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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?
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Technology
Industry Watch
Imaging AI Moves Toward Routine Use in Emergency Care
Imaging AI is moving into routine emergency care. Avicenna.AI and Ferrum Health formed a nationwide partnership that expands access to AI-supported CT tools for stroke, PE, trauma, and spine cases. Learn how this development affects payer costs, utilization trends, UM…
Legislation Introduced to Block CMS WISeR Model
A bipartisan group of U.S. House members has introduced legislation to stop the Centers for Medicare & Medicaid Services (CMS) from implementing the Wasteful and Inappropriate Services Reduction (WISeR) Model, a six-year demonstration scheduled to begin January 1, 2026.
CMS Announces Vendor List for WISeR Model
The Centers for Medicare & Medicaid Services (CMS) has named six vendor participants for the Wasteful and Inappropriate Service Reduction (WISeR) Model, set to launch January 1, 2026. These organizations will partner with Medicare Administrative Contractors (MACs) to conduct technology-enhanced…
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