The Latest - Page 26 of 1554 - Becker's Payer Issues

Flexing to Your Org: Building the Business Case for Workforce Investment

The business case for workforce investment doesn’t look the same in every organization — and it shouldn’t. In some rooms, the win is stakeholder buy-in. In others, it’s proving you can keep momentum and morale through disruption. And sometimes, it’s…

Sep 22, 2026 11:00 AM - 12:00 PM CDT

Presented by:

Presenters:

Wendy Jolly, Vice President, Total Rewards & Team Member Experience, Inova Health System
Hanna Patterson, Senior Vice President, Guild
Nahiem Rodriguez, Director of Learning and Talent Development, Main Line Health
Spencer Clancy, System Director, Talent Development & Culture, CHRISTUS Health

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BCBS Kansas City exec named CFO at NAIC

The National Association of Insurance Commissioners has named Jeff Ahlers as CFO. Mr. Ahlers was previously vice president of finance and corporate controller at Blue Cross and Blue Shield of Kansas City. The National Association of Insurance Commissioners develops model…

As ACA enrollment declines, misleading marketing of short-term plans surges: Study

Consumers searching for health coverage online are being aggressively routed toward limited benefit products and away from ACA marketplace plans, according to a secret shopper study from Georgetown University published Aug. 13. The study comes as marketplace enrollment has declined…

Oregon to launch state-based ACA exchange

Oregon has received approval from CMS to launch a state-run ACA marketplace starting Nov. 1. The new platform, Explore Health, will let Oregon residents shop for ACA plans, check subsidy eligibility and enroll in coverage directly through the state rather…

Advancing the Stroke Continuum: Building a Framework for an Integrated Stroke System of Care

Stroke care is a journey, not a single episode. Creating an effective stroke system requires a coordinated, patient-centered approach that spans the entire continuum of stroke care, from prevention and early recognition through emergency response, acute treatment, rehabilitation, recovery, and…

Sep 28, 2026 12:00 PM - 1:00 PM CDT

Presented by:

Presenters:

Cathie Abrahamsen, RN, MSN, Executive Director of Stroke Certification Services, DNV Healthcare
MaryJo Barnett, RN, MSN, CRRN, Program Director of the Inpatient Rehabilitation Facility, HCA Florida West Marion Hospital
Neda Mitova-Caneva, PT, MPT, GCS, Therapy Director, West Marion IRF

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Compliant vs. validated: What healthcare IT leaders should know before trusting their encryption

Health systems process enormous volumes of protected health information every day, which makes every facility a high-value target. Most IT teams already treat encryption as a baseline defense. Fewer can prove the encryption they rely on actually works as promised.…

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Hidden revenue loss starts with one decision: Observation or inpatient

Hospitals lose millions of dollars each year to decisions made before a patient is ever discharged. The most consequential is often the first: whether to classify a patient as observation or inpatient — a single choice that can alter reimbursement…

Sep 22, 2026 1:00 PM - 2:00 PM CDT

Presented by:

Presenters:

Adam Milne, SVP of Strategic Advisory Services, CorroHealth
Kathy DeVault, MSL, RHIA, CCS, CCS-P, FAHIMA, System Director of Health Information Management, Bozeman Health
Eric Shelov, MD MBI, Associate Chief Health Informatics Officer, Inpatient, Children’s Hospital of Philadelphia
Patricia Plair, Vice President and Chief Financial Officer - Jackson Memorial Campus, Jackson Memorial Hospital
Pradeep V. Kadambi, MD, MBA, Vice President and Chief Medical Officer, Upper Valley Medical Center, Premier Health

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The AI jobs health insurers are looking to fill right now

AI, machine learning and data science roles accounted for 49,200 job postings in 2025, up 163% from the previous year, according to professional recruiting firm Robert Half’s recent “Demand for Skilled Talent” report. Like other industries, health insurance has been…

Health insurer CEO: 'Make prior authorization illegal'

Earlier this year, health insurance plans covering seniors, low-income people and ACA marketplace enrollees were required to officially begin publicly sharing how often they deny prior authorization requests, and how often those denials are overturned after they’re appealed. And although…

Cigna named in addiction treatment providers' lawsuit claiming $12.8M underpayment

Ten California addiction providers filed a lawsuit against Cigna on Aug. 19, claiming the insurer shortchanged them by $12.8 million. The lawsuit spans March 1, 2022, through March 15, 2026. Before 2015, Cigna would pay billed charges in full or…