The Latest - Page 76 of 1400 - Becker's Payer Issues

How to transform trauma performance improvement: Strategies from Orlando Health, Penn Medicine, University of Rochester Medical Center, and Baylor

Trauma care moves fast — but when it’s time to improve, most teams rely on flawed recollections, incomplete EHRs, and scattered notes. There’s a better way. Join trauma leaders from Orlando Health, Penn Medicine, University of Rochester Medical Center, and…

Oct 14, 2025 12:00 PM - 1:00 PM America/Chicago

Presented by:

Presenters

Ryan P. Dumas, MD, FACS

Associate Professor of Surgery, Baylor College of Medicine

Tracy Zito, MD, FACS, FRCS

Trauma Medical Director, Orlando Health

Kristen Chreiman, MSN, RN, CCRN, TCRN

Trauma Program Manager, Penn Medicine

Michael A. Vella, MD, MBA

Assistant Professor of Surgery and Trauma Medical Director, University of Rochester Medical Center

Solving healthcare’s identity challenge: AI-powered verification for secure, seamless care

Health systems are under pressure to expand digital access, but many still rely on outdated, manual identity checks that are slow, inconsistent and prone to error. These gaps expose hospitals to HIPAA and DEA compliance risks, drive up administrative waste,…

On Demand

Presented by:

Presenters

Josh Baker

Healthcare Identity Advisor, Vouched

Tom Donlea

VP, Business Development, Vouched

Medical associations push back on Cigna's new downcoding policy

The California and Texas medical associations are urging Cigna to rescind a new policy they say will increase administrative burdens and create a barrier to appropriate reimbursement. Beginning Oct. 1, Cigna’s new Evaluation and Management Coding Accuracy policy will review…

No Surprises dispute process has cost $5B since 2022: Study

The independent dispute resolution process created under the No Surprises Act has generated at least $5 billion in costs since its launch in 2022, largely due to high dispute volumes and provider wins, according to a study published Aug. 25…

Northern Light Health agrees to mediation in Anthem contract dispute

Brewer, Maine-based Northern Light Health said it has agreed to engage in mediation with Anthem Blue Cross Blue Shield in a “last-ditch effort” to resolve a contract dispute between the parties. Northern Light’s Aug. 26 announcement comes after the system…

How DSOs can scale smarter with better ops and patient experience

For growing dental groups, expansion isn’t just about more locations — it’s about more efficient operations and better experiences for both patients and staff. Join Emmet Scott, co-founder of a 50-plus location dental group and a leading voice in the…

On Demand

Presented by:

Presenters

Emmet Scott

CEO, Dentist Entrepreneur Organization (DEO)

Steve Wright

Enterprise Director, Solutionreach

AI is entering medical coding — but are the models accurate enough?

As large language models make their way into medical coding, health systems are facing a tough reality: most models aren’t yet reliable. Coding inaccuracies, flawed HCC score capture and downstream financial risks are emerging as common concerns. In this on-demand…

On Demand

Presented by:

Presenters

Vidhya Sivakumaran, PhD

VP, Clinical Informatics & Terminology, Data Engineering, IMO Health

Jingqi Wang, PhD

SVP, Data Science & Chief AI Architect, IMO Health

Outdated training models are eroding care quality, retention — and margins

Workforce education is one of the biggest untapped levers for cutting costs, improving safety, retention and efficiency. Traditional training models not only waste time and budget, but also overlook critical knowledge gaps and fail to address the root causes of…

Presented by:

Burnout, budget strain, broken workflows — How 195 healthcare organizations are responding in 2026

Rising costs, workforce shortages and disconnected systems are forcing leaders to rethink how care is delivered and managed across specialties — from orthopedics and behavioral health to ENT and GI. New survey data from 195 healthcare leaders reveals what’s working…

Sep 30, 2025 12:00 PM - 1:00 PM America/Chicago

Presented by:

Presenters

Sri Velamoor

President and COO of NextGen Healthcare

John Polikandriotis, PhD, MBA, MPH, MSA, FACHE, FACMPE

Chief Executive Officer, South Florida Orthopaedics & Sports Medicine

Michelle Tanner, MD

Board Certified Otolaryngologist - Head and Surgery, The ENT Center

Aetna expanding claims reviews in September

Aetna is rolling out new claims cost control measures under its Claim and Code Review Program, beginning Sept. 1. The new claims editing policy applies to commercial, Medicare and student health members, the company said in June. Aetna may trigger…