Operations

Medicare Advantage Braces for Major Star Ratings Shift
Data and Information Medicare Advantage Braces for Major Star Ratings Shift

Insurance carriers across the United States are currently grappling with a monumental shift in how their performance is measured as the federal government prepares to implement a radical restructuring of the Medicare Advantage Star Ratings framework. This transition represents a significant

Santa Clara County Faces $100 Million Mental Health Deficit
Business Santa Clara County Faces $100 Million Mental Health Deficit

The mental health safety net in Silicon Valley is currently grappling with a severe financial contraction as Santa Clara County anticipates a staggering one hundred million dollar deficit that threatens to dismantle years of progress. Since the beginning of the decade, the region has worked

How Will UMMC Recover From This Major Ransomware Attack?
Data and Information How Will UMMC Recover From This Major Ransomware Attack?

The sudden transition from high-tech surgical precision to the scratching of pens on paper across Mississippi's only academic medical center highlights the terrifying fragility of our current digital lifeblood. Academic medical centers like the University of Mississippi Medical Center, or

Agentic Systems Are the Future of Healthcare Automation
Process Agentic Systems Are the Future of Healthcare Automation

Bridging the Gap Between Digital Documentation and Autonomous Workflow Execution The realization that generative artificial intelligence can write a beautiful appeal letter but cannot actually navigate a payer portal to submit it has sparked a massive shift toward agentic systems that execute tasks

Health Systems Must Act on Pharmacy's Future
Business Health Systems Must Act on Pharmacy's Future

With a career spanning over 15 years in health system strategy, our guest today has a unique vantage point on the seismic shifts reshaping healthcare. Having held multiple leadership roles overseeing a diverse portfolio of businesses catering to U.S. health systems, he has been at the forefront of

Cigna Cuts 2,000 Jobs, Settles FTC Insulin Suit
Business Cigna Cuts 2,000 Jobs, Settles FTC Insulin Suit

In a move reflecting the immense pressures of regulatory scrutiny and corporate realignment within the American healthcare industry, global health giant Cigna has initiated a significant workforce reduction while simultaneously resolving a high-profile federal lawsuit over its prescription drug

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