BHM Healthcare Solutions

02/12/2026

CMS has proposed the 2027 Exchange rule, focused on:

• Lowering costs
• Giving plans more flexibility in product design
• Tightening program integrity and eligibility controls

For health plans, that could mean:

• New options for multi year catastrophic plans
• More room to shape deductibles, cost sharing, and networks
• Stronger expectations around eligibility checks and broker oversight

BHM’s new Industry Watch Alert walks through what this could mean for issuers and operations leaders as they plan ahead of final rulemaking.

Read the alert: https://bhmpc.com/2026/02/cms-proposes-2027-exchange-rules-focused-on-cost-control-plan-flexibility-and-program-integrity/?utm_source=fb_page&utm_medium=BHM+Healthcare+Solutions&utm_campaign=publer

02/09/2026

Join us in celebrating cardiovascular professionals and all they do. Cardiovascular Professionals Appreciation Week is February 8th-15th

This year’s theme, “Driven by Heart, Guided by Skill,” honors the dedicated professionals who use their expertise and compassion to care for patients’ hearts every day.

Learn more:
🔗 https://www.acp-online.org/advocacy/cv-professionals-week/?utm_source=fb_page&utm_medium=BHM+Healthcare+Solutions&utm_campaign=publer

To stay ahead of upcoming health observances, explore BHM’s Healthcare Awareness Planning Guide and monthly observance article: https://bhmpc.com/health-awareness-observances-list-monthly-planning-tool/

02/04/2026

The Consolidated Appropriations Act, 2026 just set the near-term rules of the road for payers.

Think: more time on telehealth and hospital-at-home, less immediate disruption, and more reason to tighten utilization management and clinical review.

We pulled the key takeaways into a short Industry Watch Alert for healthcare leaders.

Catch the highlights here:
https://bhmpc.com/2026/02/consolidated-appropriations-act-2026-h-r-7148-signed-into-law/?utm_source=fb_page&utm_medium=BHM+Healthcare+Solutions&utm_campaign=publer

02/04/2026

The “Great Healthcare Plan” announcement is getting a lot of attention. For payers and providers, here’s what matters right now:

✅ No new compliance rules in effect
✅ No changes to Medicare/Medicaid payment
✅ No new transparency mandates today

In our new Industry Watch Alert, we unpack what this proposal actually signals, and what executives should watch next.

Read more:
https://bhmpc.com/2026/02/what-the-great-healthcare-plan-announcement-means-for-healthcare-executives/?utm_source=fb_page&utm_medium=BHM+Healthcare+Solutions&utm_campaign=publer

02/03/2026

AI in heart failure care is getting serious attention. ARPA‑H just launched the ADVOCATE program to test continuous, clinician‑supervised cardiovascular AI. It could change how payers think about utilization, benefit design, and oversight.

We shared what this means for payer strategy in our recent Industry Watch Alert

Link to full article in the comments

02/02/2026

February 1st–7th is National Burn Awareness Week 2026, sponsored by the American Burn Association (ABA). This year’s theme is: “Burn Prevention Where You Live, Work, and Play”

The focus is on simple ways to prevent burns at work, whether that’s a kitchen, office, or job site.

Learn more and find safety resources:
🔗 https://www.ameriburn.org/prevention/national-burn-awareness-week?utm_source=fb_page&utm_medium=BHM+Healthcare+Solutions&utm_campaign=publer

01/30/2026

The Great American Recovery Initiative signals a stronger federal focus on addiction as a chronic, treatable disease. For health plans and behavioral health leaders, this likely means:

• More SUD pilots and grant opportunities
• Higher expectations around access to treatment and recovery supports
• Increased focus on data, reporting, and outcomes

There are no new coverage mandates yet, but the policy direction is important to watch.
BHM’s new Industry Watch Alert explains what this could mean for payers and how to start preparing.

Read the full alert:
https://bhmpc.com/2026/01/trump-administration-great-american-recovery-initiative/?utm_source=fb_page&utm_medium=BHM+Healthcare+Solutions&utm_campaign=publer

01/27/2026

ARPA‑H’s ADVOCATE program is testing agentic clinical AI for continuous heart failure care, which is a development that could reshape payer strategy and policy in the years ahead.

BHM’s latest Industry Watch Alert explores what this means for payers and how to prepare.

Read more: https://bhmpc.com/2026/01/agentic-clinical-ai-and-the-future-of-cardiovascular-care-strategic-signals-for-payers/

01/26/2026

AI is reshaping healthcare, from personal wellness apps to enterprise prior auth and claims tools. We put ChatGPT Health and Claude Healthcare side by side, comparing aspects such as data integration, core use cases, and target users

01/23/2026

Our four-part “2025 in Review” series highlights one core leadership focus for 2026: bringing clinical, operational, and financial decision-making into a clearer, more consistent story.

Start with Part 1 here:

A 2025 healthcare review for payer leaders examining prior authorization reform, AI adoption, and transparency signals shaping 2026 planning.

01/22/2026

From prices and access to quality and utilization patterns, transparency has become the standard by which efficiency and accountability are evaluated.

Part 4 describes how this unified view is reshaping evaluation in 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.