The Latest - Page 369 of 1590 - Becker's Payer Issues

Solving the Ghost Network Problem: Strategies for Directory Accuracy & Compliance

CMS is raising the bar on provider directory accuracy. For payers, that means more than quarterly updates — it means demonstrating that your network is real, accessible and audit-ready. Ghost networks remain one of the biggest threats to both member…

Oct 16, 2025 11:00 AM - 12:00 PM CDT

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Presenters:

Chris Nolan, Director, Payer Solutions, HealthLink Dimensions
Kimberly Rogers, MBA, RN, Vice President Provider Network and Relations, Peak Health
William Britton, Vice President of Technology, NCD
Michael Kane, Senior Vice President, Provider Data Operations, UnitedHealthcare

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Tiny voices, big complexity: 8 Children’s hospitals find AI that gets the stakes from day one

Children’s hospitals face unique challenges in care delivery, as young patients are often unable to articulate symptoms fully, creating barriers for immediate treatment. Traditional adult-centric technologies often underperform in these dynamic environments, leaving potential improvements unrealized. Increasing dependence on inefficient…

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Centene CEO details the 3 things shifting the ACA risk pool

On July 25, Centene’s CEO Sarah London detailed three key dynamics affecting the ACA risk pool this year after the company posted a $253 million loss in the second quarter. The morbidity of the ACA market in some states has…

Molina CFO: 'A lot of errors' in Medicaid, ACA duplicative enrollment estimates

In July, CMS said it identified a possible 2.8 million Americans that have enrolled in Medicaid or CHIP in multiple states or have simultaneously enrolled in both Medicaid/CHIP and a subsidized ACA plan, a figure that one insurer is questioning. …

Cigna sets quarterly dividend

The Cigna Group’s board of directors has declared a $1.51 per share cash dividend to be paid Sept. 18. The dividend will be paid to shareholders of record as of the close of business Sept. 4, according to a July…

Modernizing dental insurance reimbursement — what really works

Dental practices face mounting pressure to manage rising costs, staffing shortages and administrative strain. And the way insurance payments are received — from ACH and checks to virtual cards — can either add friction or drive new efficiencies. In this…

On Demand

Presented by:

Presenters:

Sherry Hassler, COO & EOS Integrator, Today's Dental
Francesca E. Pregano, MBA, Chief Operations Officer, Smile Makers Dental Center
Sarah Cottingham, RDH, Chief Operating Officer, Dental Design Studios
Joshua Edward Everts, DDS, MD, FACS, Chief Clinical Officer, OMS360; Owner and Surgeon, Community Oral Facial Surgery
Brian Doyle, Executive Vice President of Growth, Rectangle Health

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Where the public stands on prior authorization: 4 notes

The health insurance industry has committed to a series of new policies aimed at simplifying and reducing prior authorization requirements, but a majority of adults say they haven’t heard anything about the initiative, nor do they expect it to make…

Partners in Prevention: New Approaches to BV Treatment

Bacterial vaginosis remains the most common vaginal infection among reproductive-age women. NIH research links recurrence to major clinical and economic burdens for health systems. Yet outdated diagnostics and incomplete treatment continue to fuel high recurrence and partner transmission. In this…

On Demand

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Presenter:

Anna Maya Powell, MD, MSCR, Assistant Professor of Gynecology and Obstetrics, Johns Hopkins University, School of Medicine

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Humana in the headlines: 10 updates

From accelerating efforts to reform the prior authorization process to launching a collaboration with Epic’s MyChart, here are 10 updates on Humana that Becker’s has reported since June 12: 1. Humana is accelerating its efforts to reform the prior authorization…

'The cost of health insurance will explode': Insurers, hospitals urge ACA tax credit extension

A broad coalition of insurers, hospitals, healthcare trade associations and civic groups are urging congressional leaders to extend enhanced ACA premium tax credits before their expiration at the end of 2025. “If Congress fails to extend the tax credit, the…