What Transparency in 2025 Signals for 2026
January 8, 2026
A review of how transparency evolved in 2025, why it became a test of organizational credibility, and what healthcare leaders should expect in 2026.
What AI Adoption in 2025 Signals for 2026
January 8, 2026
A review of how AI adoption accelerated in 2025, why governance became a leadership issue, and what healthcare executives should prepare for in 2026.
What Prior Authorization in 2025 Signals for 2026
January 8, 2026
A review of how prior authorization evolved in 2025, why it became a key accountability function, and what payer and UM leaders should expect in 2026.
Provider and Member Experience in Outsourced Utilization Management
November 5, 2025
While scalability and compliance drive operational success, it’s satisfaction and trust that determine long-term retention. This deep dive explores how the right utilization management partner helps payers improve relationships with providers, enhance member satisfaction, and strengthen clinical outcomes
Compliance and Risk Management in Outsourced Utilization Management
October 21, 2025
Outsourcing utilization management helps payers reduce compliance risk, stay aligned with CMS/NCQA regulations, and maintain audit readiness. Learn how BHM delivers daily compliance protection.
Scalability and Operational Efficiency in Outsourced Utilization Management
October 14, 2025
Discover how outsourcing utilization management reviews helps payers reduce administrative costs, manage volume spikes, and close specialty gaps.
The History of Price Transparency in U.S. Healthcare
September 30, 2025
A clear timeline of U.S. healthcare price transparency, from early state actions and ACA mandates to today’s CMS rules and enforcement.
Choosing the Right Vendor for CMS Price Transparency Compliance
September 23, 2025
Explore tips for choosing the right vendor to ensure CMS price transparency compliance, including defining your needs and seeking peer input.
Price Transparency Enforcement: What Noncompliance Really Costs Hospitals
September 16, 2025
Explore the consequences of noncompliance with the Price Transparency Act. Learn about penalties, recent enforcement actions, and the importance of price transparency for hospitals.
Key Disclosure Requirements Under CMS Healthcare Price Transparency Rules
September 9, 2025
Explore the CMS disclosure requirements driving payer risk and compliance exposure. And how to align governance, vendors, and validation before penalties hit.