CMS is implementing a final rule that will shorten the open enrollment period on the ACA exchange and create stricter eligibility verifications for enrollees. In a June 20 news release, the agency said the changes will lower individual premiums by…
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The Trump administration and insurers appear to have their own changes to reimbursement practices in store, with announcements expected next week — adding to funding changes outlined in Congress’ budget reconciliation bills. The Wall Street Journal reported June 20 that…
Medicare Part A will no longer be able to pay the total cost of Medicare beneficiaries hospital costs by 2033, according to the annual Trustees Report. The date is three years sooner than the trustees predicted in 2024. The annual…
Today’s prescribing process is a maze. Providers can’t see what drugs are covered. Patients don’t know what they’ll owe. The result? Poor adherence, worse outcomes and lost pharmacy revenue. During a recent Becker’s-hosted advisory call, leaders in pharmacy, finance and…
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Most health systems still rely on outdated communication workflows that frustrate patients and overextend staff. Calls go unanswered, wait times grow and teams can’t keep up. These breakdowns are more than operational. They directly impact access, satisfaction and care continuity.…
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John Poli
Industry Principal, Healthcare, RingCentral
At Becker’s 15th Annual Meeting, leaders from Microsoft and Blue Shield of California shared how AI is one tool to help transform payer operations — not by replacing humans, but by personalizing care, cutting friction and restoring trust. Christine McKinney,…
After the pandemic, leaders at Jefferson Health knew that their teams needed help. However, meeting the behavioral health needs of their workforce presented a challenge of access and scale. Jefferson Health faced this challenge head-on by integrating Marvin Behavioral Health’s…
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From exploring the sale of a South American-based subsidiary to suing The Guardian for defamation, here are 10 updates on UnitedHealth Group that Becker’s reported since June 2: 1. A federal judge approved a $69 million agreement to settle a…
With an aging population and the growing burden of chronic disease, remote patient monitoring will only become more important in the years to come. RPM can reduce readmissions, lower costs and improve care continuity — but only when adoption scales.…
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Curana Health has named Derek Chao, MD, as president and chief medical officer. Previously, Dr. Chao served as CEO of Optum Health’s western region, where he oversaw operations and care delivery across nine states. He had been with the company…