The Latest - Page 269 of 1588 - Becker's Payer Issues

HEDIS relief is possible — How health plans can finally take a breath

HEDIS season shouldn’t require all-hands-on-deck for months at a time — yet many health plans report rising burnout, staffing strain and mounting pressure to hit quality targets with fewer resources. Leaders need a way to stay ahead of deadlines without…

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Presented by:

Presenters:

Kin Lai, Senior Product Manager, Payer, Inovalon
Mark Paddock, Senior Director, Professional Services, Inovalon

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5 health insurers named among best IT workplaces

Computerworld’s 32nd report on the top places to work in IT featured five health payers. The Dec. 9 list relied on a survey from Computerworld publisher Foundry and included a breakdown by company size and areas of strength. Of the…

From repetitive to real-time: AI that lightens the back-office load

While clinical AI gets the spotlight, back-office operations are quietly being reshaped by automation, data intelligence and workflow tools that ease burdens across finance, HR, administration and more. The result? Leading health systems are improving efficiency, reducing burnout and building…

Jan 22, 2026 12:00 PM - 1:00 PM CST

Presented by:

Presenters:

Joanna White, Lead Healthcare Solutions Executive, Infor
Clif Gaus, Senior Manager, Technology and Innovation, Infor

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Elevating a consumer-centered, whole health experience

A healthcare experience that offers an integrated, holistic approach is more critical than ever. It transcends traditional healthcare approaches by emphasizing the importance of putting the patient at the center and treating them as a whole person, rather than looking…

UAMS’ AI playbook for capacity lift & fewer cancellations

Manual, fragmented pre-admission testing strains perioperative teams and the operating room. Phone tag for histories, missing documents and late risk discovery all drive day-of-surgery delays, idle rooms and staff burnout. Leaders need a faster, more reliable way to prepare patients…

Jan 21, 2026 1:00 PM - 2:00 PM CST

Presented by:

Presenters:

Tammy Jones, PhD, RN, NE-BC, Chief Nursing Officer / Associate Vice Chancellor for Patient Care Services & Clinical Operations, UAMS
Alvin Stewart, MD, Medical Director, Urology Center / Epic Anesthesia Operational Lead / Anesthesiologist, UAMS
Andrew Fisher, MD, Co-Medical Director, Perioperative Care Coordination, Qventus Assistant Professor, Anesthesiology, Medical University of South Carolina

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'What if we could eliminate prior authorizations?': Why this payer CEO says it's possible

Evry Health CEO and co-founder Chris Gay thinks the health insurance industry could eliminate prior authorizations entirely, but only if providers meet insurers halfway. On the Becker’s Payer Issues podcast, he spoke about the technology and business model problems fueling…

Providers overwhelmingly win 'No Surprises' disputes: Study

Providers win about 80% of “No Surprises Act” cases that reach arbitration, according to Elevance Health Public Policy Institute research published Dec. 10 in Inquiry: The Journal of Health Care Organization, Provision and Financing. Researchers reviewed Elevance Health’s 2023 dispute…

AMA: 97% of health insurance markets are highly concentrated

Commercial health insurance markets are continuing to become more concentrated, according to the AMA’s 2025 “Competition in health insurance” report published Dec. 16. The 24th annual report analyzed insurer market concentration across 384 metropolitan areas and all 50 states and…

Legislator council embraces prior authorization reform law

The National Council of Insurance Legislators adopted the Prior Authorization Reform Model Act sponsored by a Mississippi state senator at the group’s annual meeting. “The model will protect the provider-patient relationship from unnecessary third-party interference, prevent programs from hindering the…

Senate Democrats offer bill to quash Medicare prior authorization pilot

U.S. Democratic Sens. Patty Murray of Washington, Ron Wyden of Oregon and Kirsten Gillibrand of New York introduced a bill that would block the CMS Wasteful and Inappropriate Service Reduction model. The six-year WISeR pilot, set to kick off next…