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The National Committee for Quality Assurance has named the highest quality and most effective health plans of 2026 based on…
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Health system leaders face relentless pressure to deliver capital cost savings, eliminate equipment redundancy, and repeatedly defend replacement cycles. Yet they must often confront these challenges with incomplete data, siloed systems, and aging spreadsheet-based workflows. The result: purchasing decisions driven…
Presented by:
- Kelley Jacobsen, Senior Vice President, Supply Chain & Shared Services, Trimedx
- David Stevens, Vice President & GM, Clinical Asset Management, Trimedx
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
HHS’ Office of Inspector General released a report in September detailing gaps in efforts to reduce or halt medical equipment supplier fraud in Medicare Advantage. Earlier in the month, CMS announced that it had barred 11 medical suppliers from receiving…
GoHealth will lay off 103 of the 111 full-time employees reporting to its Chicago headquarters months after the health insurance marketplace and Medicare-focused digital health company filed for bankruptcy. The company said in a Sept. 3 WARN notice that due…
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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Montgomery, Ala.-based Jackson Hospital exited bankruptcy Sept. 14, its president and CEO John Quinlivan confirmed to Becker’s. The hospital’s emergence from bankruptcy comes about one month after it signed a four-year agreement with Blue Cross Blue Shield of Alabama. The…
There has been one word health insurers have not been shying away from in 2026: discipline. Elevated utilization for specialty drugs, behavioral health and emergency services has been driving medical costs in recent years. As insurers face pressures across lines…
A federal judge has dismissed Ballad Health’s lawsuit accusing UnitedHealth Group of denying and underpaying Medicare Advantage claims, ruling the dispute must go to arbitration. Johnson City, Tenn.-based Ballad sued UnitedHealth in October, alleging the insurer spent years denying valid…
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
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Building a workforce strategy to outlast the physician shortage.
Presenter: Melinda Giese, Enterprise Client Solutions, CHG Healthcare
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