Employers can expect a 6.7% increase in total health benefit costs in 2026 — the steepest in 15 years — according to the 2025 National Survey of Employer-Sponsored Health Plans from consulting firm Mercer. The cost per employee is slated…
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Health plans are no longer treating interoperability as a check-the-box requirement; they are embracing it as a driver of strategic transformation. That was the core message from a featured session at Becker’s Fall 2025 Payer Issues Roundtable, where a panel…
The Cigna Group is consolidating its board committee structure, dissolving its standalone compliance committee and redistributing oversight responsibilities across other committees, effective Jan. 1. The board approved the changes in late October, according to an SEC filing. The restructuring follows…
Documentation demands are still putting pressure on clinicians, but some health systems are finding a way to alleviate this burden. Ambient AI tools can help, but some don’t see lasting adoption. The difference at UNC Health? Their solution was co-designed…
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Presented by:
Presenters
Dr. David McSwain
Chief Medical Informatics Officer, UNC Health
Dr. Reid Conant
Senior Physician Executive, Abridge
Dr. Hilary Stempel
Clinical Success Director, Abridge
Pediatric behavioral health demand is rising, and social media use is increasingly part of the clinical picture. From anxiety and sleep disruption to attention and engagement issues, care teams are encountering new challenges tied to digital habits. Without clear frameworks,…
Presented by:
Presenters
Tom Milam, MD, MDiv
Chief Medical Officer, President, Iris Telehealth
Laura Bauer
Vice President of Strategy, Iris Telehealth
Health systems complete more than 43 prior authorizations (PA) per physician each week, a 12-hour paper trail that delays care and drains staff time. By 2030, federal policy, payer requirements and maturing AI tools will reshape how organizations manage PA.…
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Centene is putting its money where its mouth is when it comes to individual coverage health reimbursement arrangements. The managed care giant is transitioning more than 700 Indiana-based employees to ICHRA in 2026, becoming one of the most notable endorsements…
More and more payers and employers have been getting on board with surgical alternatives to GLP-1s for weight loss. A 2024 survey found most employer-sponsored plans covered these procedures, and covering GLP-1s for diabetes and obesity was much less likely.…
Independent Health plans to join fellow nonprofit insurer MVP Health Care, according to a Nov. 18 news release. Together, the organizations would encompass more than 1 million members, $7 billion in annual revenue and more than 3,000 employees. “Joining the…
As multi-specialty physician organizations expand, payer rules, documentation demands and system fragmentation multiply faster than teams can keep up. Even well-run groups see claims slow down — not because of bad billing, but because most denials start before the visit.…
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