Medicare payments for continuous glucose monitors and supplies were greater than supplier costs, according to a Nov. 25 report from the HHS Office of the Inspector General. OIG reviewed costs between July 2022 and June 2023. Medicare Part B payments…
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UnitedHealthcare and St. Louis-based SSM Health are set to go out of network in 2026 without a new contract in place. Individuals with employer-sponsored commercial or Medicaid coverage from UnitedHealthcare will lose in-network access to SSM Health’s hospitals, facilities and…
Hospitals are under pressure to move patients through the system faster without compromising care. AdventHealth reengineered post-acute placement and aligned teams around transparent, tech-enabled workflows to reduce length of stay by 9%, halved post-acute placement times and unlocked $71M in…
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Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with contract losses.
A first-of-its-kind, peer-reviewed study published in JAMA Network Open provides compelling evidence for what anecdotal reports previously suggested: ambient AI not only reduces documentation burden — it improves clinician wellbeing. Led by Yale School of Medicine and conducted across six…
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Arkansas Blue Cross and Blue Shield has started offering “an early-out option to eligible employees,” according to a statement shared with Becker’s on Dec. 1. The insurer said the decision stemmed from “current budget constraints, including changes in membership for…
Chapel Hill-based University of North Carolina Health and Cigna missed their Dec. 1 contract negotiation deadline, according to both organizations. UNC Health hospitals, clinics and providers are all out of network, but some patients may qualify for continuity of care…
Emergency departments are increasingly overburdened by long wait times, complex patient cases and limited visibility into care history. But during a session at the Fall 2025 Becker’s Payer Issues Roundtable, participants argued that these transition points — if better coordinated…
UnitedHealth Group is selling its last South American business, Banmedica, to Brazilian private equity firm Patria Investments for $1 billion, CNBC reported Nov. 30. Banmedica operates in Colombia and Chile and includes 1.7 million health insurance members, seven hospitals and…
Get the proven playbook for compliant, high-performance audience targeting — built for healthcare. Healthcare marketers know who the ideal targets for their campaigns are: nearby patients, people overdue for care, high-intent website visitors, and countless other valuable segments. In most…
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