Insights
Healthcare Industry News & Resources
Welcome to our resource hub – a healthcare leader’s gateway to the latest thought leadership, breaking news, company updates, and strategic tools from BHM Healthcare Solutions.
Industry Reports
Provider and Member Experience in Outsourced Utilization Management
Compliance and Risk Management in Outsourced Utilization Management
BHM Earns NCQA Re-Accreditation for Utilization Management
5 Reasons Providers Should Use Utilization Management Software
The History of Price Transparency in U.S. Healthcare
Choosing the Right Vendor for CMS Price Transparency Compliance
Price Transparency Enforcement: What Noncompliance Really Costs Hospitals
HHS Seeks Nominations for New Healthcare Advisory
What Is Electronic Prior Authorization (ePA) in Healthcare?
healthcare awareness series
Impaired Driving Prevention Month: Healthcare Outreach Toolkit
National Rural Health Day: Driving Equitable Care Access
National Epilepsy Awareness Month: Ready-to-Use Campaign Resources
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Hot Topics
Provider and Member Experience in Outsourced Utilization Management
While scalability and compliance drive operational success, it’s…
Impaired Driving Prevention Month: Healthcare Outreach Toolkit
Turnkey toolkit for National Impaired Driving Prevention Month;…
Updates on CMS WISeR Model – Launch &…
The Centers for Medicare & Medicaid Services (CMS)…
National Rural Health Day: Driving Equitable Care Access
Celebrate National Rural Health Day with turnkey facts,…
Technology
Industry Watch
Updates on CMS WISeR Model – Launch & Key Pilot Facts
The Centers for Medicare & Medicaid Services (CMS) will implement the Wasteful and Inappropriate Service Reduction (WISeR) Model beginning January 1, 2026, through December 31, 2031. This pilot applies to Original Medicare only, not Medicare Advantage, and operates in six…
FDA Awards First-Ever National Priority Vouchers
The U.S. Food and Drug Administration (FDA) has awarded the first-ever National Priority (NP) Vouchers to nine sponsors as part of its new Commissioner’s National Priority Voucher (CNPV) Pilot Program. These vouchers provide priority review for future submissions, supporting the…
2025 Executive Orders Shaping U.S. Healthcare
A clear timeline of U.S. healthcare price transparency, from early state actions and ACA mandates to today’s CMS rules and enforcement.
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