Urology practices face a perfect storm: high volumes of complex claims, constant CPT updates and limited staff to keep up. Missed codes, mounting denials and longer payment cycles keep teams stuck in reactive, manual processes. Join this conversation to unpack…
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The Cigna Group has named Eva Borden as chief product officer for its commercial insurance business. Ms. Borden has been with the company since 1999 and has served in a variety of leadership roles. She was named president of behavioral…
A federal judge has vacated a CMS rule that would have allowed the agency to claw back billions of dollars in alleged Medicare Advantage overpayments, siding with Humana in a closely watched legal battle. On Sept. 25, the U.S. District…
Disconnected platforms. Manual billing. Delayed collections. For DSOs and dental practices, fragmented tech isn’t just inefficient — it’s a growing threat to financial performance and care access. This live session unpacks how dental leaders are reducing friction across revenue systems,…
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Amid financial pressures and resource constraints, slow EHR evaluation processes like mandated order set reviews can stall improvements and inflate spend. Health system leaders must collaborate to make faster, data-driven decisions. At MultiCare Health System, a $6B nonprofit with…
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Inefficient utilization management has long slowed care, drained staff time and fueled friction between health systems and payers. Providence is proving there’s a better way. By integrating artificial intelligence and automation into concurrent authorization processes, Providence reduced manual work, improved…
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Improving patient outcomes while curbing healthcare costs remains a shared imperative for both payers and providers. Yet achieving this balance requires more than isolated initiatives — it calls for systemic strategies that bring care coordination, quality measurement and population health…
Regional, nonprofit health plans are falling behind large national insurers, with 71% recording an operating loss in 2024 and more than half having two years or less before regulatory intervention is triggered, according to a Sept. 24 report from HealthScape…
Cancer care is at a turning point. Rapid therapeutic innovation, shifting demographics, and growing financial pressures are reshaping the oncology landscape—and payers are under increasing pressure to adapt. In a recent Becker’s Healthcare webinar, three physician-leaders discussed the latest developments…
On Sept. 25, Georgia Gov. Brian Kemp shared how CMS extended the state’s Pathways to Coverage program through 2026, despite a recent finding from the U.S. Government Accountability Office that the Medicaid work requirement program had spent over twice as…
