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At many health systems, utilization review and revenue capture operate separately. Clinical teams make care decisions, and financial outcomes follow later, often with denials, missed inpatient revenue and rework. A growing number of utilization management leaders are changing that. By…

Sep 11, 2026 12:00 PM – 1:00 PM CDT

Presented by:

Presented by
Presenters:
  • Chris Bayham, Chief Operating Officer, Xsolis
  • Julie Pack, Senior Director of Client Relationships, Xsolis
  • Mequet Martens, Manager, Care Transitions, Mobile Infirmary Medical Center

Workforce shortages, rising quality expectations and a Gen Z nursing workforce that often moves on within 30 months have exposed the limits of traditional skills-based assessment. Confirming that a task was completed no longer tells leaders whether a nurse can…

Sep 29, 2026 12:00 PM – 1:00 PM CDT

Presented by:

Presented by
Presenters:
  • Joel Ray, COL, USAF, NC, MSN, RN, NEA-BC, Chief Clinical Advisor, Laudio and StaffGarden by Ascend Learning
  • Larissa Africa, MBA, RN, CENP, FAONL, FAAN, Vice President, Healthcare Workforce Solutions, StaffGarden by Ascend Learning
  • Alicia Potolsky, DNP, RN, NE-BC, DipACLM, Associate Chief Nursing Officer, El Camino Health
  • Julie Balluck, DNP, RN, NEA-BC, System Chief Nursing Officer, Texas Health Resources

Most health systems know they have a physician shortage. Fewer realize how deep it runs. New data shows the shortage has been underreported, and the cost is landing squarely on the bottom line. Consider retention: only 18 percent of physicians…

Sep 17, 2026 1:00 PM – 2:00 PM CDT

Presented by:

Presented by
Presenter:
  • Melinda Giese, SVP, Enterprise Client Solutions, CHG Healthcare

Nebraska estimated that about 200 people from its expansion population have lost Medicaid coverage Aug. 1 amid its first work requirements check. Tradeoffs reported on the projection from Nebraska’s Medicaid director, Drew Gonshorowski, July 30. Over the next year, Nebraska…

A coalition of 22 states are suing to block key pieces of CMS’ 2027 ACA marketplace rule, arguing the changes will push consumers into “barebones” coverage and revive provisions a federal court previously struck down. The complaint, filed July 31…

Members may not think they are talking to AI when they call their health plan, but the person assisting them might be. Some insurers have been leaning into member-facing AI capabilities. One of UnitedHealth Group’s 1,000 AI use cases has…

Centene offered buyouts to most employees in June. Now, the financials are catching up. In a July 28 report, the company projected severance costs between roughly $315 million and $365 million, mostly driven by the voluntary separation program, for the…


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