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Roadblocks to scaling electronic prior authorization — and how leaders are moving forward

CMS’ Interoperability and Prior Authorization Final Rule (CMS-0057-F) outlines the path toward industry-wide electronic prior authorization, but real-world implementation remains fragmented — even among early adopters. From investment hesitancy to misaligned workflows to gaps in CMS provisions, health systems and…

Jun 3, 2025 12:00 PM - 1:00 PM America/Chicago

Presented by:

Presenters

Steven Berkow

Senior Advisor, Value-Based Care, InterSystems

Jessica Jowdy

Manager, Healthcare Sales Engineering, InterSystems

Navigating Price Transparency: Your Roadmap to Stronger Contracts and Sustainable Growth

Price transparency mandates have introduced an unprecedented volume of data — but turning that data into actionable strategy remains a challenge. Health systems and payers alike are still navigating how to translate pricing insights into stronger contract terms, smarter network…

Jun 9, 2025 12:00 PM - 1:00 PM America/Chicago

Presented by:

Presenters

Jacob Little

CCO, Payerset

Amy Crowe

VP, PurpleLab

Heather Parker

Director, Healthcare Strategy & Finance, Forvis Mazars

From payer contracts to cash flow: How ASCs can bolster the bottom line

As ASCs face increasing reimbursement complexity — from payer contracts to multi-method payment models — understanding how to optimize managed care contracting has become critical to financial stability. Without a clear understanding of how payer terms dictate claim workflows, ASCs…

Jun 3, 2025 1:00 PM - 2:00 PM America/Chicago

Presented by:

Presenters

Scott Allen

SVP Managed Care Contracting, nimble solutions

Hospital for Special Surgery's sedation-free pediatric MRIs reach 100% success rate

New York City-based Hospital for Special Surgery saw a 0% sedation rate of nearly 2,000 pediatric MRI scans, according to a study from Lerner Children’s Pavilion at HSS. Sedation is used in up to 28% of pediatric MRIs, but it…

Anthem Blue Cross Blue Shield continue multi-year contract with Resurgens

Anthem Blue Cross and Blue Shield signed a multi-year contract with Atlanta-based Resurgens Orthopaedics, according to a May 21 news release. Under the contract Resurgens will remain in-network for Anthem members in Georgia. The practice has nearly 100 physicians across…

How a new Iowa orthopedic hospital is elevating care in the state

University of Iowa Health Care opened its new orthopedic-focused hospital in North Liberty; a first for the health system on April 28. The 469,000-square-foot will provide spine, orthopedic, sports medicine care and more for patients in eastern Iowa and beyond. …

The top 1% orthopedic research hospitals in US: Avant-garde

Avant-garde Health has released its 2025 “Healthcare Research All-Stars” report, honoring the top 5% of America’s physicians and hospitals based on volume of research. The report recognized 29 hospitals as being in the top 1% of orthopedic research facilities in…

South Carolina VA hospital performs 1st TOPS procedure

Physicians at the Ralph H. Johnson VA Health Care System, based in Charleston, S.C., have successfully completed the first total posterior spine system procedure at the facility. The TOPS device provides an alternative to traditional spinal fusions, which can limit…

IU Health orthopedic surgeon joins Ball State athletic care team

Anthony McPherron, DO, of Indianapolis-based Indiana University Health is joining Ball State Athletics, according to a May 21 news release in Muncie Journal. Dr. McPherron has more than 25 years of experience and will focus on injury prevention, performance enhancement…

Onward marks fourth and fifth brain computer interface implants

Onward Medical reached its fourth and fifth implantations of the Arc-brain-computer interface therapy implant for patients with spinal cord injuries. The new procedures were completed on a 48-year-old man and a 37-year-old woman at Centre Hospitalier Universitaire Vaudois in Lausanne,…