Technology

Overcoming Tech Barriers to Achieve Prior Authorization Transparency

February 13, 2024 - Prior authorization has posed problems for nearly all healthcare stakeholders. The CMS Interoperability and Prior Authorization Final Rule aims to streamline the utilization management process and improve data-sharing between payers, providers, and patients. Public payers, including Medicare Advantage organizations, Medicaid and the Children’s Health Insurance Program (CHIP)...


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Top Payer Concerns, Opportunities Around Generative AI Integration

by Kelsey Waddill

Generative AI may become a fixture of the health insurance landscape, seamlessly integrated into common payer processes, reducing timelines from hours or days to minutes. But for now, the tool’s future is fraught with...