The Labor Department’s Employee Benefits Security Administration proposed regulation Jan. 29 that would require pharmacy benefit managers to disclose their compensation with self-insured group health plans. Under the rule, PBMs would have to share information on their rebates and other…
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A federal judge has ruled that Luigi Mangione will not face the death penalty in the federal case stemming from the killing of UnitedHealthcare CEO Brian Thompson. On Jan. 30, U.S. District Judge Margaret Garnett dismissed two of the four…
Health systems are expected to improve outcomes, reduce disparities and manage chronic disease all while absorbing rising costs and tighter reimbursement. Leaders from health systems across the country are finding ways to align mission with margin through stronger collaborations, smarter…
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Cyberattacks and system outages are no longer rare events. For healthcare organizations, they are recurring threats that interrupt care, strain staff and ultimately undermine patient safety. This report draws on the perspectives of clinical informatics and technology leaders to explore…
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CMS has issued a final rule that will end states’ ability to levy provider taxes to generate additional federal Medicaid matching funds, a financing mechanism the agency characterized as a “loophole.” The rule, effective April 3, implements changes included in…
Inpatient care represents a small share of encounters but drives outsized costs, eroding margins and putting pressure on both patients and health systems. By empowering physicians with in-workflow decision support and a shared framework for clinical value, the organization drove…
On Demand
Presented by:
Presenters:
- Susan Hughes, Vice President Case Management, Ardent
- Mukul Mehra, Senior Physician Executive CDS, Premier’s Stanson Health
Payer-provider dynamics have been a persistent struggle in healthcare, particularly evident in heated contract negotiations. AI — such as clinicians using scribes associated with greater coding intensity and insurers harnessing AI platforms to authenticate claims and assist with prior authorization…
Becker’s connected with 17 health plan leaders to learn how their organizations are shifting their priorities in response to continued medical cost trends and affordability concerns. Like what you see here? Join us at the Spring Payer Issues Roundtable in Chicago.…
Enhanced ACA premium tax credits expired Dec. 31, leaving millions of marketplace enrollees facing higher premiums in 2026. A bipartisan group of senators continues negotiating, and Republicans are preparing a “best and final” offer on a two-year extension with income…
Primary care is entering a pivotal moment of evolution. Persistent workforce shortages, rising costs, and uneven access, felt most acutely in rural and underserved communities continue to be significant challenges driving the need to make a change. According to the…
Mar 3, 2026 1:00 PM - 2:00 PM CST
Presented by:
Presenters:
- David Carmouche, MD, Executive Vice President & Chief Clinical Transformation Officer - Lumeris
- Anagha Vyas, Vice President of Artificial Intelligence - Lumeris