BHM Healthcare Solutions, Inc. Achieves Prestigious NCQA Accreditation for Utilization ManagementTampa, 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 accreditation, [...] The post BHM Earns NCQA Accreditation for Utilization Management appeared first on BHM Healthcare Solutions ..read more

Explore how AI is fighting healthcare fraud, waste, and abuse to save costs and enhance care. The post AI’s Role in Combating Waste and Abuse appeared first on BHM Healthcare Solutions ..read more

The Future of Telehealth What Medicare Policy Changes in 2025 Mean for Healthcare Telehealth has come a long way in... The post Medicare Policy Changes in 2025 appeared first on BHM Healthcare Solutions ..read more

Discover key insights from our December healthcare polls, including the impact of rising costs on patient care and challenges of AI. The post Insights from December’s Polls appeared first on BHM Healthcare Solutions ..read more

Discover the top healthcare trends shaping 2025, from predictive analytics and AI to behavioral health integration and compliance updates. The post Healthcare Trends Defining 2025 appeared first on BHM Healthcare Solutions ..read more

Explore actionable steps and real-world examples of how payers can transform care delivery to meet members’ evolving expectations. The post Transforming Healthcare with Patient-Centricity appeared first on BHM Healthcare Solutions ..read more

Responsible Use of AI in Healthcare Accountability, Transparency, and Ethical Oversight Artificial intelligence (AI) has emerged as a powerful tool in healthcare, revolutionizing diagnostics, treatment planning, and operational efficiency. However, its adoption brings ethical, operational, and safety challenges that healthcare systems must address responsibly. This article explores the principles of accountability, transparency, safety, and fairness [...] The post Responsible Use of AI appeared first on BHM Healthcare Solutions ..read more

The threat of government shutdown over financial disagreements is not new. Have we forgotten that the history of government shutdowns and the threat of defunding the government stretches back decades? Let’s take a look at the history of government shutdowns before we predict an outcome on this one. The post Shutdowns Happen appeared first on BHM Healthcare Solutions ..read more

Strategies for balancing cost containment and quality care in healthcare. Explore methods executives can employ to optimize resources, enhance efficiency, and sustain financial stability while delivering exceptional patient outcomes. The post Strategic Cost Containment appeared first on BHM Healthcare Solutions ..read more

On December 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule introducing significant policy and technical changes to the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program (Part D), Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE) for Contract Year 2026. The post Medicare and Medicaid Updates for 2026 appeared first on BHM Healthcare Solutions ..read more