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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.
New this Month...
Choosing the Right Vendor for CMS Price Transparency Compliance
Price Transparency Enforcement: What Noncompliance Really Costs Hospitals
Industry Report
HHS Seeks Nominations for New Healthcare Advisory
What Is Electronic Prior Authorization (ePA) in Healthcare?
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Technology
Industry Watch
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,…
CMS Releases New Oversight Rules for Medicaid State-Directed Payments
CMS has released new guidance tightening federal oversight of Medicaid state-directed payments (SDPs) in managed care. The update centers on transparency, documentation, and measurable quality outcomes—signaling stronger guardrails on financing, distribution methodologies, and alignment with actuarial soundness and value-based care.…
Real-Time Drug Price Transparency Coming for U.S. Consumers
HHS has finalized a rule (HTI-4) to deliver real-time prescription drug price transparency at the point of care, giving clinicians and consumers visibility into patient-specific coverage, out-of-pocket costs, and prior authorization requirements through certified health IT. The move aims to…