Manual prior authorizations are slowing ASCs down — and the cost goes beyond time. The 2024 CAQH Index puts the average auth request at 24 minutes by phone, fax or email. For many centers, that means delayed procedures, revenue loss…
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Millions of Americans suffer from movement disorders like essential tremor and Parkinson’s disease. However, patients often forgo treatment options due to the invasiveness and associated risks of some available procedures. Recognizing a critical unmet need in patient care, Oregon Health…
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Humana is ramping up its efforts to reform the prior authorization process with a set of new policies that will reduce volumes for providers, speed up decisions, and increase transparency. Becker’s sat down with Caraline Coats, senior vice president for…
UnitedHealth Group is complying with criminal and civil investigations into its Medicare Advantage business, the company said in a July 24 regulatory filing. The disclosure comes after The Wall Street Journal reported in May that the Justice Department has been…
Molina Healthcare reported a 15% decline in net income year over year, according to the company’s second quarter earnings posted July 23. Total revenue in the second quarter was $11.4 billion, up 16% year over year. Total net income in…
Rising labor costs and staffing shortages have made workforce management a top priority for hospitals and health systems nationwide. But not all MSP models are created equal. Agency-led solutions can come with inherent conflicts of interest—placing the vendor’s priorities ahead…
Sep 3, 2025 12:00 PM - 1:00 PM America/Chicago
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Presenters
Darleen Souza
Sr. Vice President & Chief Human Resources Officer - South Shore Health – Weymouth, MA
Jeff Niles
Chief Revenue Officer – HWL
Laurie DiMarzio
Sr. Vice President of Client Services – HWL
Providers are winning the majority of independent dispute resolution cases under the No Surprises Act, but recent court rulings have limited enforcement of awards and new lawsuits allege providers are misusing the IDR process for financial gain. The NSA was…
The Complex Wound Challenge Complex wounds represent a growing challenge to the healthcare community. As patients age and develop an increasing number of comorbidities, including diabetes and obesity, they are more prone to developing wounds and to experiencing longer, more complex…
Payer leaders need a flexible mindset, data know-how and big-picture thinking to succeed in 2025, according to more than a dozen executives. Becker’s reached out to 17 executives to learn what underrated skills set the best leaders apart. Like what…
Every minute, an emergency department somewhere in the U.S. is forced to turn away an ambulance. These incidents are not created by clinical limitations. They occur because of gridlocked hospital capacity, with more than 90% of hospitals reporting boarding ED…
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