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Home » Industry Insights

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outsourcing mitigates compliance risk

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.

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Scalability and Operational Efficiency in UM

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.

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History of Price Transparency

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.

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Choosing the Right Price Transparency Vendor

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.

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Price Transparency Noncompliance

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.

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Healthcare Price Transparency Rules

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.

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Gold Card Explained

Gold Card Explained: Reducing PA Burden Through Smart Provider Incentives

August 26, 2025

Explore how gold carding reduces the burden of prior authorization for healthcare providers by rewarding consistent, guideline-adherent care.

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Electronic Prior Authorization

What Is Electronic Prior Authorization (ePA) in Healthcare?

August 19, 2025

Learn how electronic prior authorization (ePA) transforms healthcare by replacing manual workflows, improving provider experience, and supporting FHIR API compliance.

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FHIR and the Future

FHIR and the Future: Why Interoperability is the Key to PA Reform

August 12, 2025

Learn how FHIR-based APIs make prior-authorization digital, fast, and accurate, boosting provider satisfaction.

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Eco-friendly building in modern city. Sustainable glass office building with trees for reducing CO2.

Sustainable Practices in Hospital Operations

May 27, 2025

Balancing Cost and Environmental Impact The healthcare sector is responsible for nearly 10% of the total greenhouse gas emissions in the U.S., highlighting a critical

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