The Latest - Page 11 of 1445 - Becker's Payer Issues

Beyond cost centers: Finding margin opportunity through encounter-level variation

Margin pressure is intensifying, and care delivery is growing more complex. Yet many profitability insights are not found in cost center summaries — they live within encounter-level variation across providers, sites of care, care models and patient cohorts. Department-level views…

Mar 25, 2026 1:00 PM - 2:00 PM America/Chicago

Presented by:

Presenters

Michael Faulkenberry

Senior Director-Product Management, Data & Intelligence Solutions Strata Decision Technology

Josh Wiggins

Vice President-Product Management, Decision Support Solutions Strata Decision Technology

Connecticut bucks national trend with record ACA enrollment

Connecticut enrolled a record 157,246 residents in marketplace plans for 2026, a 4% increase over last year, even as national ACA enrollment fell by more than 1 million people. The state’s marketplace, Access Health CT, announced the results Feb. 19.…

From anecdote to evidence: Inside KLAS’ ROI validation of ambient AI

Ambient AI is everywhere. Independent validation is not. In this Becker’s webinar, KLAS Research shares findings from its ROI validation study examining real-world results from FMOL Health, McLeod Health and Rush University System for Health. The session will explore how…

Mar 26, 2026 11:00 AM - 12:00 PM America/Chicago

Presented by:

Presenters

Mac Boyter

KLAS Research

Josh Margulies

VP of Brand Advocacy, Suki AI

How 3 health systems are approaching recurrent pericarditis care

Managing recurrent pericarditis often requires more than a single specialty, yet coordination across care teams can be difficult in practice. This on-demand webinar brings together cardiology, pharmacy and advanced practice perspectives from Cleveland Clinic, Northwestern Medicine and University of Utah…

On Demand

Presented by:

Presenters

Mohamed Al-Kazaz, MD

Section Chief, General Cardiology Medical Director, Pericardial Diseases Program Northwestern Medicine of Medicine Bluhm Cardiovascular Institute

Jessica Carey, PharmD, MD

Assistant Clinical Professor U of U Pharmacotherapy Department Cardiovascular Medicine Pharmacist U of U Health

Mary Heine, APRN, MSN, MPH

Pericardial Coordinator Heart, Vascular and Thoracic Institute Cleveland Clinic

Allan L. Klein, MD, FRCP(C), FACC, FAHA, FASE, FESC

Director, Center for the Diagnosis and Treatment of Pericardial Diseases Cleveland Clinic

Tom Wang, MBChB, MD, FRACP, FACC, FESC, FASE

Associate Director and Staff Cardiologist, Center for the Diagnosis and Treatment of Pericardial Diseases Cleveland Clinic

Inside the ‘smart’ hospital: Connecting technology, workflows and care

Picture an environment where clinicians are not chasing information, IT teams are not managing endless integrations and leaders have real-time visibility into operations across the enterprise. The promise of the “smart” hospital is not more tools, but better coordination. It…

Presented by:

Elevance names new Anthem presidents in Indiana, Georgia

Elevance Health has named new presidents for its Anthem Blue Cross and Blue Shield plans in Indiana and Georgia. Amanda Free will lead Anthem BCBS of Georgia after most recently serving as vice president of local operations for the plan’s…

Humana sets quarterly dividend

Humana’s board of directors declared a $0.885 per share dividend to be paid April 24. The dividend will be paid to all shareholders of record as of the close of business March 27, according to a Feb. 19 Humana news…

Medicare Advantage’s ‘sunk-cost’ problem

Medicare Advantage now covers about 55% of eligible beneficiaries nationwide — more than 35 million people — but health systems are confronting a question that until recently felt almost taboo: What happens when participation in the country’s fastest-growing Medicare program…

'The finger pointing isn't working': Aetna's president talks rebuilding payer-provider trust

There’s “a hunger for a different kind of dialogue” when it comes to relations between payers and providers, according to Aetna President Steve Nelson. Mr. Nelson laid out a vision for Aetna that centers on rebuilding trust in the industry,…

Payer, provider transparency campaigns could signal deeper tensions

Recently, payers and providers have been engaging in a slew of transparency campaigns, with some aiming to “expose” pricing and denial concerns. For example, Hospital Watch has come to the forefront, shifting blame to hospitals. “Hospital Watch is a watchdog…