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The Hidden Opportunity in Medicare Advantage: Improving Cost Performance and Revenue Accuracy Simultaneously

Medicare Advantage organizations face relentless pressure to contain rising medical costs, protect margins, and deliver sustainable growth. As plans focus on reducing unnecessary spend, an equally important opportunity is often overlooked: ensuring the accurate reimbursement and revenue recovery that support…

Nov 19, 2026 1:00 PM - 2:00 PM CST

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Presenter:

Brad Ross, General Manager, Payment and Revenue Integrity, Claritev

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Orthopedic surgery practice suffers data breach

The Center for Bone & Joint Surgery of the Palm Beaches, an orthopedic and spine practice, has suffered a data breach, according to an Oct. 19 report from Claim Depot. The timeline and method of the breach have not been…

Before the patient arrives: How prehospital data sharpen status determination

The inpatient-or-observation status decision is a consequential one for hospitals. For patients arriving by ambulance, much of the clinical story unfolds before they reach the hospital: vital sign trends, field interventions and response to treatment. Yet that information often arrives…

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Northwestern Medicine opens 80K-square-foot specialty outpatient center

Chicago-based Northwestern Medicine has opened a new outpatient center on the Northwestern Medicine Huntley (Ill.) Hospital campus. The 80,000-square-foot facility will provide services including general surgery, cardiovascular, gastroenterology and pulmonary medicine, according to an Oct. 19 news release from Northwestern…

10 numbers that expose anesthesia revenue leaks

Hospital leaders managing anesthesia economics should track a short list of paired operating and revenue cycle metrics rather than reviewing cost and collections separately, according to a white paper from Surgical Directions and Ventra Health. These 10 metrics make up…

A new anesthesia warning for endoscopies

Patients who smoke or vape cannabis may require higher doses of propofol during upper endoscopy than nonusers or patients who consume cannabis edibles, according to research presented at the American Society of Anesthesiologists’ Anesthesiology 2026 annual meeting in San Diego.…

Physician medical group M&A activity drops in Q3

There were 105 transactions in the physician medical group sector during the third quarter of 2026, according to an Oct. 19 news release from Levin Associates. Here are six things to know:

Why implement universal nasal decolonization for all patients?

The nasal vestibule is a primary reservoir for potential bacterial pathogens, including multidrug-resistant organisms (MDROs), and colonization is associated with an increased risk of healthcare-associated infections (HAIs). Most patients meet at least one criterion that puts them at risk for…

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ASCs that rely solely on anesthesiologists report higher access

ASCs that rely solely on anesthesiologists report better access to anesthesia services than centers using the more common care team model, according to the Ambulatory Surgery Center Association’s third-quarter 2026 60-Second Survey, published Oct. 16. Of facilities staffed only by…

Beyond the Visit: Extending Primary Care’s Reach

A physician has 15 minutes to set a care plan in motion. Patients then spend weeks or months managing their health between visits, often with little support. Symptoms change, treatment goals slip and care teams may not know until the…

Nov 17, 2026 1:00 PM - 2:00 PM CST

Presented by:

Presenters:

James Geracci, MD, Physician Executive, Business Development and Strategy, Lumeris
Doug Rogers, Vice President and Tom Evangelist, Lumeris

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