The Latest - Page 149 of 1587 - Becker's Payer Issues

How three organizations cut patient leakage with agentic AI

Every day, provider organizations lose patients they never realize they’ve missed. Patients with open referrals, overdue preventive care, unrebooked no-shows and unresolved balances often fall out of the system entirely. Staff shortages and fragmented workflows make proactive outreach difficult to…

Jun 16, 2026 12:00 PM - 1:00 PM CDT

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Presenters:

Jon Wang
Sam Walters
Parinita Amin, MD

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SCAN's chief growth officer departs

SCAN Health Plan’s chief growth officer, Michael Blea, is leaving his role, according to a May 18 LinkedIn post. Mr. Blea said he has spent more than three decades in Medicare sales. According to Mr. Blea’s LinkedIn profile, he joined…

Optum Financial taps Mayo Clinic alum as COO

Matt Settergren joined Optum Financial, a financial services provider that focuses on consumer health accounts, as COO, according to a May LinkedIn post. Mr. Settergren’s most recent role was at financial services firm Wealth Enhancement. Previously, he worked in strategy…

Closing the Gap Between Workplace Violence Prevention Programs and Frontline Reality

Workplace violence prevention (WPV) has become a priority across healthcare, with organizations investing in committees, reporting processes, and formal programs. Yet despite this progress, many efforts focus solely on physical skills, without addressing staff readiness. Inconsistent adoption, competing priorities, and…

Jun 18, 2026 12:00 PM - 1:00 PM CDT

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Presenters:

Susan Driscoll
Don Krohn
Gina Skjerseth

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How Emplify Health by Gundersen Aligned Surgical Asset Spending with Long-term Growth

Sterile processing departments and operating rooms often hit a breaking point before real change occurs. Emplify Health by Gundersen acted earlier. Leaders identified early warning signs that threatened surgical throughput and long-term expansion. Instead of turning to short-term fixes, the…

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Leah Schild
Jennifer Greisen

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Medicare and Medicaid Payment Integrity Shifts: Headlines vs Real-world Impact

As Medicare and Medicaid oversight intensifies, health plans are navigating a more complex landscape where policy ambiguity, state variability, and heightened enforcement are exposing gaps between intent and execution. Prepay strategies are gaining momentum as they prevent avoidable spend before…

Jun 29, 2026 11:00 AM - 12:00 PM CDT

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Presenters:

Cereasa Horner
Kevin J. Malone
Philo D. Hall

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Average ACA deductible increases 37% in 2026: KFF

The average ACA deductible has jumped 37%, an increase of more than $1,000 per person, from 2025 to 2026, according to a KFF analysis published May 19. The analysis pulls from CMS and state open enrollment reports, along with KFF…

Maryland caps Ozempic prices for state, local government employee plans

Maryland’s Prescription Drug Affordability Board has voted to place an upper payment limit on Ozempic for state and local government health plans, a first for the nation, and a move supporters said could save about $5.8 million annually. The board…

Medicare members lack digital health literacy: CVS study

Older adults are interested in using digital tools to manage their healthcare but often lack the technological wherewithal to do so, CVS Health found. Here are four things to know from CVS’ May 18 research report, which included ethnographic studies,…

Private insurance prices for hospital care grew 47% faster than Medicare rates since 2019: 5 notes

Private insurance prices for hospital care grew 47% more quickly than Medicare rates over seven years, KFF reported May 18. Healthcare costs are a top concern for systems, patients and lawmakers, and prices vary across regions and hospitals and payers…