Medicare Advantage insurers made almost 53 million prior authorization decisions in 2024, according to a Jan. 28 KFF analysis. KFF relied on insurer data reported to CMS, focusing on service determinations, not claims determinations for services already provided. Withdrawn and…
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Needlestick injuries remain a persistent and underreported risk across healthcare settings, exposing clinicians and staff to serious bloodborne pathogens while undermining safety culture.About 385,000 needlestick and sharps-related injuries occur each year in the U.S., according to the CDC. Despite longstanding…
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Modernizing IT in rural healthcare isn’t easy. Tight budgets, difficulty attracting and retaining skilled talent, and escalating cyber risks make it hard for rural hospitals to move beyond day-to-day survival. This webinar examines how rural hospitals can modernize IT without…
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Presenters
Phil Sobol
CCO, CereCore
Chris Riha
Principal Consultant, CereCore
For health systems under pressure to improve throughput and control costs, language access is an often overlooked lever. Interpreter services touch nearly every stage of care, yet they are frequently managed outside core workflows. When access is slow, inconsistent or…
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A Kentucky bill introduced Jan. 21 would require the state’s insurers to offer prior authorization exemptions in the state. The bill has bipartisan backing and includes two Republican healthcare professionals — state Reps. Kimberly Moser and Robert Duvall — as…
Over the past week, health insurers have drawn the ire of lawmakers on both sides of the aisle and seen their collective stock prices drop by nearly $100 billion following unfavorable Medicare Advantage news from CMS. All this while millions…
The House passed a bipartisan healthcare funding package Jan. 22. The most recent version includes a provision addressing Medicare coverage for multi-cancer early detection screenings. The bill is now in the Senate’s hands. If it passes, Medicare beneficiaries would also…
In fall of 2025, a multidisciplinary group of healthcare experts came together in a virtual roundtable discussion to address how current trends in practice and the greater industry affect both patients and providers. Their core insights are presented here as…
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Even large, market-leading community health systems often face challenges expanding advanced neuroscience care without the infrastructure of academic medical centers. That gap leaves patients traveling long distances for treatment and health systems missing opportunities to grow high-demand specialty services, strengthen…
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Picture a front end where coverage drops are caught early, authorizations are not missed and manual rework no longer creates downstream financial risk. This 2026 playbook shows how health systems, including Premier Health, are moving closer to that reality by…
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