Economic strain, staffing shortages and consolidation are squeezing ASCs but they’re also forcing transformation. Without bold action, ASCs risk margin erosion, physician attrition and lost leverage with payers. From restructured strategic partnerships to real estate monetization and new partnership models,…
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In traditional claim processing, the lack of interoperability between health plan and provider systems often leads to challenges and inefficiencies, like manual data exchange and a lack of transparency. This results in claim denials that drive unnecessary administrative work and…
Disjointed scheduling policies. Manual workflows. Limited real-time data. These inefficiencies once hampered MedStar Health’s 10-hospital network — until a new, data-driven access strategy changed the trajectory. Through standardized block management, cloud-based scheduling tools and a systemwide governance model, MedStar unlocked…
Presented by:
Courtney Pearson, MBA, MHA
System Assistant Vice President of Operations, Perioperative Services, MedStar Health
Natalie C. Nazon
Regional Business Operations Manager, Perioperative Services, MedStar Health
Brian Bailey
Senior Client Outcomes Manager, LeanTaaS
Reps. Jan Schakowsky, D-Ill., and Mark Pocan, D-Wis., introduced a resolution opposing a Trump administration initiative that they said would “force recipients of traditional Medicare to receive prior authorization, including through the use of artificial intelligence, before being able to…
CareFirst BlueCross BlueShield was named the top-performing insurer for customer experience in 2025 by Forrester, a recognition that comes as many insurers face declining scores across the industry. CareFirst’s Chief Marketing Officer, Mack McGee, joined the Becker’s Payer Issues Podcast…
Behavioral health providers face immense pressure to verify benefits quickly and correctly — often within an hour of intake. But with payer-specific requirements, Medicaid redeterminations and program variations by state, even one missed detail can delay care or derail reimbursement.…
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Eight percent of Americans were not covered by any kind of health insurance in 2024, remaining at a historic low, according to a September report from the U.S. Census Bureau. Here are six more things to know:
Eight health insurers were featured on Fortune magazine and Great Place to Work Institute’s annual “Best Workplaces in Health Care” list. Fifty large healthcare employers were recognized in total. The rankings were created from employee surveys, which asked participants to…
Two prior authorization reform bills have passed the California legislature and are headed to Gov. Gavin Newsom’s desk. The California Medical Association, which supported the legislation, said in a Sept. 11 news release the bills “aim to dramatically streamline the…
Sen. Richard Blumenthal is urging Cigna to rescind a new policy he said will create “onerous administrative burdens for physicians, needlessly raises costs for healthcare providers and jeopardizes patient care.” Beginning Oct. 1, Cigna’s new Evaluation and Management Coding Accuracy…
