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.

Defensible decisions start long before questions or appeals happen.A thoughtful and consistent review process helps crea...
06/04/2026

Defensible decisions start long before questions or appeals happen.

A thoughtful and consistent review process helps create stronger decisions from the very beginning.

๐Ÿ’š June is also  The U.S. Department of Veterans Affairs recognizes this observance each year to increase awareness of po...
06/03/2026

๐Ÿ’š June is also

The U.S. Department of Veterans Affairs recognizes this observance each year to increase awareness of posttraumatic stress disorder and the importance of understanding its impact on individuals, families, and communities.

By bringing attention to PTSD and the resources available to those affected, this observance helps support ongoing conversations around mental health and well-being.

๐—ช๐—ต๐—ฎ๐˜ ๐˜„๐—ฎ๐˜†๐˜€ ๐—ฑ๐—ผ ๐˜†๐—ผ๐˜‚ ๐˜๐—ต๐—ถ๐—ป๐—ธ ๐—ฐ๐—ผ๐—ป๐˜€๐—ถ๐˜€๐˜๐—ฒ๐—ป๐—ฐ๐˜† ๐—ถ๐—บ๐—ฝ๐—ฟ๐—ผ๐˜ƒ๐—ฒ๐˜€ ๐—พ๐˜‚๐—ฎ๐—น๐—ถ๐˜๐˜† ๐—ผ๐—ณ ๐—ฐ๐—ฎ๐—ฟ๐—ฒ ๐—ฎ๐˜ ๐˜€๐—ฐ๐—ฎ๐—น๐—ฒ?Clear and consistent decision-making helps support ...
06/02/2026

๐—ช๐—ต๐—ฎ๐˜ ๐˜„๐—ฎ๐˜†๐˜€ ๐—ฑ๐—ผ ๐˜†๐—ผ๐˜‚ ๐˜๐—ต๐—ถ๐—ป๐—ธ ๐—ฐ๐—ผ๐—ป๐˜€๐—ถ๐˜€๐˜๐—ฒ๐—ป๐—ฐ๐˜† ๐—ถ๐—บ๐—ฝ๐—ฟ๐—ผ๐˜ƒ๐—ฒ๐˜€ ๐—พ๐˜‚๐—ฎ๐—น๐—ถ๐˜๐˜† ๐—ผ๐—ณ ๐—ฐ๐—ฎ๐—ฟ๐—ฒ ๐—ฎ๐˜ ๐˜€๐—ฐ๐—ฎ๐—น๐—ฒ?

Clear and consistent decision-making helps support fair outcomes, reduce confusion, and create a better experience for members and providers alike.

  starts today and is an opportunity to bring greater awareness to the physical and mental health challenges that can af...
06/01/2026

starts today and is an opportunity to bring greater awareness to the physical and mental health challenges that can affect men throughout their lives. It also serves as a reminder of the importance of staying informed, seeking support when needed, and making health a priority.

This year's theme, , highlights the role that education, connection, and advocacy can play in supporting healthier lives and stronger communities.

๐Ÿ“… To stay ahead on upcoming health observances, explore BHM's Healthcare Awareness Planning Guide and monthly observance article:
https://bhmpc.com/health-awareness-observances-list-monthly-planning-tool/

Learn more about Men's Health Month and explore available resources:
๐Ÿ‘‰ https://menshealthmonth.org/

Men's Health Month: Celebrated Every June MHM-2021-slider-introMHM-2021-slider-MHMMHM-2021-slider-weekMHM-2021-slider-IMHWMHM-2021-slider-day Men's Health Week: June 14-21, 2026 Blue Ribbon Pins, Brochures, Squeezy Prostates, and more June is Menโ€™s Health Month! Throughout June, Menโ€™s Health Net...

The Centers for Medicare & Medicaid Services has finalized major operational changes to the Federal Independent Dispute ...
05/29/2026

The Centers for Medicare & Medicaid Services has finalized major operational changes to the Federal Independent Dispute Resolution process, marking one of the most significant updates to No Surprises Act dispute operations since the program launched in April 2022

CMS finalized significant reforms to the Federal Independent Dispute Resolution process, lowering fees, improving transparency, and introducing operational changes for payer-provider payment disputes.

A steady, well defined process helps teams keep cases on track and feel confident in the decisions they reach. Over time...
05/28/2026

A steady, well defined process helps teams keep cases on track and feel confident in the decisions they reach. Over time, that consistency takes some of the pressure off day to day operations.

๐˜๐˜ง ๐˜บ๐˜ฐ๐˜ถ ๐˜ค๐˜ฐ๐˜ถ๐˜ญ๐˜ฅ ๐˜ด๐˜ฎ๐˜ฐ๐˜ฐ๐˜ต๐˜ฉ ๐˜ฐ๐˜ถ๐˜ต ๐˜ฐ๐˜ฏ๐˜ฆ ๐˜ด๐˜ต๐˜ฆ๐˜ฑ ๐˜ช๐˜ฏ ๐˜บ๐˜ฐ๐˜ถ๐˜ณ ๐˜ณ๐˜ฆ๐˜ท๐˜ช๐˜ฆ๐˜ธ ๐˜ฑ๐˜ณ๐˜ฐ๐˜ค๐˜ฆ๐˜ด๐˜ด, ๐˜ธ๐˜ฉ๐˜ช๐˜ค๐˜ฉ ๐˜ธ๐˜ฐ๐˜ถ๐˜ญ๐˜ฅ ๐˜บ๐˜ฐ๐˜ถ ๐˜ฑ๐˜ช๐˜ค๐˜ฌ ๐˜ง๐˜ช๐˜ณ๐˜ด๐˜ต?

  may be ending, but the need for more good days is not.Over the past few weeks, we have shared small practices that can...
05/27/2026

may be ending, but the need for more good days is not.

Over the past few weeks, we have shared small practices that can support your mental health. None of these are a cure-all, they are starting points to help you slow down, name what is going on, and move toward support.

If this month brought up anything that feels bigger than you can manage alone, resources from Mental Health America are available year-round, not just in May. You can explore tools and take a free, anonymous screening here:
๐Ÿ‘‰ https://mhanational.org/mental-health-month

Simple, focused reporting can highlight what is working, where performance is slipping, and where to adjust next.๐˜ž๐˜ฉ๐˜ข๐˜ต ๐˜ฌ๐˜ช...
05/26/2026

Simple, focused reporting can highlight what is working, where performance is slipping, and where to adjust next.

๐˜ž๐˜ฉ๐˜ข๐˜ต ๐˜ฌ๐˜ช๐˜ฏ๐˜ฅ ๐˜ฐ๐˜ง ๐˜ณ๐˜ฆ๐˜ฑ๐˜ฐ๐˜ณ๐˜ต ๐˜ฅ๐˜ฐ ๐˜บ๐˜ฐ๐˜ถ ๐˜ง๐˜ช๐˜ฏ๐˜ฅ ๐˜บ๐˜ฐ๐˜ถ๐˜ณ๐˜ด๐˜ฆ๐˜ญ๐˜ง ๐˜ค๐˜ฐ๐˜ฎ๐˜ช๐˜ฏ๐˜จ ๐˜ฃ๐˜ข๐˜ค๐˜ฌ ๐˜ต๐˜ฐ ๐˜ฎ๐˜ฐ๐˜ด๐˜ต ๐˜ฐ๐˜ง๐˜ต๐˜ฆ๐˜ฏ?

  is May 31st, and this year World Health Organization (WHO)โ€™s theme is โ€œ  โ€“ countering to***co and ni****ne addiction.โ€...
05/25/2026

is May 31st, and this year World Health Organization (WHO)โ€™s theme is โ€œ โ€“ countering to***co and ni****ne addiction.โ€

The 2026 campaign focuses on how to***co and ni****ne products are designed and marketed in ways that draw young people in, and on the steps schools, families, and health systems can take to reduce that harm and support quitting.

Learn more about this yearโ€™s focus and how to get involved here:
๐Ÿ‘‰ https://www.who.int/campaigns/world-no-to***co-day/2026

๐Ÿ“… To stay ahead of upcoming health observances, explore BHMโ€™s Healthcare Awareness Planning Guide and monthly observance article: https://bhmpc.com/health-awareness-observances-list-monthly-planning-tool/?utm_source=fb_page&utm_medium=BHM+Healthcare+Solutions&utm_campaign=publer

Congressional lawmakers are attempting to reverse CMSโ€™ ๐—ช๐—œ๐—ฆ๐—ฒ๐—ฅ AI-assisted prior authorization pilot after a GAO ruling de...
05/21/2026

Congressional lawmakers are attempting to reverse CMSโ€™ ๐—ช๐—œ๐—ฆ๐—ฒ๐—ฅ AI-assisted prior authorization pilot after a GAO ruling determined the model should have been submitted to Congress before implementation, escalating federal scrutiny around AI-supported utilization management in Medicare.

Congressional lawmakers introduced resolutions seeking to overturn CMSโ€™ WISeR AI-assisted prior authorization pilot following a GAO determination that the Medicare model should have undergone congressional review prior to implementation.

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