Becker's Payer Issues | Payer News

Guidelight Health has taken its intensive outpatient and partial hospitalization model into multiple states, and the clinical, operational and regulatory complexity has compounded at each step. Growth in behavioral health is rarely a question of whether the demand exists. It…

For any group operating under payer contracts, reimbursement now shifts with every policy change, fee schedule update and contract renewal and revenue can slip before anyone notices.One place that happens quietly is the professional component of clinical pathology. This webinar…

Complex spine deformity surgery leaves little margin for ambiguity about who says what, and when. The Best Practice Guidelines for the Execution of Intraoperative Neuromonitoring in Spine Deformity Surgery set out what sound practice looks like. This session brings the…

Every health system leader wrestling with AI keeps landing on the same question: where does capability end and authority begin? This session unpacks how agentic AI moves from answering questions to taking action, and why healthcare data raises the stakes…

Every health system, from a 15-location clinic group to a national system with tens of billions in revenue, shares the same overlooked front door: the phone. Yet, almost none of them treat it as a revenue channel. Abandoned calls, long…

From the moment a 911 call is placed to the moment help arrives, every second and every detail matters. In a health system, that call might originate in a patient-care area, an emergency department, a medical office building, a parking…

At Inova Health System’s adult infusion center, patient hours had climbed significantly. Then severe understaffing hit — and leaders faced a hard question: could they hold that volume with fewer nurses at the bedside? The proposed fix, a new nurse-pull…