Health systems complete more than 43 prior authorizations (PA) per physician each week, a 12-hour paper trail that delays care and drains staff time. By 2030, federal policy, payer requirements and maturing AI tools will reshape how organizations manage PA.…
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Centene is putting its money where its mouth is when it comes to individual coverage health reimbursement arrangements. The managed care giant is transitioning more than 700 Indiana-based employees to ICHRA in 2026, becoming one of the most notable endorsements…
More and more payers and employers have been getting on board with surgical alternatives to GLP-1s for weight loss. A 2024 survey found most employer-sponsored plans covered these procedures, and covering GLP-1s for diabetes and obesity was much less likely.…
Independent Health plans to join fellow nonprofit insurer MVP Health Care, according to a Nov. 18 news release. Together, the organizations would encompass more than 1 million members, $7 billion in annual revenue and more than 3,000 employees. “Joining the…
As multi-specialty physician organizations expand, payer rules, documentation demands and system fragmentation multiply faster than teams can keep up. Even well-run groups see claims slow down — not because of bad billing, but because most denials start before the visit.…
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The 2026 Medicare Physician Fee Schedule introduces pivotal changes that will significantly reshape reimbursement models for radiology, including two new conversion factors, efficiency adjustments and revised practice-expense calculations. Without a clear strategy, imaging centers risk being blindsided by reduced margins…
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Nancy Walker
Vice President of Global Operations, Coronis Health
Emergency department clinicians regularly deliver critical care but too often, it goes undocumented and unbilled. The result? Underreported care, lost revenue and mounting compliance risk. Join this conversation to learn how health systems are closing the gap between care delivered…
Presented by:
Jeannie Dean
Senior Emergency Medicine RCM Educator, Coronis Health
Cincinnati-based Bon Secours Mercy Health reached an agreement with Humana to remain in network with the insurer Nov. 17, according to both the insurer and health system. “Humana and Bon Secours Mercy Health have agreed upon terms that will preserve…
Budget cuts, identity fraud, and adversarial AI are putting critical security functions like verification at risk. But as regulations tighten and fraud becomes more sophisticated, getting it wrong has real consequences. Manual verification, weak authentication, and account recovery vulnerabilities are…
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Presented by:
Swaroop Dhulpet
Cyber Identity & Access Management Director, PwC
Louise Watson
Sr. Product and Solutions Marketing Manager, Ping Identity
AI continues to hold promise for transforming healthcare operations, but realizing that potential requires more than plug-and-play solutions. In a featured session at Becker’s Fall 2025 Payer Issues Roundtable, leaders from Raport and Precision Medicine Diagnostic Partners explored what it…
