The Latest - Page 113 of 1587 - Becker's Payer Issues

Building a High-Performance Cardiac PET Program: What Health Systems Should Consider

Cardiac PET use in U.S. cardiology offices nearly tripled over the past decade and outpatient PET volume is projected to grow more than 60% in the years ahead. Today, more health systems are turning to PET to strengthen cardiovascular care…

Jul 30, 2026 12:00 PM - 1:00 PM CDT

Presented by:

Presenters:

Rupa Sanghani, MD, FACC, FASNC, Grace DeForest and William Louis Veeck Endowed Professor of Cardiovascular Research Director of Nuclear Cardiology, Rush University Medical Center
Brendon Loiselle, Chief Business Development Officer, CDL Nuclear Technologies

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BCBS Vermont takes step back with proposed product line

Blue Cross and Blue Shield of Vermont dropped its proposed Vermont Basic offering from consideration for the qualified health plan market in 2027. BCBS Vermont had pitched the product line, offering more affordable HSA-compatible plans, in May. The company said,…

Payers ranked by Medicare Advantage bonus payments in 2026

UnitedHealth Group received the largest total Medicare Advantage bonus payments in 2026, pulling in $3.9 billion as total program spending reached $13.4 billion across all MA plans, according to a KFF analysis published July 1. The $13.4 billion in quality…

North Carolina hospital drops BCBS Medicare Advantage, delays UnitedHealthcare exit

New Bern, N.C.-based CarolinaEast Medical Center has officially exited Blue Cross Blue Shield of North Carolina’s Medicare Advantage network while extending its participation in UnitedHealthcare’s Medicare Advantage plans through the end of the year. According to a updated payer list…

4 health systems on how AI is reshaping supply chain resilience

Healthcare supply chains can no longer rely on reactive strategies. Persistent shortages, fluctuating costs and global disruptions have exposed vulnerabilities in traditional procurement models, while finance and operations leaders are being asked to improve efficiency, reduce waste and strengthen resilience.…

Aug 10, 2026 1:00 PM - 2:00 PM CDT

Presented by:

Presenters:

Eric Tritch, SVP Supply Chain & Support Services, UChicago Medicine
Ian Macdonald, Chief Financial Officer, Union Hospital
Eric J. Price, MBA, Chief Financial Officer, Schoolcraft Memorial Hospital
Jacqueline Owens, Assistant Vice President, Strategic Sourcing, Ochsner Health

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Mailing error risks exposure of 8,157 Wisconsin Medicaid members' personal information

Some Wisconsin Medicaid members getting a monthly cash benefit through the state’s Supplemental Security Income program had mail containing private information sent to outdated addresses. The letters concerned an increase in benefits. The Wisconsin Department of Health Services confirmed the…

CMS targets 340B, site-neutral rates in 2027 outpatient rule — 8 things to know

CMS plans to cut what Medicare pays hospitals for drugs bought through the 340B program and push site-neutral payment into a new category of outpatient services, two proposals that together would pull billions of dollars out of hospital outpatient revenue…

Florida payer picks up third 5-star Medicare Advantage plan after CMS recalculation

Longevity Health has earned a 5-star Medicare Advantage rating for its New Jersey Institutional Special Needs Plan, giving the payer its third 5-star contract following CMS’s recalculation of 2026 star ratings. Longevity’s I-SNP plans in Illinois and North Carolina also…

UnitedHealthcare CEO: AI-driven cost inflation not 'going to be persistent'

Hospitals and insurers have been fighting an AI billing war for the better part of two years, with providers deploying the technology to optimize and defend their coding, and payers using it to audit and push back. “AI is placing…

Northwell, Fidelis face network split affecting 240,000

Northwell Health and Fidelis Care are on track to end their contract July 15, a split the health system said will affect more than 240,000 patients across Medicaid, Medicare Advantage and Essential Plan coverage. Fidelis, part of Centene, previously issued…