AHIP’s board of directors has elected Humana President and CEO Jim Rechtin as board chair effective Jan. 1. Mr. Rechtin succeeds Pat Geraghty, who announced his retirement after leading GuideWell and Florida Blue for 14 years. AHIP also named Patrick…
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Hospitals are navigating historic cost and workforce pressures, and the revenue cycle is under the microscope. More CFOs are moving from a patchwork of vendors to accountable, end-to-end partnerships to protect margin, stabilize cash and reduce operational risk. This report…
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Reimbursement is uncertain, denials are up and high-deductible health plans mean more financial risk is falling on patients. These headwinds are forcing CFOs to re-evaluate an overlooked lever: the patient financial experience. Read more about how CFOs and COOs from…
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Humana’s Louisiana business received at least $10.5 million in Medicare Advantage overpayments in 2017 and 2018, according to an audit report from HHS’ Office of Inspector General. The audit, published in December, reviewed high-risk diagnosis codes including acute stroke, acute…
Digital identity wallet service ID.me entered into a contract with CMS, with rollouts to improve secured access and user experience coming to Medicare.gov in early 2026. ID.me will act as an identity verification and sign-in option for the website. User…
OR inefficiencies are a known drain on resources — but many hospitals still struggle to drive sustainable change. In this live panel, physician executives from WakeMed, Lee Health and Cone Health share what it really takes to transform surgical services…
Presented by:
- Matthew Tsuei, MD, President, Central Carolina Surgery, A Duke Health Practice; Former Chair, Cone Health iQueue Committee
- Charles Harr, MD, MBA, Chief Medical Officer, WakeMed
The Michigan Department of Health and Human Services is seeking bids from organizations interested in serving as the state’s pharmacy benefit administrator. The state’s pharmacy programs provide prescription drug coverage for Medicaid beneficiaries and related health programs, along with pharmacy…
Throughout the year, Becker’s touched base with a handful of Elevance Health leaders — including multiple C-suite executives, a clinical lead and a research VP — to get a pulse on the company’s priorities. They discussed AI, doulas and the…
As 2026 approaches, practices face growing pressure on all sides — from tighter reimbursements and unpredictable payer behavior to increasing patient affordability challenges and rapid shifts in technology. This webinar will break down key findings from a 2026 revenue cycle…
Presented by:
- Darshan Patel, President, Emergency Medicine and Hospital Medicine, Ventra Health
- Sarah Herzog, President, Anesthesia and Radiology, Ventra Health
CMS tracked the percentage of Medicare beneficiaries using various preventative services in the year leading up to fall 2024. The agency collects this data every two years. For 2024, CMS gathered data on the use of seven preventative services. Compared…
