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The $250 Billion Creator Economy Has a Management Problem—and MrBeast and Alex Cooper Just Proved It
Many successful creators have no prior leadership experience. Here’s how to fix that.
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Republicans swipe at Democrats applauding King Charles after ‘No Kings’ protests
Multiple Republican lawmakers poked fun at Democratic lawmakers for applauding King Charles III on Tuesday, given their prior support for …
Bipartisan Bill Seeks to Strengthen Oversight of Medicare Advantage
Lawmakers introduced the Medicare Advantage Improvement Act of 2026 to tighten prior authorization rules, boost transparency and curb practices that …
HCA Colorado hospital taps new assistant CFO
Stu Simpson has been been named assistant CFO of HCA HealthONE Sky Ridge in Lone Tree, Colo., according to an …
CVS taps former Sutter Health executive as security chief
CVS Health has named Jacki Monson as its new senior vice president and deputy chief information security officer. Ms. Monson …
Digitizing Medical Policy Alone Will Not Automate Prior Authorization at Scale
Many health plans are discovering that even after digitizing medical policies and implementing FHIR APIs, prior authorization turnaround times remain …
Do policy context and structural disadvantage shape SNF VBP performance? Evidence from national facility-year data
Abstract Introduction Skilled nursing facility (SNF) performance under the Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Value-Based …
Homelessness, justice involvement, and publicly funded substance use treatment after Medicaid expansion
Abstract Introduction People experiencing homelessness (PEH) and individuals referred through the criminal-justice (CJ) system face high rates of substance use …
Availity Abrasion Index 2026: Denials and Prior Authorization Top Payer-Provider Friction Points
What You Should Know Availity has launched the 2026 Abrasion Index, a dual-sided research report quantifying administrative friction between U.S. …
Timely by DrFirst Aims to Lower Barriers to Specialty Meds
Timely by DrFirst launched a tool to streamline prior authorizations and improve access to specialty medications. The post Timely by …
Covenant Health taps new CFO
Eric Jolly was named CFO of Andover, Mass.-based Covenant Health, according to an April 27 LinkedIn post. Prior to his …
New Jersey system taps new vice president of financial planning and analysis
Melanie Shipek has been named vice president of financial planning and analysis for Morristown, N.J.-based Atlantic Health, according to an …
Bipartisan House bill targets MA prior authorization, denial practices: 5 notes
A House bill introduced April 20 by a bipartisan group of representatives, five of whom are also physicians, aims to …
Insurers making progress on standardizing prior authorizations
Aligning electronic data submission requirements for prior authorizations is one prong of the insurance industry’s commitment to reform the unpopular …
STAT+: An insider reveals the real goals of prior authorization
Years ago, Archelle Georgiou helped squash prior auths at one of America's biggest health insurers.
‘Prior Authorization’ Has Become a Dirty Word in Healthcare, But it Might Be Medicare’s Smartest Path Forward
Since its inception, AI in prior auth has only been at work in the commercial healthcare marketplace. Now new innovative …
‘We want to be known as your best partner’: UnitedHealthcare leaders talk provider tensions, prior auth cuts
UnitedHealthcare’s commercial business is planning more prior authorization rollbacks and wants to be seen as a better partner to the …
AdventHealth taps division CFO of strategy and growth
Kaitlyn Anderson was named CFO of strategy and growth for Altamonte Springs, Fla.-based AdventHealth’s Central Florida division, according to an …
Health plans advance pledge with standardized electronic prior auth commitment
Roughly 50 insurers signed an AHIP (formerly America’s Health Insurance Plans) and Blue Cross Blue Shield Association commitment to standardize …
Medicare AI prior authorization pilot delaying care in Washington: report
The report compiled by Sen. Maria Cantwell, D-Wash., found procedures in the state that were previously approved within around two …
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