The Trump administration has finalized an overhaul of the No Surprises Act’s independent dispute resolution process, establishing a centralized disputes gateway, creating a new federal payer registry, and reducing administrative fees. The final rule, issued jointly by HHS, the Labor…
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Phoenix-based Banner Health, a 33-hospital system, reported an operating income of $180 million (4.4% margin) in the first quarter of 2026, up from a $142 million operating gain (3.6% margin) in the same period last year, according to financial documents…
Operations leaders see the promise of AI in credentialing — faster onboarding, lower administrative burden, accelerated time to revenue. They also see the risk: AI doesn’t absorb liability. Healthcare organizations do. NCQA standards still require human oversight for committee review,…
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Health plans that aren’t built around provider networks will be allowed on the ACA individual marketplace beginning in 2028, marking a structural change to a system that has operated exclusively on network-based models since the ACA launched more than a…
Cancer care now stretches beyond the four walls of the hospital. Patients want infusions closer to home. Multi-state systems are balancing enterprise consistency with local nuance. Coordination across settings is becoming the make-or-break capability. This editorial briefing captures the forces…
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Forty-five Blue Cross Blue Shield of North Dakota employees will leave the company as it integrates with Cambia Health Solutions, a Cambia spokesperson confirmed to Becker’s May 27. The spokesperson said the organizations are prioritizing “unified, cross-market teams.” The cuts…
Blue Cross Blue Shield of Michigan and Ann Arbor-based Michigan Medicine have formed “a new, long-term contract,” according to a joint statement the organizations shared with Becker’s May 27. The insurer and health system originally had until July 1 to…
While HIV prevention continues to be a public health priority, it has often been siloed in specialty settings and inconsistently measured from a quality lens. Health systems that have embedded pre-exposure prophylaxis (PrEP) into primary care are seeing a different…
Jul 7, 2026 12:00 PM - 1:00 PM CDT
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Presenters:
- Mitchell Caponi, MPH
- Indira Brar, MD, FIDSA
- Patrick Cahill, MD
- Crystal Curtis
Health plans are navigating rising medical costs, intensifying regulatory demands, margin pressure, evolving member expectations, and growing operational complexity, all while being expected to improve outcomes, affordability, and experience. These challenges and expectations are resulting in leaders asking: How do…
A Texas federal court has dismissed a Blue Cross and Blue Shield of Texas lawsuit against independent dispute resolution company HaloMD. The lawsuit, filed in 2025, alleged HaloMD, which focuses on the provider side of IDR disputes, formed a scheme…