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How health plans can close the execution gap in value-based care — A practical AI-driven approach

Value-based care programs generate no shortage of insights. The problem is turning those insights into action, consistently and at scale. As downside risk grows, organizations face thousands of coordinated tasks across quality, care management and utilization management. Manual outreach, siloed…

Mar 31, 2026 11:00 AM - 12:00 PM CDT

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Presenters:

Robert Connely, Global Industry Market Leader, Healthcare Pegasystems
Monique Stoner PhD, MBA, Vice President, Provider Network Management Services, Oscar Health
Bryan Waide, Regional Vice President of Provider Contracting for Humana’s Western Market
Rhonda Mims, Executive Vice President, Chief Public Affairs and Risk Officer, AmeriHealth Caritas
Amy Compton-Phillips, MD, EVP, Chief Medical Officer, CVS Health

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Anesthesia time limit bans in 2026: 3 notes

Payers’ implementation of time limits on anesthesia reimbursement has sparked controversy over the last several years, beginning in late 2024 when Anthem Blue Cross Blue Shield proposed a policy that would impose time limits on anesthesia reimbursement in Missouri, New…

Partial shutdown ends as DHS fight continues

President Donald Trump has signed a House-approved funding package to end a partial government shutdown, CBS News reported Feb. 3. The House passed the funding bill Feb. 3 by a 217-214 vote. The vote was largely party-line, yet Republicans and…

The hidden revenue loss hospitals rarely see until it’s too late

Hospitals focus heavily on denials — but denials are only part of the problem. Across the U.S., hospitals are losing millions each year to incomplete or inconsistent documentation that understates the true complexity of care delivered. Beyond visible denials lies…

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HCA adds 13 outpatient centers, 6 freestanding EDs

Nashville, Tenn.-based HCA Healthcare has acquired 13 urgent care clinics and six freestanding emergency departments as it continues its outpatient expansion. HCA’s Dallas-based Medical City Healthcare said Feb. 2 that it has acquired 13 CommunityMed urgent care centers to serve…

The ASC partnerships of the future

Hospitals and health systems are increasingly investing in ASCs not only as a method for expanding surgical volumes, but as a key element of system affordability. “We think about affordability not just being something that we state, but something that…

The future of payer-provider collaboration: Balancing reimbursement pressures & value-based progress

Health system technology leaders are being pulled into the center of payer-provider conflict. Rising denials, growing administrative workloads and tighter reimbursement timelines are forcing organizations to rethink how data, infrastructure and platforms support collaboration. This report promises a clearer view…

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Inside anesthesia's operational shifts

The anesthesia workforce shortage has become a fixture in healthcare at large as hospitals, health systems and ASCs figure out how to balance high surgical demand with a lack of providers. Three leaders in anesthesia recently joined Becker’s to share…

10 new ASCs in January

Here are 10 ASC projects that were announced or completed in January, as reported by Becker’s: 1. Orange, Calif.-based UCI Health opened an outpatient ophthalmology center in Brea, Calif. 2. Traverse City, Mich.-based Munson Healthcare opened a new ASC in…

Rhode Island ASC 1st in state to onboard Mako robot

Ortho Rhode Island began offering Mako SmartRobotics for reverse shoulder replacements at the Ortho RI Surgery Center, becoming the first in the state to do so, according to a Feb. 2 news release shared with Becker’s. The ASC is one…