Becker's Payer Issues | Payer News

Hospital pharmacy teams have spent years mastering cost control. But as care shifts to outpatient settings and specialty and infusion therapies grow as a share of the formulary, medications are no longer just budget line items – they are potential…

Consider the arc. Paper charts gave way to electronic records, and electronic records got rich enough that data stopped being scarce. What did not change is that the work between departments still moves at the speed of someone remembering to…

Many finance teams have already pointed AI at the routine work — accelerating analysis, automating mundane tasks. While that progress is meaningful, it is also the smaller opportunity. The larger change is where finance spends its attention. When emerging trends…

Financial wellbeing isn’t adjacent to patient care, it’s embedded in it. A patient’s financial instability can predict recovery as powerfully as medication adherence, while a serious illness or forced early retirement can trigger a cascade of financial consequences that lasts…

AI is already reshaping behavioral health care, from clinical documentation and scheduling to workforce and operational decisions. But as adoption accelerates, so do the stakes: patient privacy, informed consent, clinical oversight and the therapeutic relationship itself. The organizations getting this…

Robotic-assisted joint reconstruction has reshaped how surgeons plan and perform total joint procedures. Most of the attention goes to implant positioning and surgical precision. Far less goes to the operating room that has to support those procedures day after day.…

Picture an inpatient room where the bedside nurse, virtual clinician, patient and operational leader are connected through a unified care environment, with virtual nursing extending the care team, AI-assisted safety monitoring supporting patients and clinicians, and digital technologies creating a…