Even amid a widespread regulatory crackdown on pharmacy benefit managers, some payers have been leaning into their own businesses in 2025. Here are six payer moves indicating growing PBM interest: 1. Independent Health’s PBM subsidiary, Pharmacy Benefit Dimensions, is one…
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Point-of-care ultrasound programs often grow faster than the workflows supporting them. Images live in silos. Exams go undocumented. Billing is missed. And leaders lack a clear view of ROI. Health systems like Baylor Scott & White Health, Yale New Haven…
Presented by:
Presenters
Matthew Lohse, MD, FACEP
Baylor Scott & White Health-Temple Medical Center Assistant Professor of Emergency Medicine Baylor College of Medicine-Temple Adjunct Clinical Assistant Professor School of Medicine | Texas A&M University Ultrasound Director-Emergency Department Emergency Ultrasound Fellowship Director
Matthew Riscinti, MD, BS
System-Wide Ultrasound Director - Denver Health Ultrasound Fellowship Director - Denver Health Assistant Professor - University of Colorado School of Medicine Co-founder of The POCUS Atlas
Rachel Liu, BAO, MBBCh, FACEP, FAIUM
Yale New Haven Health Professor of Emergency Medicine Director, Point of Care Ultrasound Education, Office of Curriculum Director, Advanced Training Period , Office of Curriculum Vice Chair of Faculty Affairs, Emergency Medicine
Michael Toland
University of Maryland Medical System Senior Director of IT UMMC Site Executive
This white paper examines how rising healthcare costs can cause patients to delay or decline care and ASCs could be feeling the impact. Traditional payment models can create unnecessary administrative burden and offer little flexibility for patients or practices. It…
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Payers still have a ways to go in meeting their goals ahead of CMS’ Advancing Interoperability and Improving Prior Authorization Final Rule, according to a survey from the Workgroup for Electronic Data Interchange. WEDI advises HHS on health IT. CMS’…
AI has moved beyond the buzz. From staffing efficiency to early deterioration detection, top health systems are delivering real ROI without abandoning human oversight. In this report, executives from Duke Health, HCA Healthcare, Beth Israel Lahey Health and AdventHealth DeLand…
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Aetna will settle with LGBTQ+ members over alleged discrimination with fertility treatments, according to mid-December court filings in the U.S. District Court for northern California. The court granted preliminary approval for the class-action settlement Dec. 17. Commercial Aetna members with…
Burnout, denials, workforce gaps — behavioral health leaders are under pressure from all sides. With demand climbing and capacity stretched, the sector faces a defining moment. This live webinar unpacks results from a nationwide Becker’s-NextGen Healthcare survey of senior behavioral…
Presented by:
Presenters
Chelsea Phelps, FNP-C
Clinic Director of Child Adolescent Health, Samuel Rogers Community Health Center
Javier Favela
VP Market & Segment Leader, NextGen Healthcare
Sri Velamoor
CEO, NextGen Healthcare
CMS has proposed two new models aimed at curbing Medicare drug spending by linking payments to international benchmarks. The proposals — GUARD for Part D drugs and GLOBE for Part B — are the latest in the CMS Innovation Center’s…
Individual coverage health reimbursement arrangements are at an inflection point — payers are catching on, but not to the point of industry mass-adoption, and some employers still have their doubts. Rather than providing a group health plan, employers can offer…
BlueCross BlueShield of Tennessee agreed to a settlement with employees who said the company denied their COVID-19 vaccine exemption requests, thus affecting their careers, according to a Dec. 8 filing in the U.S. District Court for eastern Tennessee. The employees…
