BHM Healthcare Solutions

BHM Healthcare Solutions Since 2002, BHM has partnered with leading payers, providers, and health systems dedicated to advancing healthcare excellence.

Behavioral Health and Medical Review Experts

Providing behavioral health and medical review services and performance improvement consulting to health plans, providers, ACOs, TPAs, workers' compensation and other insurers nationally.

๐—ช๐—œ๐—ฆ๐—ฒ๐—ฅ ๐— ๐—ผ๐—ฑ๐—ฒ๐—น ๐—จ๐—ฝ๐—ฑ๐—ฎ๐˜๐—ฒ:  CMS has confirmed the ๐—ช๐—œ๐—ฆ๐—ฒ๐—ฅ ๐— ๐—ผ๐—ฑ๐—ฒ๐—น will launch on Jan 1, 2026, in six states, bringing major changes...
10/30/2025

๐—ช๐—œ๐—ฆ๐—ฒ๐—ฅ ๐— ๐—ผ๐—ฑ๐—ฒ๐—น ๐—จ๐—ฝ๐—ฑ๐—ฎ๐˜๐—ฒ: CMS has confirmed the ๐—ช๐—œ๐—ฆ๐—ฒ๐—ฅ ๐— ๐—ผ๐—ฑ๐—ฒ๐—น will launch on Jan 1, 2026, in six states, bringing major changes to prior authorization and review for select outpatient and device services in Medicare. If youโ€™re a payer, provider, or healthcare executive, read our latest summary for critical details on pilot scope, affected services, compliance requirements, and whatโ€™s next for 2026.

Read now: https://bhmpc.com/2025/10/updates-on-cms-wiser-model-launch-key-pilot-facts

The FDA has issued its first National Priority Vouchers to nine sponsors under FDORA, accelerating high-impact therapies and strengthening U.S. drug supply resilience.

๐—ก๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐—ฎ๐—น ๐—ฅ๐˜‚๐—ฟ๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐——๐—ฎ๐˜† ๐—ถ๐˜€ ๐—ผ๐—ฏ๐˜€๐—ฒ๐—ฟ๐˜ƒ๐—ฒ๐—ฑ ๐—ผ๐—ป ๐˜๐—ต๐—ฒ ๐˜๐—ต๐—ถ๐—ฟ๐—ฑ ๐—ง๐—ต๐˜‚๐—ฟ๐˜€๐—ฑ๐—ฎ๐˜† ๐—ผ๐—ณ ๐—ก๐—ผ๐˜ƒ๐—ฒ๐—บ๐—ฏ๐—ฒ๐—ฟ:As part of the BHM Healthcare Awareness Series, ...
10/30/2025

๐—ก๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐—ฎ๐—น ๐—ฅ๐˜‚๐—ฟ๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐——๐—ฎ๐˜† ๐—ถ๐˜€ ๐—ผ๐—ฏ๐˜€๐—ฒ๐—ฟ๐˜ƒ๐—ฒ๐—ฑ ๐—ผ๐—ป ๐˜๐—ต๐—ฒ ๐˜๐—ต๐—ถ๐—ฟ๐—ฑ ๐—ง๐—ต๐˜‚๐—ฟ๐˜€๐—ฑ๐—ฎ๐˜† ๐—ผ๐—ณ ๐—ก๐—ผ๐˜ƒ๐—ฒ๐—บ๐—ฏ๐—ฒ๐—ฟ:
As part of the BHM Healthcare Awareness Series, this article helps organizations prepare for National Rural Health Day campaigns with curated, evidence-based resources, leadership actions, and toolkits for internal and external awareness efforts.

๐—ฆ๐˜‚๐—บ๐—บ๐—ฎ๐—ฟ๐˜†: National Rural Health Day, launched in 2011 by the National Organization of State Offices of Rural Health (NOSORH), celebrates the โ€œPower of Rural.โ€ The observance highlights rural healthcare innovators, community partnerships, and solutions addressing workforce shortages, funding, and broadband access. Each year, state offices, hospitals, and public health agencies host events, proclamation signings, and digital campaigns promoting value-based strategies and health equity across Americaโ€™s 46 million rural residents.

๐—ž๐—ฒ๐˜† ๐—ฝ๐—ผ๐—ถ๐—ป๐˜๐˜€:
- Established in 2011 by NOSORH to celebrate the โ€œPower of Rural.โ€
- Observed annually on the third Thursday of November.
- About 46 million Americans (14% of the population) live in rural counties.
- Rural hospitals have closed at twice the rate of urban facilities (2010โ€“2023).
- Telehealth adoption reduces rural no-show rates by up to 25%, improving chronic-care follow-up.

Learn more and explore NOSORH and CDC toolkits to support your awareness initiatives:
https://zurl.co/0UKEm

10/27/2025

November is National Epilepsy Awareness Month, a time to strengthen seizure preparedness across healthcare, education, and workplace settings.

We know the importance of rapid, informed action when someone experiences a seizureโ€ฆ but implementation challenges remain.

So weโ€™re asking leaders across the industry:

๐—ก๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐—ฎ๐—น ๐—˜๐—ฝ๐—ถ๐—น๐—ฒ๐—ฝ๐˜€๐˜† ๐—”๐˜„๐—ฎ๐—ฟ๐—ฒ๐—ป๐—ฒ๐˜€๐˜€ ๐— ๐—ผ๐—ป๐˜๐—ต ๐—ถ๐˜€ ๐—ผ๐—ฏ๐˜€๐—ฒ๐—ฟ๐˜ƒ๐—ฒ๐—ฑ ๐—ถ๐—ป ๐—ก๐—ผ๐˜ƒ๐—ฒ๐—บ๐—ฏ๐—ฒ๐—ฟ:As part of the BHM Healthcare Awareness Series, this article h...
10/27/2025

๐—ก๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐—ฎ๐—น ๐—˜๐—ฝ๐—ถ๐—น๐—ฒ๐—ฝ๐˜€๐˜† ๐—”๐˜„๐—ฎ๐—ฟ๐—ฒ๐—ป๐—ฒ๐˜€๐˜€ ๐— ๐—ผ๐—ป๐˜๐—ต ๐—ถ๐˜€ ๐—ผ๐—ฏ๐˜€๐—ฒ๐—ฟ๐˜ƒ๐—ฒ๐—ฑ ๐—ถ๐—ป ๐—ก๐—ผ๐˜ƒ๐—ฒ๐—บ๐—ฏ๐—ฒ๐—ฟ:
As part of the BHM Healthcare Awareness Series, this article helps organizations prepare for National Epilepsy Awareness Month campaigns with curated, evidence-based resources, leadership actions, and toolkits for internal and external awareness efforts.

๐—ฆ๐˜‚๐—บ๐—บ๐—ฎ๐—ฟ๐˜†: National Epilepsy Awareness Month (NEAM), established in 1983 by the Epilepsy Foundation, brings national attention to the 3.4 million Americans living with epilepsy. The observance promotes seizure first-aid training, anti-stigma education, and research support. Supported by the Epilepsy Foundation, CDC, and WHO, โ€œGo Purpleโ€ campaigns unite hospitals, schools, and employers in advancing inclusion and safety through awareness and action.

๐—ž๐—ฒ๐˜† ๐—ฝ๐—ผ๐—ถ๐—ป๐˜๐˜€:
- Founded in 1983 by the Epilepsy Foundation to raise awareness and support for people living with epilepsy.
- Observed each November with โ€œGo Purpleโ€ events, training, and global advocacy.
- Affects 3.4 million U.S. residents, including 470,000 children (CDC, 2024).
- Economic impact exceeds $15.5 billion annually (NIH).
- One-third of patients experience uncontrolled seizures despite treatment.

Learn more and access campaign resources for your awareness initiatives:
https://zurl.co/A85lc

๐—ฃ๐—ฎ๐—ป๐—ฐ๐—ฟ๐—ฒ๐—ฎ๐˜๐—ถ๐—ฐ ๐—–๐—ฎ๐—ป๐—ฐ๐—ฒ๐—ฟ ๐—”๐˜„๐—ฎ๐—ฟ๐—ฒ๐—ป๐—ฒ๐˜€๐˜€ ๐— ๐—ผ๐—ป๐˜๐—ต ๐—ถ๐˜€ ๐—ผ๐—ฏ๐˜€๐—ฒ๐—ฟ๐˜ƒ๐—ฒ๐—ฑ ๐—ถ๐—ป ๐—ก๐—ผ๐˜ƒ๐—ฒ๐—บ๐—ฏ๐—ฒ๐—ฟ:As part of the BHM Healthcare Awareness Series, this article h...
10/23/2025

๐—ฃ๐—ฎ๐—ป๐—ฐ๐—ฟ๐—ฒ๐—ฎ๐˜๐—ถ๐—ฐ ๐—–๐—ฎ๐—ป๐—ฐ๐—ฒ๐—ฟ ๐—”๐˜„๐—ฎ๐—ฟ๐—ฒ๐—ป๐—ฒ๐˜€๐˜€ ๐— ๐—ผ๐—ป๐˜๐—ต ๐—ถ๐˜€ ๐—ผ๐—ฏ๐˜€๐—ฒ๐—ฟ๐˜ƒ๐—ฒ๐—ฑ ๐—ถ๐—ป ๐—ก๐—ผ๐˜ƒ๐—ฒ๐—บ๐—ฏ๐—ฒ๐—ฟ:
As part of the BHM Healthcare Awareness Series, this article helps organizations prepare for Pancreatic Cancer Awareness Month campaigns with curated, evidence-based resources, leadership actions, and toolkits for internal and external awareness efforts.

๐—ฆ๐˜‚๐—บ๐—บ๐—ฎ๐—ฟ๐˜†: Pancreatic Cancer Awareness Month, established by patient advocates in 1999, unites organizations worldwide to spotlight one of the deadliest cancers. Led by the World Pancreatic Cancer Coalition and the Pancreatic Cancer Action Network (PanCAN), the observance includes World Pancreatic Cancer Day on the third Thursday of November, marked by global โ€œPurpleโ€ campaigns, educational webinars, and fundraising events across more than 40 countries.

๐—ž๐—ฒ๐˜† ๐—ฝ๐—ผ๐—ถ๐—ป๐˜๐˜€:
- Established in 1999 by patient advocates to increase visibility of pancreatic cancer.
- Observed globally each November, with World Pancreatic Cancer Day anchoring activities.
- An estimated 66,440 new U.S. cases and 51,750 deaths expected in 2024 (ACS).
- Five-year survival remains ~13% due to late-stage diagnoses.
- PanCAN and partner organizations provide awareness toolkits, graphics, and action steps for leaders and teams.

Learn more and access campaign resources for your organization:
https://zurl.co/VRU6P

The FDA has announced its first-ever National Priority Voucher awards, recognizing nine sponsors for groundbreaking work...
10/22/2025

The FDA has announced its first-ever National Priority Voucher awards, recognizing nine sponsors for groundbreaking work in public health, rare diseases, and U.S. drug manufacturing.

The new voucher program accelerates FDA review timelines and encourages innovation where it matters most.

๐Ÿ“ฐ Get the full story in our latest Industry Watch Alert from BHM Healthcare Solutions:
๐Ÿ‘‰ https://zurl.co/eXUJB

The FDA has issued its first National Priority Vouchers to nine sponsors under FDORA, accelerating high-impact therapies and strengthening U.S. drug supply resilience.

This COPD Awareness Month, healthcare leaders have a powerful opportunity to improve early detection and cost efficiency...
10/20/2025

This COPD Awareness Month, healthcare leaders have a powerful opportunity to improve early detection and cost efficiency. Our Power Breathing guide provides turnkey facts, action steps, and NHLBI/COPD Foundation toolkits to strengthen outreach and patient engagement.

With COPD driving $49 billion in annual U.S. costs and impacting readmissions, star ratings, and value-based reimbursement, proactive awareness initiatives deliver both clinical and financial returns.

Access the full guide: https://zurl.co/QjFs9

๐——๐—ถ๐—ฑ ๐˜†๐—ผ๐˜‚ ๐—ธ๐—ป๐—ผ๐˜„... According to the ๐˜๐˜ฆ๐˜ฅ๐˜ฆ๐˜ณ๐˜ข๐˜ญ ๐˜™๐˜ฆ๐˜จ๐˜ช๐˜ด๐˜ต๐˜ฆ๐˜ณ, there have been ๐Ÿฎ๐Ÿฌ๐Ÿต ๐—ฒ๐˜…๐—ฒ๐—ฐ๐˜‚๐˜๐—ถ๐˜ƒ๐—ฒ ๐—ผ๐—ฟ๐—ฑ๐—ฒ๐—ฟ๐˜€ signed in 2025. Of those, 12 exe...
10/17/2025

๐——๐—ถ๐—ฑ ๐˜†๐—ผ๐˜‚ ๐—ธ๐—ป๐—ผ๐˜„... According to the ๐˜๐˜ฆ๐˜ฅ๐˜ฆ๐˜ณ๐˜ข๐˜ญ ๐˜™๐˜ฆ๐˜จ๐˜ช๐˜ด๐˜ต๐˜ฆ๐˜ณ, there have been ๐Ÿฎ๐Ÿฌ๐Ÿต ๐—ฒ๐˜…๐—ฒ๐—ฐ๐˜‚๐˜๐—ถ๐˜ƒ๐—ฒ ๐—ผ๐—ฟ๐—ฑ๐—ฒ๐—ฟ๐˜€ signed in 2025. Of those, 12 executive orders stand out as having a direct impact on healthcare in some manner.

We've compiled a quick view of those 12 healthcare related orders with links to the original executive order for you.

Review it now: https://bhmpc.com/2025/10/trump-administration-healthcare-executive-orders

A concise briefing for healthcare executives on the 12 executive orders issued in 2025 that reshape reimbursement, pricing transparency, and more.

๐Ÿ’œ November is National Home Care & Hospice Month! Celebrate the nurses, aides, therapists, and volunteers who provide co...
10/14/2025

๐Ÿ’œ November is National Home Care & Hospice Month! Celebrate the nurses, aides, therapists, and volunteers who provide compassionate, cost-effective care where patients feel most comfortable; at home.

Get turnkey facts, toolkits, and leadership actions to recognize your teams, educate communities, and strengthen quality initiatives.

Get turnkey facts, toolkits, and executive action steps for National Home Care & Hospice Month to boost quality, recognition, and community engagement.

๐Ÿšญ The Great American Smokeout is almost here. It's an opportunity for healthcare organizations to lead on tobacco cessat...
10/14/2025

๐Ÿšญ The Great American Smokeout is almost here. It's an opportunity for healthcare organizations to lead on tobacco cessation and population health. Tobacco use remains the leading preventable cause of death in the U.S., yet coordinated cessation programs can reduce costs, improve productivity, and strengthen community well-being.

Get leadership actions, quick facts, and ACS toolkits to boost quit-support efforts.

Prepare for the Great American Smokeout with leadership actions and official toolkits to accelerate tobacco cessation and cut healthcare costs.

๐Ÿ’Š The first Most Favored Nation (MFN) pricing agreement is here. Announced Sept. 30, 2025, it ties select Medicare Part ...
10/09/2025

๐Ÿ’Š The first Most Favored Nation (MFN) pricing agreement is here. Announced Sept. 30, 2025, it ties select Medicare Part B drug costs to G7 prices starting Jan. 1, 2026. The shift could cut spending by up to 45%, but payers and providers must prepare for new contract, compliance, and margin impacts.

White House reaches first Most-Favored-Nation pricing deal, realigning U.S. drug costs to international benchmarks and reshaping reimbursement strategies.

๐Ÿผ November is National Prematurity Awareness Month. Preterm birth is the leading cause of infant mortality in the U.S. a...
10/09/2025

๐Ÿผ November is National Prematurity Awareness Month. Preterm birth is the leading cause of infant mortality in the U.S. and can drive long-term neurodevelopmental challenges. Use this concise guide to implement evidence-based strategies, from patient education to regional partnerships, that help lower preterm birth rates and improve lifelong health outcomes.

November is National Prematurity Awareness Month. Use this concise guide to lower preterm birth rates with evidence-based actions and official toolkits.

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