James Brown, Montana state auditor and commissioner of securities and insurance, launched an investigation into Blue Cross and Blue Shield of Montana, a subsidiary of Health Care Service Corp., after a data breach that may have affected up to 462,000…
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Abridge is now trusted by 200+ health systems to deliver results for clinicians, patients, and clinical and operational teams. While value is immediately evident from rapid adoption and positive clinician feedback after deployment of Abridge, discerning CMIOs, CIOs, and CFOs…
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Coverage for drugs recently approved by the FDA can take months to solidify, according to the Institute for Clinical and Economic Review’s “Launch Price and Access Report,” published Oct. 23. Researchers reviewed 24 drugs from Boston-based Tufts Medical Center’s specialty…
Molina Healthcare reported a 72% decline in net income for the third quarter and has reduced its adjusted annual earnings guidance for the third time this year to $14 a share as the company faces rising costs in its marketplace…
CMS Administrator Mehmet Oz, MD, told FOX 5 Atlanta that the government shutdown is not affecting Medicare open enrollment. “The shutdown is a problem for lots of parts of government but not for [Medicare] open enrollment,” he said. “Medicare is…
CMS mandates for interoperability, patient access and prior authorization — CMS-9115-F and CMS-0057-F — are fundamentally changing how payers and providers must share data, with enforcement deadlines extending into 2026. The good news: Compliance doesn’t necessarily require ripping and replacing…
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Joerg Schwarz
Senior Director for Healthcare Interoperability Solutions and Strategy, Infor
Chris Smith, MS
Enterprise Architect, Mississippi Division of Medicaid
The high cost of GLP-1 drugs have thrown a curveball at payer strategy. Employers providing health insurance are also grappling with the fallout. From January to July, Davis Research interviewed business owners and human resource and benefits managers at 1,862…
Los Angeles-based Cedars-Sinai and Anthem Blue Cross of California are extending their contract until Jan. 1, 2030, the health system said in a news release shared with Becker’s. More than 230,000 Anthem members will stay in network under the multiyear…
While best known for our healthcare technology, InterSystems is a global leader in interoperability across multiple industries. One goal common to all of them is achieving the level data liquidity needed to unlock simultaneous breakthroughs in quality and efficiency. However,…
In 2025, the average annual premium for family health insurance reached $26,993, according to KFF’s employer health benefits survey. From January to July, Davis Research interviewed business owners and human resource and benefits managers at 1,862 firms for the survey.…