The Latest - Page 174 of 1587 - Becker's Payer Issues

AI-embedded EHR: A practical path to outpatient efficiency

Ambulatory organizations are under pressure to reduce administrative burden, improve clinician satisfaction and deliver a more consistent patient experience — all without compromising security or trust. The answer isn’t another bolt-on tool. It’s AI built directly into the EHR workflows…

May 27, 2026 11:00 AM - 12:00 PM CDT

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Presenters:

Amy Willson, RN, Senior Director, Oracle Health
Matt Patterson, Senior Director, Oracle Health
Camille Cseri, PA, Physician Assistant and Sales Consultant, Oracle Health

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54% of older adults feel fulfilled: Humana's CenterWell

CenterWell — Humana’s healthcare services branch for older adults — introduced its fulfillment index, a measure to evaluate well-being as individuals age, according to an April 20 news release. CenterWell fulfillment index study data determined 54% of adults over age…

Oscar names board chair

Oscar Health appointed independent director Siddhartha Sankaran as board chair, according to an April 21 news release. Mr. Sankaran’s role will be effective June 4. He will follow Jeffery Boyd, who has served as chair since February 2021 and is…

How Texas Health + others are reenvisioning behavioral health care

Demand for behavioral health services is rising rapidly, but workforce capacity is not keeping pace. Health systems are seeing the downstream effects: strained emergency departments, fragmented care and patients falling through gaps during critical transitions. Traditional, episodic models are no…

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Digitally connecting care beyond the hospital for cost savings

As care delivery expands beyond the hospital into outpatient, home and community settings, financial performance increasingly depends on how well executive leaders align. Health systems can no longer manage non-acute expansion in silos. Scaling care across sites now requires the…

On Demand

Presented by:

Presenters:

Dr. Jimmy Chung
Will Bryant
Tom Harvieux
Ryan Rotar

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UnitedHealth Group reports $6.2B+ Q1 profit: 9 notes

UnitedHealth Group posted $6.28 billion in profit for the first quarter of 2026, dipping slightly compared to the same period last year. The company released first-quarter earnings April 21, raising the full-year outlook to more than $17.35 per share and…

Behavioral Health: The Next Frontier for Payment Integrity

Behavioral health claims have long operated outside the scope of traditional payment integrity programs. As volume increases, and error rates can approach 50 percent, this gap is becoming harder to ignore. At the same time, parity enforcement is intensifying, creating…

May 18, 2026 11:00 AM - 12:00 PM CDT

Presented by:

Presenters:

Lisa Pincher, MSN, RN, PHN, VP of Operations, Machinify
Darshak Sanghavi, MD, Chief Medical Officer, Machinify
Tina Azar, Chief of Staff, Sales Enablement, Machinify

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Ambulatory control: How leaders can optimize physician operations for sustainable health system growth

Outpatient revenue is growing at nearly twice the rate of inpatient — yet in many health systems, ambulatory operations remain fragmented and disconnected from health system strategy. The result: referral leakage, blocked demand, provider burnout and budgets built on assumptions…

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UnitedHealthcare pares back prior authorizations, speeds up payments for rural providers

UnitedHealthcare is expanding rural healthcare initiatives to cover the entire U.S., according to an April 20 news release shared with Becker’s. These efforts include accelerating payments by up to 50% for roughly 1,500 hospitals and all critical access hospitals, reducing…

How Jefferson Health is coping with GLP-1 pressures in insurance coverage

Philadelphia-based Jefferson Health and its insurer arm, Jefferson Health Plans, are reckoning with GLP-1 costs for its members and 65,000 employees. “Many insurers, including Medicaid programs in Pennsylvania and elsewhere, have been forced to restrict or discontinue coverage due to…