Ohio ended GLP-1 coverage for weight loss under its state employee health plan on July 1. Any current prior authorizations for medications will be honored until they expire, and GLP-1 medications prescribed for diabetes will continue to be covered. Several…
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Representatives from Anthem Blue Cross Blue Shield and Columbia-based University of Missouri Health Care testified before a state committee on June 30 regarding a disagreement over reimbursement rates. Since April, MU Health Care’s physicians and facilities have been out of…
More than half of U.S. hospital facilities are over 50 years old, with $390 billion in deferred maintenance accumulating risk year over year. Aging HVAC, chillers and mechanical systems are more than operational headaches — they threaten care delivery and…
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Groups representing insurers are urging the House of Representatives to rollback steep Medicaid cuts passed by the Senate. The “One Big Beautiful Bill Act, a 1,000+ page budget reconciliation package, passed the Senate July 1. The Senate version would cut…
Ambulatory surgery centers are under growing pressure to manage tighter margins and complex payer rules. But fragmented revenue cycle management processes — from eligibility checks to charge capture — are quietly eroding revenue. This webinar will explore how leading surgical…
Aug 8, 2025 11:30 AM - 12:30 PM CDT
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Presenters:
- Elaine Dunn, Chief Administrative Officer, nimble solutions
- Stacie Fults, Senior Vice President, Client Development, nimble solutions
AI is no longer an emerging trend. From clinical workflows to operational strategy, it’s fundamentally reshaping how care is delivered and managed. Health systems that delay building AI literacy risk falling behind as others gain an edge in efficiency, patient…
Aug 7, 2025 11:00 AM - 12:00 PM CDT
Presented by:
Presenters:
- Patrick A. Woodard, MHA, MD, Chief Information Officer, Monument Health
- Lindsey Jarrell, MS, Founder and Chief Executive Officer, Healthlink Advisors
UnitedHealthcare, Centene, Elevance Health and other insurers have picked up Medicaid managed care contracts in 2025. Here are three states awarding new contracts Becker’s has reported so far in 2025:
Hospital and health system leaders are grappling with increasing medication costs and complexity in pharmacy benefit management. Traditional approaches often leave HR and pharmacy departments siloed, missing out on critical cost-saving opportunities. A new, collaborative approach to the issue aligns…
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The business case for embracing electronic prior authorization, or ePA, nationwide seems overwhelming. Current prior authorization processes are a chief driver of provider and patient frustration. Needed investment in FHIR APIs is now mandated by CMS Rule 0057, and ePA…
Managing thousands of cardiac device patients used to mean endless remote transmissions, redundant reviews and billing headaches. Deborah Heart and Lung Center proved there’s a better way. By adopting a modern patient management solution, the specialty hospital reduced unnecessary remote…
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