5 Performance Metrics Every Payer Should Be Monitoring

Tracking the right performance metrics can provide valuable insights into your organization’s effectiveness and highlight areas for improvement.
H.R. 238: Implications for Healthcare Payers and Providers

How AI-Powered Prescribing Could Reshape Healthcare for Payers and Providers A new bill—House Bill 238 (H.R. 238)—could introduce a major shift in how prescriptions are handled. This proposed law aims to allow artificial intelligence (AI) and machine learning (ML) systems to prescribe medications, provided they meet state and FDA approval. But what does this mean […]
Value of Collaborative Care in Strengthening Trust

Explore how collaborative care strengthens trust in healthcare by fostering communication, transparency, and teamwork.
Business Intelligence for Payers

By applying advanced analytics, payers can identify trends, uncover inefficiencies, and make data-driven decisions.
Wearable Tech Redefines Care

Discover how wearable tech is transforming patient monitoring, improving outcomes, and driving innovation in modern healthcare.
BHM Earns NCQA Re-Accreditation for Utilization Management

BHM Healthcare Solutions, Inc. Achieves Prestigious NCQA Accreditation for Utilization Management Tampa, FL — BHM Healthcare Solutions, Inc. (BHM) is proud to announce that it has been awarded a full three-year accreditation for Utilization Management by the National Committee for Quality Assurance (NCQA). This marks the third consecutive cycle that BHM has achieved this esteemed […]
AI’s Role in Combating Waste and Abuse

Explore how AI is fighting healthcare fraud, waste, and abuse to save costs and enhance care.
Medicare Policy Changes in 2025

The Future of Telehealth What Medicare Policy Changes in 2025 Mean for Healthcare Telehealth has come a long way in…
Insights from December’s Polls

Discover key insights from our December healthcare polls, including the impact of rising costs on patient care and challenges of AI.
Healthcare Trends Defining 2025

Discover the top healthcare trends shaping 2025, from predictive analytics and AI to behavioral health integration and compliance updates.