and life products under the HealthSpring name. The move finishes a transition that began last year, when HCSC shifted the Medicare Advantage and Part D…
The Blue Cross Blue Shield Association has tapped Daniel Serrano to serve as CFO. The president and CEO of the BCBS Association, Kim Keck, announced the update Sept. 14 on LinkedIn. “With critical capabilities for this moment, including a practitioner’s…
Eligibility churn and redetermination pressure remain significant for revenue cycle teams, but they’re no longer the whole story. Heading into 2027, new Medicaid community engagement and six-month renewal requirements will add eligibility complexity for affected populations, while Medicare payment updates…
Presented by:
- Sarah Brainard, Vice President of Enterprise Solutions, Office Ally
Healthcare analytics company Cotiviti has named Erin Schmuker COO. Ms. Schmuker joins Cotiviti from Optum, where she most recently served as president of integrated pharmacies at OptumRx, according to a Sept. 14 news release. She previously served as managing director…
Popular in Executive Moves
A Guide to Responsible Use of AI for Behavioral Health Settings
Presenters: Patricia Sylve, LPC-S, LCSW, Joint CommissionAndrea Leigh Yates, MBA RN CCRN, Joint Commission
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