Author: Vinay Gadade

At the Fall 2025 Becker’s Payer Issues Roundtable, industry leaders explored how clinical intelligence and digital transformation are redefining the payer-provider relationship. The session, titled “From Policy to Payment: Clinical Intelligence Driving Health Plan Innovation,” featured Andrea Willis, MD, senior…

With the release of CMS Star Ratings for 2026 and updates for the upcoming year, Medicare Advantage and Part D plans are navigating an evolving quality landscape. Adherence measures are shifting from triple- to single-weighted and will incorporate risk adjustment,…

Improving patient outcomes while curbing healthcare costs remains a shared imperative for both payers and providers. Yet achieving this balance requires more than isolated initiatives — it calls for systemic strategies that bring care coordination, quality measurement and population health…

Healthcare operations, such as customer care contact centers and revenue cycle departments, often face significant challenges: high volumes, stressful environments, and heavy manual workloads. These teams manage complex, repetitive tasks—like explaining insurance coverage or guiding patients through financial decisions—which can…

The Musculoskeletal Crisis: Costly, Complex, and Persistent Musculoskeletal (MSK) conditions account for nearly $1 in every $6 spent on healthcare in the United States. Beyond the staggering costs, these conditions profoundly impact people’s daily lives, limiting mobility, productivity, and overall…