The Latest - Page 211 of 1588 - Becker's Payer Issues

Why CFO–CPO alignment is critical: Insights from Dartmouth Health

As pharmacy plays an increasingly central role in both patient care and financial performance, alignment between the CFO and chief pharmacy officer is becoming non-negotiable for many health systems. Stronger collaboration between finance and pharmacy leaders can help organizations better…

Mar 30, 2026 12:00 PM - 1:00 PM CDT

Presented by:

Presenters:

Keith Thomasset, Chief Pharmacy Officer, Dartmouth Health
Wendy Fielding, Chief Financial Officer, Dartmouth Health
Dave Hager, SVP Client Success, Visante

Register

Beyond the contract: The operational keys to protecting ASC margins

Contract terms matter. But execution across eligibility, authorization, documentation and follow-up often determines whether revenue is protected or lost. In this session, leaders walk through the payer strategies and operational disciplines high-performing ASCs use to safeguard reimbursement. Through structured scenarios…

Mar 30, 2026 12:00 PM - 1:00 PM CDT

Presented by:

Presenter:

Scott Allen, Senior Vice President, Managed Care Contracting, nimble solutions

Register

How Baptist Health cut ED boarding by 525 patients per month

Hospital leaders do not need more dashboards. They need operations that respond in real time. In this webinar, Cody Walker, RN, president of Baptist Health Medical Center–North Little Rock, shares how Baptist Health Arkansas redesigned its approach to patient flow…

On Demand

Presented by:

Presenter:

Cody Walker, President of Baptist Health Medical Center–North Little Rock

Register

Benefits coverage for no-premium Medicare Advantage plans could drop 50% under 2027 proposed rate: AHIP

Medicare Advantage plans looking to maintain no-premium models could face 50% cuts to supplemental benefits and $1,000 more in older adults’ cost exposure in 2027, according to February reports commissioned by health insurance trade association AHIP. Wakely Consulting Group conducted…

Aetna fined $550K in Pennsylvania for mental health parity violations

Pennsylvania issued Aetna a $550,000 fine following a market conduct exam that found violations in mental health parity laws, according to a March 3 news release. The Pennsylvania Insurance Department reviewed Aetna’s activity from Oct. 1, 2021, through Dec. 31,…

Managed Medicaid goes from profit center to loss leader: 7 notes

Managed Medicaid plans have gone from above-target profit margins during the pandemic-era enrollment boom to aggregate underwriting losses, with early 2025 data suggesting the losses aren’t slowing, according to a February analysis from Wakely. The consulting group analyzed MCO financial…

BCBS Vermont reports $63.3M in profit for 2025

BCBS Vermont posted a net income of $63.3 million in 2025, along with an underwriting gain of $47.3 million, the insurer confirmed to Becker’s. The insurer reported a $53 million operating gain and a 2.7% operating margin for 2025, according…

BCBS Michigan posts $246 million loss in 2025

Blue Cross Blue Shield of Michigan reported a net loss of $246 million on enterprise revenue of $43.3 billion in 2025, up from its $1.02 billion loss on $40.6 billion in revenue in 2024. For 2025, the company posted an…

Why Ascendiun's CEO is kicking off a healthcare reform movement

Blue Shield of California nonprofit parent company Ascendiun launched a national healthcare reform movement focused on value-based care, cost and tech advancement — and is calling on the government to help — according to a news release. The campaign, called…

2026 Healthcare M&A Report: Inside the forces shaping healthcare consolidation

Healthcare organizations entered 2025 under persistent labor costs, reimbursement volatility and regulatory uncertainty. Deal volume remained below historical highs. Hospital margins were uneven. Nearly half of announced hospital transactions involved financial distress. At the same time, outpatient migration accelerated. Ambulatory…

Presented by:

Download