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Payer

Federal healthcare policy is shifting fast. Expiring pandemic-era tax credits, research funding cuts and increasing prior authorization pressures are already reshaping how care is delivered and reimbursed. During this virtual learning session, hear from two Cigna senior leaders on how…

On Demand

Presented by:

Presented by
Presenters:
  • Mitch Relfe, Sr. Principal, Federal Government Affairs, The Cigna Group
  • Allison Hofmann, Vice President, Health System Division, Cigna Healthcare

Federal and state regulators are turning up the heat, especially in Medicaid and Medicare Advantage. From heightened audit activity to stricter diagnosis coding rules, payers are under growing pressure to get documentation, chart reviews and claims submission right the first…

Oct 15, 2025 11:00 AM - 12:00 PM CDT

Presented by:

Presented by
Presenters:
  • Cereasa Horner, Director of Policy and Payment Integrity, CERIS
  • Steven Hamilton, Partner, Crowell & Moring LLP
  • Payal Nanavati, Counsel, Crowell & Moring LLP

New CMS reimbursement policies and Medicaid redeterminations are straining hospital revenue — especially in markets with high exchange plan enrollment. Health systems can’t afford to rely on legacy growth strategies. In this session, marketing, strategy and finance leaders will explore…

Sep 24, 2025 1:00 PM - 2:00 PM CDT

Presented by:

Presented by
Presenters:
  • Ben Fuqua, SVP and Group Lead of Analytics, Unlock Health
  • Kevin Thilborger, Chief Revenue Strategy Officer, Unlock Health
  • Kris Wickline, VP, Strategy, Unlock Health

Rising administrative costs, complex compliance demands and shifting member expectations are straining payer operations. For many Blue Cross Blue Shield organizations, siloed data is the biggest barrier to delivering consistent, personalized member experiences. This live discussion will break down how…

Sep 10, 2025 11:00 AM - 12:00 PM CDT

Presented by:

Presented by
Presenters:
  • Nick Dobbins, WW Field CTO, Informatica
  • David Duckworth, MSIT, PMP, Sr. Manager, Data Management, Florida Blue

Federal healthcare policy is shifting fast. Expiring pandemic-era tax credits, research funding cuts and increasing prior authorization pressures are already reshaping how care is delivered and reimbursed. During this virtual learning session, hear from two Cigna senior leaders on how…

Sep 10, 2025 1:00 PM - 2:00 PM CDT

Presented by:

Presented by
Presenters:
  • Mitch Relfe, Sr. Principal, Federal Government Affairs, The Cigna Group
  • Allison Hofmann, Vice President, Health System Division, Cigna Healthcare
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CMS is raising the bar on provider directory accuracy. For payers, that means more than quarterly updates — it means demonstrating that your network is real, accessible and audit-ready. Ghost networks remain one of the biggest threats to both member…

Oct 16, 2025 11:00 AM - 12:00 PM CDT

Presented by:

Presented by
Presenters:
  • Chris Nolan, Director, Payer Solutions, HealthLink Dimensions
  • Kimberly Rogers, MBA, RN, Vice President Provider Network and Relations, Peak Health
  • William Britton, Vice President of Technology, NCD
  • Michael Kane, Senior Vice President, Provider Data Operations, UnitedHealthcare

Many health plans still rely on basic segmentation and static messages — leaving members feeling like numbers. But the stakes are rising fast: With heightened expectations and fierce competition, payers must deliver timely, relevant experiences to keep members engaged. Join…

Aug 27, 2025 1:00 PM - 2:00 PM CDT

Presented by:

Presented by
Presenters:
  • Robert Connely, Pega Systems – Healthcare Industry Market Leader at Pega Systems
  • Lori Logan, President & CEO, NASCO
  • Tina Galloway, Vice President, Enterprise Client Executive, Optum
  • Mike Gerrish, From Member Frustration to Member Loyalty: And the role of AI

Health systems face rising complexity: labor shortages, prior auth challenges and disjointed tech are dragging down care and draining resources. Payers, meanwhile, are under pressure to improve outcomes while controlling spend. This session brings both sides to the table —…

On Demand

Presented by:

Presented by
Presenters:
  • Joseph Keckan, Vice President, Medical Mutal
  • Girish Dighe, System Vice President Revenue Cycle, OhioHealth
  • Krisi Hutson, Senior Director Solutions, Availity

Home-based care is no longer optional. Yet payers, health systems and ACOs often struggle to identify the right patients, coordinate across providers and scale models that deliver ROI.  Without clear pathways, efforts stall and costs rise. In this expert-led discussion,…

Aug 20, 2025 12:00 PM - 1:00 PM CDT

Presented by:

Presented by
Presenters:
  • Catherine Tabaka, Chief Executive Officer, Matrix Medical Network
  • Thomas R. Graf, Vice President and Chief Medical Officer, Florida Blue Medicare
  • Randi Protter, MD, FACP, NCMP, Senior Medical Director, Provider Performance and Clinical Transformation, Horizon Blue Cross Blue Shield of New Jersey
  • Nate Miller, MSPT, Senior Vice President of Operations, ClearSky Health

Value-based care can’t succeed without payer-provider alignment. Yet, most organizations still struggle to share clinical and claims data in a timely, actionable way. This webinar explores how real-time, bidirectional connectivity is helping care teams move from fragmentation to coordination —…

Aug 6, 2025 11:00 AM - 12:00 PM CDT

Presented by:

Presented by
Presenter:
  • Megan Zakrewsky, Vice President of Product, Veradigm
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