False Claims Act settlements and judgments totaled more than $6.8 billion in fiscal year 2025, the highest annual amount on record, according to a Jan. 16 report from the Justice Department. Six things to know: 1. The $6.8 billion total…
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Health plans have rapidly embraced AI for multiple use cases and leaders are focused on creating measurable performance improvement and achieving front-line buy-in. To learn more about how health plans are leveraging AI to improve payment integrity and performance, Becker’s…
Democratic Oklahoma state Sen. Julia Kirt is pitching a bill that would eliminate credit scores as a factor in determining health insurance premiums. Ms. Kirt is introducing three bills targeting costs across the insurance industry, according to a Jan. 12…
As AI becomes more ingrained in healthcare operations, health system leaders must evaluate solutions with the same rigor applied to clinical and financial decisions. A Health System’s Guide to Evaluating AI Solutions provides a primary care–first framework for assessing AI based…
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Practical guidance for predictive flow: How University Health is improving ED + inpatient throughput
Emergency departments often set the pace for the entire hospital. When admitted patients board for hours, the downstream effects strain staffing, delay discharges and erode capacity. University Health is addressing this challenge by strengthening the connection between ED operations and…
Presented by:
Presenters
Bill Phillips
EVP & COO, University Health
Ashley Schutz, MHA, MLS(ASCP)
Director of IT Quality Assurance, University Health
Bill Griffith
Operational Excellence Advisor, LeanTaaS
The CEOs of most of the nation’s largest health insurers plan to lay blame for rising healthcare costs on hospitals, pharmaceutical companies and specialty providers during testimony before Congress on Jan. 22. In written testimonies submitted ahead of back-to-back hearings…
Blue Cross of Idaho is implementing “organizational changes” to boost efficiency and lower costs, affecting fewer than 90 roles, a spokesperson confirmed to Becker’s Jan. 21. “These decisions were not easy to make but position Blue Cross of Idaho to…
ACA plans are too expensive for the majority of Americans, according to a study published Jan. 6 in Medical Care. With enhanced subsidies still in limbo, the study relied on Commonwealth Fund definitions to evaluate unaffordability: At least 10% of…
Hospital leaders are getting long-awaited clarity from Congress this week as lawmakers unveil a bipartisan healthcare deal tied to a broader government funding package. The 771-page proposal includes major wins for providers, including a multiyear delay of Medicaid DSH cuts,…
UnitedHealthcare and St. Louis-based SSM Health have reached a multi-year agreement Jan. 20, amid a contract extension through Jan. 31, according to a news release shared with Becker’s. The agreement ensures individuals with commercial and Medicaid plans can still receive…
