Payer

Health plans are under growing pressure to improve accuracy, accelerate recoveries and reduce waste. AI is helping meet that challenge — not by replacing workflows, but by making them more intelligent and responsive. By analyzing structured and unstructured data, from…

Medicare Advantage continues its rapid growth, with over 32.5 million enrollees in 2024—now representing more than half of the eligible Medicare population. [source] As the older adult population expands, payer organizations face the critical challenge of delivering highly personalized, quality care at…

Provider network performance is now a competitive differentiator for health plans. Members expect choice and access, regulators expect adequacy and parity, and executives expect measurable ROI. The catch: artificial intelligence and machine learning only create value when the underlying network…

Payers are prioritizing tech investments but the real challenge is balance.  Reducing friction for providers while maintaining evidence-based decisions remains a critical tension. AI is now central to solving this, especially in replacing slow, manual reviews that delay care, drain…

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…

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…

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…

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…

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…

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…