Becker's Cardiology

Efforts to transform prior authorization are at a critical crossroads: Will government mandates result in just compliance or catalyze national migration to FHIR-based electronic prior authorization (ePA)? The answer to this question cannot be found in the specifics of the…

Payer contracting has become a top strategic priority for health systems, but many teams still run it on spreadsheets, disconnected systems and knowledge that lives in a few people’s heads. The pressure is mounting from both payers and providers, and…

Picture the morning huddle where someone asks where a patient stands and three people check three different places to answer. One opens a spreadsheet, one checks a whiteboard and one calls the coordinator who happens to know. Nobody is wrong,…

Health system margins have struggled throughout 2026, and the pressure shows no sign of easing. Rising costs and demographic shifts away from traditional profit centers now collide with newer threats: OBBBA-driven coverage reductions, rising payer denials, the accelerated outpatient shift…

Monday morning is when the cost of inconsistent patient access surfaces — unmet demand, backed-up calls, stretched staff and provider capacity that patients cannot reach. For specialty practices, access is no longer just an operational headache; it’s a growth lever.…

Healthcare supply chain has evolved over the years as the landscape increases in complexity. Today, supply chain leaders play a critical role in removing operational barriers that impact clinicians, patients, and organizational performance. From ensuring products are available when and…

Most Medicare Advantage plans still run risk adjustment the way they always have — as a specialized function, staffed and led by risk adjustment experts. That specialization built deep expertise, but it also built blind spots. Leaders trained in actuarial…

Every health system is being asked to make decisions about AI. Few leaders have the context they would like to guide those decisions. Fewer have had the chance to hear from the people who actually build it: How does a…