Deny This! with Brian McGraw – PayerWatch
The rapid expansion of precision medicine, biologics, and targeted cancer therapies is transforming oncology—but it’s also overwhelming a system not built to keep pace. In the U.S., cancer drugs now account for some of the highest-cost treatments in healthcare, and with that has come a surge in prior authorization requirements and denials. Studies suggest physicians…
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Deny This! with Brian McGraw - PayerWatch
Turning Denial Data Into Action: How Healthcare Organizations Can Fight Back Against Payer Denials
Healthcare providers across the U.S. are facing a growing wave of claim denials that is putting pressure on already strained hospital finances. Industry research from the American Hospital Association shows that nearly 15% of medical claims submitted to private payers are initially denied, forcing hospitals and health systems to spend about $19.7 billion annually attempting…
Deny This! with Brian McGraw - PayerWatch
Inside ERISA Denials: Why Employers May Be the Real Decision-Makers Behind Your Insurance Card
Insurance denials aren’t new, but they’re hitting a breaking point right now. As prior authorizations surge and patients face longer delays for everything from imaging to specialty drugs, more providers are realizing that the “payer” on the card often isn’t the one truly holding the reins. A growing share of Americans are covered…
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The Healthcare Talent Fix: Build Pipelines Early, Use Data, and Get the Experience Right
There’s a growing tension inside healthcare right now—between the people leaving the workforce and the patients still arriving every day. It’s a dynamic that leaders can no longer afford to ignore. The numbers make that clear: the Association of American Medical Colleges estimates that the U.S. could be short of as many as 86,000 physicians…
Just Thinking… About Federal Funds, Student Support, and the Future of Education with Eric Reaves
As conversations around the future of the U.S. Department of Education continue to intensify, educators and federal program leaders are facing mounting uncertainty about how federal funds will be managed, distributed, and regulated. At the same time, schools serving historically underserved students remain heavily reliant on programs like Title I and other federally…
The Strongest Leaders Build Belief, Model Discipline and Earn Trust
Workplace leadership is under pressure: employees are continuing to disengage, and many managers are still trying to fix a trust problem with performance tactics. Gallup reported that U.S. employee engagement fell to 31% in 2024, its lowest level in a decade, and its research has found that managers account for at least 70% of…
The Art of Recovery: Where Music and Medicine Meet in Patient Care
Healthcare today can feel overwhelming—not just for patients, but for the teams caring for them. After a major illness or injury, recovery isn’t handled by one doctor alone; it often involves a whole network of specialists, from physical therapists to nurses to social workers, all trying to help someone regain their independence and quality…
