Becker's Payer Issues | Payer News

Advertisement

Most Read

The Latest

Monday morning is when the cost of inconsistent patient access surfaces — unmet demand, backed-up calls, stretched staff and provider capacity that patients cannot reach. For specialty practices, access is no longer just an operational headache; it’s a growth lever.…

Oct 15, 2026 12:00 PM – 1:00 PM CDT

Presented by:

Presented by
Presenters:
  • Marie D’Aiuto, VP of Patient Access Innovation, Assort Health
  • Michael T. Rohmiller, M.D., Orthopedic Spine Surgeon, Beacon Orthopaedics & Sports Medicine, Strategic Advisor, Assort Health
  • Mandy McClellan, Director of Support Services, OrthoIndy

Healthcare supply chain has evolved over the years as the landscape increases in complexity. Today, supply chain leaders play a critical role in removing operational barriers that impact clinicians, patients, and organizational performance. From ensuring products are available when and…

Oct 19, 2026 12:00 PM – 1:00 PM CDT

Presented by:

Presented by
Presenters:
  • Ana Sanchez, VP of Supply Chain & Support Services, Virtua
  • Julio Carrillo, VP of Supply Chain, Baylor Scott & White
  • Jake Crampton, CEO, MedSpeed
  • Eric Tritch, SVP Supply Chain and Support Services, University of Chicago Medicine

Most Medicare Advantage plans still run risk adjustment the way they always have — as a specialized function, staffed and led by risk adjustment experts. That specialization built deep expertise, but it also built blind spots. Leaders trained in actuarial…

Oct 1, 2026 1:00 PM – 2:00 PM CDT

Presented by:

Presented by
Presenter:
  • Nicole LeBarbera, Vice President, North America, Charta Health

CMS has taken a series of enforcement actions against Medicare Advantage plans over the last two years, suspending enrollment and terminating contracts over issues ranging from network adequacy to financial solvency failures. Eight updates:

Over a six-year period, Medicare may have spent $380 million on organs that were not ultimately used in covered enrollee transplants, according to a September HHS Office of Inspector General report. Under federal law, Medicare can only reimburse certified transplant…

CMS has rebranded individual coverage health reimbursement arrangements to CHOICE Arrangements, or Custom Health Option and Individual Care Expense. The new name for the alternative health insurance model was announced Sept. 3 by CMS Administrator Mehmet Oz, MD, at an…

CareFirst BlueCross BlueShield filed a trademark infringement lawsuit against a Hagerstown, Md.-based in-home healthcare and staffing company Aug. 27. The complaint, filed in the U.S. District Court for Maryland, said the insurer has more than 25 registrations issued by the…


Advertisement
Advertisement