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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
BHM Earns NCQA Re-Accreditation for Utilization Management
5 Reasons Providers Should Use Utilization Management Software
A Payer’s Guide to Case Management Utilization Review
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
President Trump Secures First Deal to Deliver Most-Favored-Nation Pricing for U.S.
White House reaches first Most-Favored-Nation pricing deal, realigning U.S. drug costs to international benchmarks and reshaping payer and provider reimbursement strategies.
CMS Releases Final Guidance for 2028 Medicare Drug Price Negotiation Cycle
CMS finalizes 2028 Medicare Drug Price Negotiation guidance, expanding orphan drug protections, integrating Medicare Advantage data, and clarifying vaccine treatment.
URAC Establishes First Formal Health Care AI Accreditation
URAC has unveiled the country’s inaugural Health Care AI Accreditation program, an independent framework that evaluates artificial-intelligence solutions for safety, equity, transparency, and measurable clinical impact. The new credential offers payers and providers a concrete way to vet AI tools,…
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