Preference-sensitive surgeries — like spine fusions, hip replacements and cataract surgeries — represent a significant and often underestimated source of payer medical spend. Yet most health plans have no clear line of sight into this category. Because these procedures cut…
Presented by:
Cathy Hartman
Chief Healthcare Solutions Officer, Paradigm
Nicola Merryman
Senior Vice President, Healthcare Solutions, Paradigm
One-fourth of children treated at autism therapy clinics spend nearly eight hours a day in therapy, according to a recent investigation by The New York Times. Here are five things to know:
Nearly 1.2 billion people worldwide were living with a mental disorder in 2023, making mental disorders the leading cause of disability globally for the first time, according to a study published May 23 in The Lancet. Researchers from the Seattle-based…
Rural healthcare is under unprecedented strain. Margins are eroding, workforce shortages persist and access continues to contract as service lines close. The $50 billion Rural Health Transformation Program offers something rare — a once-in-a-generation chance to redesign care delivery instead…
Presented by:
Seth Edwards
Managing Director - Advisory Services, Premier Inc.
The healthcare supply chain has long been treated as a cost center. That framing is breaking down. Labor pressure, reimbursement cuts, supply disruption and margin volatility have made it clear that another round of contract renegotiation will not be enough.…
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Dayton, Ohio-based CareSource suspended repayment demands it previously issued to some Ohio behavioral health providers after therapists and social workers organized public opposition to the policy change, Cleveland.com reported May 25. The organization, Ohio’s largest Medicaid managed care plan covering…
Most multispecialty organizations have dashboards. The problem is those dashboards are telling leaders what already went wrong — after claims are denied, AR ages and revenue is delayed. For organizations managing multiple specialties, decentralized workflows and expanding payer requirements, that…
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Health systems are finding creative ways to recruit and retain staff, shifting away from broad workforce initiatives in favor of more targeted strategies. From licensure support programs to clinician well-being strategies and workforce violence prevention efforts, organizations are testing new…
A series of recent studies highlights widening gaps in mental health access, shifting prescription patterns and mixed outcomes across behavioral healthcare in the U.S. The findings point to growing pressures on providers, uneven availability of services and emerging questions around…
The Rural Health Transformation Program represents the largest federal investment in rural healthcare in decades — and for many health IT leaders, the question is which digital strategies are worth pursuing now. This whitepaper breaks down how ambient AI documentation…
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